Bilingual Reimbursement Specialist

Sentrex Health Solutions,
Remote

About The Position

Sentrex Health Solutions is a proudly Canadian, fully integrated specialty distributor and patient support provider for pharmaceutical manufacturers, physicians, and their patients. We provide innovative solutions focused on ensuring patients have access and the support they need to maximize their treatment outcomes. We do this through strategic distribution models and patient support programs that are backed by powerful, integrated technology, a dedicated in-house creative agency, and experienced, cross-functional teams. Our core capabilities include Specialty Pharmacy Services, Customized Solutions for Warehouse, Wholesale & Distribution, Patient Support Programs, Strategic Creative Services as well as HCP & Clinic Services. At Sentrex, we thrive when our people thrive. We are currently looking for a Bilingual Reimbursement Specialist to be the supportive force that empowers our Patient Support Programs. The Bilingual Reimbursement Specialist plays a key role in supporting patients by facilitating access to prescription drug coverage. This role involves coordinating between patients, healthcare professionals, and insurance providers to ensure timely and efficient reimbursement outcomes.

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.

Nice To Haves

  • Your commitment to providing a high level of service to your internal and external clients.
  • You are highly adaptable with a track record of success during times of growth and organizational change.
  • You have a proven track record of developing trust and influence at multiple levels.
  • You demonstrate an impactful and candid communication style.
  • You have exceptional organizational skills with the ability to build effective working relationships with colleagues, management, and stakeholders.

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.

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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