Pharmacy Benefits & Prior Authorization Specialist

AmerisourceBergen Corporation; Canada; On-site; CAD 55,000 - 75,000; Full time

Job summary

AmerisourceBergen Corporation in Canada seeks a pharmacy support specialist to document patient interactions and manage prior authorizations. You will verify coverage details, assist with financial aid enrollment, and coordinate referrals with specialty pharmacy teams.

The role requires 3+ years in pharmacy support or related healthcare administration, with HIPAA training. A High School Diploma or equivalent is required, and an associate degree is preferred.

Qualifications

• 3+ years of experience in pharmacy support, prior authorization processing, insurance verification, or healthcare administrative roles.
• HIPAA or applicable compliance training required.
• Associate's degree or equivalent experience preferred.

Responsibilities

• Supports documentation compliance by recording patient interactions, updating case notes in pharmacy systems, and maintaining privacy requirements.
• Processes prior authorization requests by collecting clinical documentation, completing payer forms, submitting requests, and tracking status.
• Verifies insurance coverage by reviewing patient insurance cards, checking formulary information, and documenting coverage details.
• Supports financial assistance enrollment by collecting eligibility information, completing copay applications, and submitting paperwork to programs.
• Coordinates specialty pharmacy referrals by processing forms, verifying benefits, scheduling calls, and liaising with specialty teams.
• Responds to routine patient inquiries by providing status updates, using scripts, and escalating complex issues.
• Tracks pending prior authorizations by monitoring submission dates, following up with payers, and notifying staff of delays.

Skills

Pharmacy support

Prior authorization

Insurance verification

Healthcare administration

Education

High School Diploma

Associate's degree

Job description

AmerisourceBergen Corporation in Canada seeks a pharmacy support specialist to document patient interactions and manage prior authorizations. You will verify coverage details, assist with financial aid enrollment, and coordinate referrals with specialty pharmacy teams.

The role requires 3+ years in pharmacy support or related healthcare administration, with HIPAA training. A High School Diploma or equivalent is required, and an associate degree is preferred.