Bilingual Document Specialist supporting a positive customer experience in Group Benefits Administration at Sun Life by processing documents and managing inquiries.
About the role
- Reimbursement Specialist responsible for coordinating patient and provider support in Canada. Demonstrating knowledge of healthcare funding mechanisms and maximizing reimbursement solutions.
Responsibilities
- Daily and ongoing communication with Program Manager / Associate Program Manager for new and existing projects
- Demonstrate in depth knowledge of rare disease program offerings
- Exhibit in depth knowledge of public/private and federal funding mechanisms as well as Rare Disease funding bodies
- Coordinate cases with physician and healthcare professionals
- Maximize reimbursement solutions
- Navigate through the complex lobbying process to obtain prescription drug coverage
- Coordinate documents, submissions and related paperwork to insurance companies
- Implement Financial Means Test as required
- Coordinate pharmacy processes required once funding has been obtained
- Report all Adverse Events to the assigned units/departments
Requirements
- Minimum of 3 years’ experience in the pharmaceutical, insurance or healthcare-related industries
- Previous experience in reimbursement and Knowledge of public, private and federal reimbursement is required
- Minimum of three (3) years’ experience in a Customer Service setting
- Five (5) years or more tenure as a Sr. Reimbursement Specialist
- Professional / courteous / efficient telephone manner
- Strong proficiency in Microsoft applications (Outlook, Word, Excel)
- Proven ability to organize time, set priorities and multi-task in order to meet various competing work deadlines
- Strong communication and interpersonal skills, including the ability to communicate with patients in a healthcare setting
- Attention to detail
- Bilingualism, French/English is required.
Benefits
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Professional development opportunities
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