Bilingual Reimbursement Specialist guiding Canadian diabetes patients through insurance and prior authorization for Insulet’s Omnipod system. Processing claims and coordinating with payers, providers, and commercial teams.
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
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Report this job
Found something wrong with the page? Please let us know by submitting a report below.
Junior hazardous materials technician supporting EXP’s environmental consulting projects in Ottawa. Conducting hazardous - material investigations, sampling, monitoring, and technical reporting.
Bilingual service scheduling agent booking Geek Squad field - service appointments and handling customer inquiries. Supporting Best Buy customers through phone and chat while recording service information.
Freelance contributor recording natural English conversations for Perle’s AI training data. Using Chinese - language background and natural accents to improve inclusive speech technology.
Freelance contributor recording natural English conversations for Perle’s AI speech technology. Flexible remote work for Chinese - first - language speakers worldwide.
Social Impact Specialist building stakeholder relationships and community capacity for climate adaptation across Canada. Advancing Intact partnerships, employee engagement, and resilience strategy.
Bilingual caseworker managing patient - support cases, calls, and compliance for Cencora’s Canadian pharmaceutical services. Documenting activities, reporting adverse events, and supporting healthcare stakeholders.
Delivery Manager leading SAP Business One implementation teams at Vision33, a global cloud ERP and business transformation partner. Owning delivery performance, people leadership, and commercial outcomes across Eastern Canada.
Bilingual Nurse Case Manager supporting patients, providers, and medication access for Cencora’s Innomar Strategies pharmaceutical services. Coordinating case management, therapy funding, adherence, and treatment logistics.
Bilingual Document Specialist creating accurate Group Benefits contracts and handbooks for Sun Life Canada. Partnering across teams to translate plan designs into customer - ready documents.