Pharmacy Reimbursement Specialist (Remote, Canada)

Sentrex Health Solutions • ,

11h • Remote

About The Position

A proudly Canadian company, Sentrex Health Solutions is a 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 and experienced, cross-functional teams. Our core capabilities include Specialty Pharmacy Services, Customized Solutions for Warehouse, Wholesale & Distribution, Patient Support Programs, as well as HCP & Clinic Services.

The Pharmacy Reimbursement Specialist is primarily responsible for supporting the billing team. The duties may include test billing, commercial billing conversion management of accounts receivables and payments, and maintaining and managing of the unfill prescription tracker.

The Pharmacy Reimbursement Specialist is required to work independently under direction from the pharmacy operations manager, as well as within a team. This role will be hybrid but may require rotational on site pharmacy work.

Requirements

• 5+ years experience in pharmacy or reimbursement setting required
• Specialty pharmacy experience preferred
• Experience with Kroll billing preferred
• Strong understanding of provincial public and private reimbursement
• Problem solving and critical thinking skills required
• Driven for success and results oriented
• Ability to work independently as well as in a team setting
• Ability to prioritize, organize, and manage the workload efficiently
• Excellent interpersonal and communication skills

Nice To Haves

• Specialty pharmacy experience preferred
• Experience with Kroll billing preferred

Responsibilities

• Track commercialization efforts using Kroll and BI reports and various other tools
• Review and submit claims for specialty medications related to commercialization efforts
• Find opportunities to perfect billing for commercialization efforts
• Review the pharmacy transactional data and enhance billing policies and practices
• Follow up with patients, insurers, adjudicators, patient support programs for pharmacy claims
• Support the pharmacy team with accurate processing of prescriptions for all programs/medications
• Provide exemplary customer service in all interactions with patients and clients
• Manage and follow up on accounts receivable for the pharmacy as well as the outstanding balances generated through the commercialization efforts
• Maintain and manage the prescription unfill tracker
• Be the point of contact for internal and external stakeholders for the unfill prescription management
• Adhere to all relevant guidelines including the established Standard Operating Procedures and all applicable regulatory requirements as set out by the College of Pharmacists
• Assist with other duties as required

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed