Bilingual Patient Care Navigator coordinating enrollment, reimbursement, and therapy access for Canadian pharmaceutical patient support programs. Supporting patients, physicians, insurers, and pharmacies remotely.
Responsibilities
Act as the primary point of contact for patient-related elements of the Patient Support Program
Enroll patients into the Patient Support Program in a timely manner
Provide inbound and outbound telephone support, including maintenance and adherence calls
Collaborate with patients, insurers, and physicians regarding documentation for maximum reimbursement coverage
Investigate public and private insurers and support employer escalations
Review patient charts, previous therapies, and tests to assist physicians with coverage documentation
Provide therapy guidelines and program education to patients and physicians
Collect information and conduct patient financial eligibility assessments
Liaise with physicians' offices, pharmacies, infusion/injection service providers, and other parties to coordinate services
Track patient services to support quick and continued therapy access
Review, analyze, and validate patient information for accuracy and completeness
Maintain case-management service levels and program KPIs
Maintain accurate patient and clinic information in the CRM system
Foster teamwork with internal patient support teams
Identify coverage obstacles and escalate information to the PSP Supervisor
Follow up and advocate until coverage decisions are received
Maintain confidentiality of patient, client, and corporate information
Perform additional duties as requested by the Manager
Requirements
Post-secondary education; experience in healthcare is an asset
Bilingualism (English and French) is required
Experience with reimbursement billing, special access, appeals process, and support/consultation is an asset
Knowledge of private and public reimbursement structures, systems, and processes is an asset
Must be able to work from home and have a quiet, private home office space
Excellent verbal and written communication skills
Strong analytical skills, including interpretation of regulation and legislation
Advanced knowledge of the pharmaceutical distribution industry
Excellent customer service, problem-solving, and conflict resolution skills
Effective interpersonal skills
Exceptional organizational skills and ability to build effective working relationships
Commitment to high service levels
Adaptability and a track record of success during growth and organizational change
Proven ability to develop trust and influence at multiple levels
Impactful and candid communication style
Benefits
State-of-the-art facilities to provide high-quality products and services
Opportunity to be part of a winning, high-performing team
Collaborative, engaging workplace culture
Flexible working environment promoting a healthy work-life balance
Diverse and inclusive culture
Opportunities for learning and growth supported by the Employee Development Program
Industry-leading, in-house corporate training offered throughout the year
Competitive salary
Generous vacation entitlement
Wellness Program with 5 paid days off for well-being
Paid sick days
Competitive benefits package including Dental & Extended Health Benefits, AD&D, LTD & Employee/Dependent Life Insurance
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