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
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