Bilingual caseworker supporting Cencora’s Canadian patient, healthcare, and HR service programs. Managing cases, calls, documentation, follow - up, and adverse - event reporting.
About the role
- Bilingual Reimbursement Specialist facilitating patient access to prescription drug coverage in Canada. Managing relationships with patients, healthcare providers, and insurance companies.
Responsibilities
- Manage and oversee all aspects of the reimbursement process to secure prescription drug coverage for patients.
- Develops strong relationships with patients, caregivers, and their healthcare team by instilling confidence, trust, security, and relief.
- Coordinate cases with insurance companies, physicians, and healthcare professionals to optimize reimbursement solutions.
- Help patients navigate the insurance landscape, walking them through how to find insurance forms, acquire signatures and submit to their insurers for a response.
- Prepare, organize, and submit all required documentation to insurance providers and public/federal funding programs.
- Build and maintain strong relationships with key clinics and healthcare partners.
- Collaborate with pharmacy teams to initiate and complete dispensing processes once funding is approved.
- Develop and maintain a deep understanding of public, private, and federal funding mechanisms and reimbursement pathways.
- Ensuring complete and high-quality data entry into our database systems.
- Reports Adverse Events / Severe Adverse Events (AE / SAEs) by following SOP guidelines.
- Complete all relevant reports (time sheets, expenses, mileage, validate CRM reports, etc.) as per specified timelines and as per required standards.
- Maintain program data accuracy through review of program documentation for completeness and consistency.
- Additional duties as assigned by manager.
Requirements
- A Bachelor’s degree in a related field or equivalent work experience.
- Bilingualism (English/French) – required.
- Minimum 2 years of experience in a customer or client service role.
- Prior experience in a reimbursement, healthcare, pharmaceutical, or insurance environment is necessary.
- Proficiency in Microsoft Office and Google Workspace (Word, Excel, Google Docs, Sheets, etc.).
- Excellent communication, interpersonal, and organizational skills.
- Proven ability to multi-task, set priorities, and manage competing deadlines in a fast-paced environment.
- Professional and courteous telephone manner with strong attention to detail.
- Demonstrated ability to problem-solve and think creatively to achieve effective outcomes.
- Comfortable working both independently and collaboratively within a team setting.
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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