Pharmacy Support & Prior Authorization Specialist

Cencora; Canada; On-site; CAD 42,000 - 56,000; Full time

Job summary

Cencora is seeking a Personal Care Specialist to support documentation and patient interactions within our pharmacy operations. The role involves processing prior authorizations, verifying insurance, and assisting with financial aid documentation to ensure smooth patient care.

Ideal candidates will have a High School Diploma or GED or equivalent, with 3+ years in pharmacy support or related healthcare administration.

Qualifications

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

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-specific forms using templates, 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 patient eligibility information, completing manufacturer copay applications, and submitting paperwork to program administrators.
• Coordinates specialty pharmacy referrals by processing forms, verifying insurance benefits, scheduling patient calls, and liaising with specialty pharmacy teams.
• Responds to routine patient inquiries by providing status updates, answering basic questions using provided scripts, and escalating complex issues.
• Tracks pending prior authorizations by monitoring submission dates, following up with payers on status, and notifying senior staff of delays or denials.

Education

High School Diploma/GED or equivalent experience

Associate's degree in healthcare administration, life sciences, pharmacy technology, or related field

Job description

Cencora is seeking a Personal Care Specialist to support documentation and patient interactions within our pharmacy operations. The role involves processing prior authorizations, verifying insurance, and assisting with financial aid documentation to ensure smooth patient care.

Ideal candidates will have a High School Diploma or GED or equivalent, with 3+ years in pharmacy support or related healthcare administration.