Personal Care Specialist

Cencora; United States; Remote; USD 42,000 - 64,000; Full time

Job summary

Cencora is seeking a dedicated professional for pharmacy support and prior authorization processing in the United States. The role involves recording patient interactions, verifying insurance, and managing documentation in pharmacy systems.

You will coordinate with relevant teams and respond to routine inquiries, ensuring HIPAA compliance and accuracy in all records. The ideal candidate has 3+ years in similar roles, a HIPAA background, and a strong attention to detail.

Qualifications

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

Responsibilities

• Document patient interactions and update case notes in pharmacy systems.
• Verify insurance coverage and document coverage details.
• Process prior authorization requests and track status with payers.
• Coordinate with specialty pharmacy teams and respond to routine patient inquiries.

Skills

Pharmacy support

Prior authorization

Insurance verification

Healthcare administration

Education

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

High School Diploma/GED or equivalent experience

Job description

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere.

Job Details

This job profile description is a standardized, non-contractual reference description and global reference tool provided for organizational consistency and talent architecture purposes across Cencora. It does not alter actual job duties, responsibilities, reporting lines, working conditions, grading, compensation, or other essential terms and conditions of employment. Actual duties and responsibilities may vary based on business needs, local requirements, and operational practices. Where a team member’s role is governed by an employment agreement, local terms and conditions, prior job description or collective bargaining agreement, those documents shall prevail in case of any inconsistency. Mandatory local laws shall also prevail. 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.

High School Diploma/GED or equivalent experience required. Associate’s degree in healthcare administration, life sciences, pharmacy technology, or a related field or equivalent experience preferred. 3+ years of experience in pharmacy support, prior authorization processing, insurance verification, or healthcare administrative roles required. Health Insurance Portability and Accountability Act (HIPAA) or applicable compliance training required.

What Cencora offers

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.

Full time

Equal Employment Opportunity

Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.

The company’s continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.

Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process that are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email [e-mail]. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned

Accessibility Policy

Cencora is committed to fair and accessible employment practices.When requested, Cencora will accommodate people with disabilities during the recruitment, assessment and hiring processes and during employment.

Affiliated Companies:

Affiliated Companies: Innomar Strategies