Personal Care Specialist

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Personal Care Specialist based in Alberta, Canada. We are seeking a detail-oriented and compassionate Personal Care Specialist to support patients in navigating essential healthcare services and accessing prescribed treatments. In this role, you will help coordinate administrative processes related to insurance coverage, prior authorizations, financial assistance programs, and specialty pharmacy referrals. You will play an important part in ensuring patient information is accurate, documentation is compliant, and requests are processed efficiently. Working with patients, insurance providers, pharmacy teams, and internal stakeholders, you will help reduce administrative barriers and facilitate access to appropriate care. This opportunity is ideal for an experienced healthcare support professional who combines strong organizational skills with a patient-focused approach. You will contribute to a collaborative healthcare environment committed to improving patient experiences and supporting better health outcomes. This is a full-time, remote position based in Alberta. 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.