Reimbursement Specialist - Bilingual (French & English)

Auxilium HealthOshawa, ON
CA$48,000 - CA$53,000Hybrid

About The Position

The Reimbursement Specialist/Patient Access Specialist role involves overseeing all aspects of patient enrollment into a Patient Support Program. The Reimbursement Specialist will perform reimbursement navigation and coordinate services for patients who have been prescribed medication by their doctor. Responsibilities include assisting physicians and patients with drug coverage, following up on submissions to obtain coverage from insurers, and ensuring timely access to prescribed treatments. The Reimbursement Specialist also provides ongoing support to patients through effective communication to ensure seamless access to the prescribed therapy.

Requirements

  • Proficiency in French and English required
  • Strong written and verbal communication skills
  • A positive and hardworking attitude
  • Able to demonstrate compassion and patience
  • Able to manage multiple tasks and priorities at once with required urgency in a fast-paced environment
  • Experience with Salesforce, Microsoft, Adobe & DocuSign applications
  • Ability to work independently and in a team environment
  • A willingness to learn
  • Effective problem solving and critical thinking skills

Nice To Haves

  • Experience in reimbursement or with Patient Support Programs is an asset
  • Experience in the healthcare, pharmaceutical, or insurance industry is an asset

Responsibilities

  • Work with patients to remove barriers for access to the prescribed medication
  • Provide education to patients, HCP’s (Health Care Providers) and their staff regarding program services.
  • Respond to inquiries from patients, HCP’s (Health Care Providers) and their staff in a timely and appropriate manner
  • Support access to medication and expedite time to obtain the drug prescribed by providing reimbursement support and assistance for patient out-of-pocket costs
  • Communicate with patients, HCP’s, clinic staff, and Key Account Managers to provide education and services pertaining to the acquisition, access, coverage, reimbursement and affordability of medication
  • Conduct reimbursement investigations with private reimbursement providers
  • Review, analyze and validate information provided by patients and HCP’s for accuracy and completeness to ensure initiation of services
  • Provide answers to general inquiries on Program services, based on information provided as part of the Program Case Manager materials

Benefits

  • Accommodations are available on request for candidates taking part in all aspects of the selection process.
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