Personal Care Specialist

Accountabilities: Maintain accurate patient records by documenting interactions, updating case notes in pharmacy systems, and ensuring compliance with applicable privacy and documentation requirements. Process prior authorization requests by gathering clinical documentation, completing payer-specific forms using established templates, submitting applications, and tracking their progress. Verify patient insurance coverage by reviewing insurance cards, checking formulary information, confirming coverage details, and accurately recording relevant findings. Support patient enrollment in financial assistance programs by collecting eligibility information, completing manufacturer copayment assistance applications, and submitting documentation to the appropriate program administrators. Coordinate specialty pharmacy referrals by processing referral forms, verifying insurance benefits, scheduling patient communications, and liaising with specialty pharmacy teams. Respond to routine patient inquiries by providing updates on application and authorization status, answering basic questions using approved scripts, and escalating complex issues to the appropriate team members. Monitor outstanding prior authorization requests, track submission dates, follow up with insurance payers, and communicate delays, denials, or other issues to senior staff. Ensure patient information is handled securely and confidentially, following applicable privacy legislation, internal policies, and healthcare compliance standards. Collaborate with internal colleagues and external healthcare partners to support efficient workflows, timely processing, and a positive patient experience. Maintain organized documentation and follow established procedures to ensure administrative accuracy and continuity of patient support. Requirements A high school diploma, GED, or equivalent practical experience is required. An associate degree in healthcare administration, life sciences, pharmacy technology, or a related discipline is preferred; equivalent relevant experience may also be considered. At least three years of experience in pharmacy support, prior authorization processing, insurance verification, healthcare administration, or a comparable healthcare-related role is required. HIPAA training or applicable healthcare privacy and compliance training is required, along with an understanding of confidentiality requirements when handling sensitive patient information. Strong organizational skills and attention to detail, with the ability to manage multiple requests, maintain accurate records, and meet processing deadlines. Familiarity with insurance verification, payer requirements, prior authorization workflows, pharmacy systems, and patient assistance programs. Effective written and verbal communication skills, with the ability to interact professionally with patients, insurance providers, pharmacy teams, and internal stakeholders. A patient-focused and empathetic approach, demonstrating professionalism, discretion, and sensitivity when responding to healthcare-related inquiries. Strong problem-solving and follow-up skills, including the ability to identify missing documentation, track pending requests, and escalate issues appropriately. The ability to follow standardized procedures and communication scripts while recognizing situations that require additional support or escalation. Proficiency with computer systems and administrative tools, including the ability to maintain electronic records and manage documentation accurately. The ability to work independently in a remote environment while collaborating effectively with a broader healthcare support team. Benefits Full-time remote work: Work remotely from Alberta, Canada. Comprehensive healthcare coverage: Access to medical, dental, and vision benefits. Family support programs: Potential access to backup dependent care, adoption assistance, infertility coverage, family-building resources, and other family-focused benefits, subject to eligibility. Parental and caregiver support: Paid parental leave and paid caregiver leave, subject to applicable policies and eligibility. Mental and emotional well-being: Access to behavioral health resources and programs supporting overall wellness. Professional development: Training programs, career development resources, and mentorship opportunities to support continued learning and professional growth. Employee community: Opportunities to participate in employee resource groups, volunteer activities, and workplace engagement initiatives. Inclusive work environment: Join a healthcare-focused organization committed to equal employment opportunities, accessibility, diversity, and employee well-being. Meaningful contribution: Help patients navigate complex administrative requirements and improve access to healthcare services and treatments.