Senior Disability Claims Consultant coaching disability case managers at Medavie, a Canadian health solutions partner. Reviewing complex claims and improving short - and long - term disability management.
About the role
- Bilingual Patient Care Navigator managing patient enrollments, reimbursement, and service coordination for Sentrex Health Solutions. Providing dedicated support to patients and healthcare teams for optimal therapy access.
Responsibilities
- Responsible for the timely enrollment of the patients into the Patient Support Program
- Responds to calls, emails and voicemails in a very efficient and friendly manner
- Navigates the Canadian reimbursement landscape with ease and confidence to secure coverage for various disease states, products, and testing
- Develop strong relationships with patients, caregivers, and their healthcare team by infusing confidence, trust, security, and relief
- Sets and processes tasks on time, and as required, to ensure an optimal patient and Physician experience
- Ensures patient services are coordinated and tracked in a timely manner resulting in quick and continued access to therapy
- Prioritizes conflicting needs; handles all matters expeditiously, proactively, and follows-through on tasks to successful completion
- Electronically updates the Customer Relationship Management (CRM) and provides patients and clinics with timely proactive updates
- Successfully completes critical aspects of deliverables with a hands-on collaborative approach
- Reports Adverse Events / Severe Adverse Events (AE / SAEs) by following SOP guidelines
- Requirement to maintain outlined service levels for various clients, projects and initiatives
- Fosters and promotes a spirit of teamwork while working with various internal business units
- Acts as a liaison and provides ongoing feedback to the Manager based on observations in the field and feedback from customers as it pertains to quality of services, training, and other areas of importance
- Completes all relevant reports (billing, time sheets, expenses, mileage, validate CRM reports, etc.) as per specified timelines and as per required standards
- Participates in building relationships crucial to the success of the organization, and manages a variety of special projects, some of which may have organizational impact
- Always maintains professionalism, and strict confidentiality with all materials, and exercises discretion when interfacing with the business
- Additional duties as required and as determined by your Manager.
Requirements
- A Bachelor’s degree in a related field or equivalent work experience
- Previous experience working within a specialty pharmacy considered a strong asset
- Experienced in disease state areas such as Dermatology, Hepatology and/or Gastroenterology
- Experience working directly with Physicians, with a comprehensive understanding of patient flow
- Proficiency in Microsoft Office suite, phone systems, and experience working with databases (i.e., ERP/CRM)
- Extensive computer and software skills
- Previous experience working within a Patient Support Programs required
- Strong organizational skills with the ability to handle changing priorities effortlessly and independently
- Able to accurately input information into various paper and electronic forms, with attention to detail and accuracy being essential
- Self-directed individual who can work independently with minimal supervision
- Knowledge of private and public reimbursement structure, systems, and the process to navigate, is required
- Must be able to work from home and have a quiet, private home office space
- Excellent verbal and written communication skills in English and French
- Strong analytical skills including interpretation of regulation and legislation
- Knowledge of the pharmaceutical distribution industry is required
- Excellent interpersonal skills, customer service, problem-solving, and conflict resolution skills.
Benefits
- Competitive Salary and generous vacation entitlement
- Wellness Program (5 paid days off for your well-being!)
- Paid Sick Days
- Competitive Benefits Package including Dental & Extended Health Benefits, AD&D, LTD & Employee/Dependent Life Insurance
- Employee & Family Assistance Program
- RRSP Matching Program
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