Caseworker-4

2 weeks ago

Québec, Quebec, Canada Cencora Full time

  • What you will be doing

PRIMARY DUTIES AND RESPONSIBILITIES:
_

  • Working closely with assigned patients' to identify various reimbursement coverage options and investigate financial options for those without insurance.
  • Assist with the coaching and mentoring of existing team members.
  • Manage a patient caseload larger than their caseworker counterparts.
  • Be a reimbursement expert in assigned caseload territory.
  • Provides other caseworker(s) assistance with complex reimbursement, insurance, benefit investigation, special authorization, and appeal requests.
  • Participate in special projects as assigned by the Program Manager.
  • Provide daily support to Associate Program Manager(s)
  • Assist management with various reports and program related tasks.
  • Work with management to develop program protocol and SOP for Caseworker role.
  • With management, lead training of new caseworkers, including but not limited to shadowing & call monitoring.
  • Regularly Interacts with insurance companies, physician' offices, and healthcare professionals to provide optimal reimbursement support
  • Assists the patient with Clinic and Pharmacy selections, and schedules patient appointments
  • Generates drug orders ensuring that required information is faxed to the pharmacy, and related parties
  • Adherence to the general company processes.
  • Telephone Support : Implementing callcentre programs including the provision of patient, healthcare professional and funding bodies with telephone support.

Current assistance lines focus on:

  • Funding and access issues, including private, public and special access programs;
  • Compliance programs
  • Administer and adhere to casemanagement protocols, including clinical monitoring, data collection, ongoing patient followup, compliance, therapy disruption/discontinuation monitoring, adverse event reporting and liaison with primary healthcare providers;
  • Implementing pharmaceutical and biotechnology related market research initiatives with physicians, patients, pharmacists or other allied health professionals;
  • All patient programs are based on casework methods and include a significant amount of outbound calls.
  • Document each activity in program specific database.
  • Participate and attend ongoing refresher training and in specialized training courses for specific products or programs as deemed appropriate by the manager.
  • Clear communication to manager, pod, and program trained colleagues regarding the management of cases during foreseen absences.
  • Responsible to report all Adverse Events to the assigned units/departments
  • The Senior Caseworker will also be assigned other duties and tasks as required from time to time.
What your background should look like

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:
_

  • A minimum of two (2) years experience in customer service; experience in medical, pharmaceutical and/or insurance industry is an asset
  • Bilingual in French and English: written and verbal
  • Highly organized with strong attention to detail
  • Flexibility in working shifts (hours of operation are 8 am 8pm)
  • A Minimum of 2 years experience working for a patient support program
  • Experience working in a call center environment an asset
  • Strong communication and interpersonal skills:
written and verbal including effective phone etiquette to diverse audiences i.e. internal, healthcare professionals and patients

  • Proven ability to manage time, set priorities and multitask in order to meet various competing work deadlines
  • Minimum University Degree in a related field or equivalent
  • MINIMUM SKILLS,

KNOWLEDGE AND ABILITY REQUIREMENTS:
_

Demonstrates a strong work ethic, is reliable and shows initiative to purse new skills

Advanced knowledge of pharmaceutical distribution industry

Working knowledge of automated warehouse operating system

Strong business and financial acumen

Strong analytical and mathematical skills

Ability to work in a fast paced environment and consistently meet deadlines

Ability to communicate effectively both orally and in writing
- fully bilingual

Strong communication and interpersonal skills:
written and verbal including effective phone etiquette to diverse audiences i.e. internal, healthcare professionals and patients

Effective interpersonal and leadership skills

Effective organizational skills; attention to detail

Excellent problem-solving skills; ability to resolve issues effectively and efficiently

Strong Knowledge of Microsoft Word, Excel, PowerPoint and other Office Programs

Excellent leadership skills and training

In-depth knowledge of patient support programs

Responsible, dependable, and punctual

Strong problem solving skills and demonstrates experience handling complex problems.

Excellent people skills, team work, empathy, influencing others, adaptability.

Strong technical skills and ability to learn new software/databases quickly

What Cencora offers

We provide compensation, benefits, and resources that enable a highly inclusive culture and supp

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