About the role

  • Bilingual Senior Caseworker supporting patients' reimbursement coverage options and managing complex casework. Working with healthcare professionals and coordinating patient care services.

Responsibilities

  • Working closely with assigned patients to identify various reimbursement coverage options and investigate financial options for those without insurance.
  • Assist with the coaching and mentoring of existing team members.
  • Manage a patient caseload larger than their caseworker counterparts.
  • Be a reimbursement expert in assigned caseload territory.
  • Provide other caseworker(s) assistance with complex reimbursement, insurance, benefit investigation, special authorization, and appeal requests.
  • Participate in special projects as assigned by the Program Manager.
  • Provide daily support to Associate Program Manager(s).
  • Assist management with various reports and program related tasks.
  • Work with management to develop program protocol and SOP for Caseworker role.
  • Lead training of new caseworkers, including but not limited to shadowing & call monitoring.
  • Interact with insurance companies, physician's offices, and healthcare professionals to provide optimal reimbursement support.
  • Assist the patient with Clinic and Pharmacy selections, and schedule patient appointments.
  • Generate drug orders ensuring that required information is faxed to the pharmacy and related parties.
  • Adhere to the general company processes.

Requirements

  • A minimum of two (2) years experience in customer service
  • Experience in medical, pharmaceutical and/or insurance industry is an asset
  • Bilingual in French and English: written and verbal is an asset
  • Highly organized with strong attention to detail
  • Strong proficiency in Microsoft applications (Outlook, Word, Excel & PowerPoint)
  • Flexibility in working shifts (hours of operation are 8 am - 8pm)
  • Ability to apply critical thinking skills to solution problems
  • Experience working in a call center environment an asset
  • Strong communication and interpersonal skills: written and verbal including effective phone etiquette to diverse audiences i.e. internal, healthcare professionals and patients
  • Proven ability to manage time, set priorities and multi-task to meet various competing work deadlines
  • Minimum University Degree in a related field or equivalent.

Benefits

  • Medical, dental, and vision care
  • Backup dependent care
  • Adoption assistance
  • Infertility coverage
  • Family building support
  • Behavioral health solutions
  • Paid parental leave
  • Paid caregiver leave
  • Professional development resources
  • Opportunities for mentorship programs

Job title

Job type

Full Time

Experience level

Senior

Salary

CA$48,000 - CA$74,030 per year

Degree requirement

Bachelor's Degree

Location requirements

RemoteCanada

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