Bilingual Funding Officer reviewing loan applications and validating documentation for Financeit, a Canadian point - of - sale financing provider. Serving Partners and Borrowers while maintaining lending compliance and operational integrity.
SS
Senior Bilingual Case Manager – 18 month contract
Posted 4 months ago
About the role
- Bilingual Senior Case Manager responsible for case management and reimbursement support at Sentrex Health Solutions. Collaborating with various stakeholders to ensure patient access to prescribed therapies.
Responsibilities
- Responsible for the timely enrollment of the patient into the Patient Support Program.
- Collaborate with the patient, insurer and physician regarding the documentation necessary for maximal reimbursement coverage, including the investigation of all public and private insurers and supporting employer escalations as required.
- Reviews patient status and assists the prescribing physician to prepare documentation for public or private coverage by reviewing patient charts, assessing previous therapies and tests.
- Provides therapy guidelines/education on the program to manage patient and physician expectations.
- Collects information and conducts patient financial assessment eligibility based on program guidelines.
- Ensures patient services are coordinated and tracked in a timely manner resulting in quick and continued access to therapy.
- Reports Adverse Events / Severe Adverse Events (AE / SAEs) following approved SOPs.
- Maintain service levels in case management, including telephone answer rates, time to initial contact with the patient, Adverse Events reported within twenty-four hours of receipt and any other KPIs established as the Program level.
- Electronically updates the Customer Relationship Management (CRM) tool by providing timely patient and clinic information.
- Fosters and promotes a spirit of teamwork while working with internal patient support teams.
- Acts a liaison and provides ongoing feedback to the Associate Program Manager based-on observations in the field and feedback from customers as it pertains to quality of services, training, and other areas of importance.
- Provides back-up assistance to PSP Supervisors, Associate Program Managers and Programs Managers when required.
- Identifies obstacles to obtaining coverage and channels this information to the Program Manager and/or Associate Program Manager.
- Recommends corrective actions to ensure deliverables are met.
- Collaborates and participates in PSP team and client meetings as necessary.
- Ensures access to therapy has been expedited determined by effective coordination and tracking, according to Program KPIs.
- Completes all relevant reports (time sheets, expenses, mileage, validate CRM reports, etc.) as per specified timelines and as per required standards.
- Responsible for the creation of work-instructions and training documents as required by the program.
- Aids with program pre and post launch-activities.
- Update and revise training content based on ongoing business needs.
- Deliver training content and facilitate learning sessions in person and virtually while using a variety of methods.
- Manage multiple projects with tight deadlines while providing valuable input to enhance and customize processes that exceed operational needs.
- Be a subject matter expert as it relates to the CRM and Case Management for Patient Programs at Sentrex Health Solutions.
- Shadowing of case managers to provide training and support as needed.
- Provide ad-hoc support to multiple programs, teams, and departments.
- Assists with data clean-up as required.
- Provide additional support with other duties or projects as requested by PSP Management.
Requirements
- A Bachelor’s Degree or College Diploma in a relevant field of study.
- Bilingualism (English and French) will be required
- 2-5 years of experience in Patient Support Programs with advanced knowledge of Case Management and the pharmaceutical distribution industry.
- Demonstrates an aptitude for continuous learning.
- Advanced knowledge of reimbursement billing, special access, the appeals process, and conducting field-based reimbursement support and consultation 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
- Knowledge of private and public reimbursement structure, systems, and the process is required.
- Strong analytical skills including interpretation of regulation and legislation
- Excellent customer service, problem-solving, and conflict resolution skills
- Strong interpersonal skills
- Strong functional user of various computer-based programs
- Proficiency in Adobe Acrobat, SharePoint, and Microsoft Office applications is required.
- Strong ability to consistently meet deadlines and prioritize projects.
- Exceptional organizational skills and ability to activities both for self and others effectively.
- Ability to establish and build healthy working relationships and partnerships with peers.
- Ability to work independently, make decisions, multitask, and solve problems under a high degree of pressure.
- Flexible, resourceful, creative, and proactive work style with an enthusiastic attitude.
- Results-oriented with an ability to handle multiple tasks and maintain a high level of performance.
- Advanced ability to learn and understand new systems and software quickly.
- Excellent problem-solving skills: ability to resolve issues effectively and efficiently.
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
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
Report this job
Found something wrong with the page? Please let us know by submitting a report below.
Nova Scotia government Education Officer advancing French Second Language programs across Grades P - 12. Designing curricula, educator learning, assessments, and inclusive French - language resources.
Bilingual Account Resolution Representative resolving NIGO mutual and segregated fund transactions for Sun Life. Validating documentation and coordinating with Advisors, Dealers and MGAs.
Automotive technical specialist resolving vehicle arbitration claims for OPENLANE’s digital used - vehicle marketplace. Applying hands - on diagnostics, customer communication, and negotiation to settle disputes fairly.
Bilingual Nurse Case Manager supporting patients, providers, and medication access for Cencora’s Canadian pharmaceutical programs. Coordinating case management, therapy funding, adherence, and adverse event reporting.
Bilingual Policy Specialist managing in - force insurance inquiries and policy transactions for Manulife, a Canada - based financial services provider. Handling billing, disbursements, policy changes, and customer resolutions.
PhD Psychology specialist evaluating culturally sensitive Cantonese - English content for AI training. Reviewing accuracy, ethics, and psychological best practices for Gramian Consultancy.
Account Resolution Representative resolving NIGO mutual and segregated fund transactions for Sun Life Global Investments. Validating documentation and coordinating with Advisors, Dealers and MGAs.
Bilingual KYC servicing representative reviewing documentation, managing cases, and handling Card Member interactions. Supporting American Express compliance operations and risk mitigation.
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.