Reimbursement Specialist

3 weeks ago

Surrey, Canada Rx Connect Specialty Pharmacy Full time

Founded in 2019, Rx Connect Specialty Pharmacy is a proud Canadian company, comprised of healthcare professionals with extensive specialty medication experience with a location in Mississauga, Ontario and another in Calgary, Alberta. We are a distinctive healthcare company, with patient relationship skills that set us apart. Our mission is to provide excellent customer service and personalized care to our patients, while also ensuring that they have access to affordable medications.

We specialize in providing medications for patients with chronic and complex medical conditions, such as HIV, rheumatoid arthritis, multiple sclerosis, and more. Our team consists of experienced pharmacists, technicians, and support staff who are dedicated to providing compassionate and comprehensive care to our patients.

**About the Position**:
The Reimbursement Specialist will be primarily responsible for assisting our patients navigate insurance challenges and available provincial/federal programs to make their medications more affordable. If you are looking for the opportunity to join a rapidly growing company, we highly encourage you to apply

**Duties and Responsibilities**:

- Communicate with patients, prescribers, healthcare professionals and other key player to support patients through their treatment journey
- Verify and investigate insurance coverage and benefits for patients, including eligibility, co-payments, deductibles, and prior authorizations.
- Gather and document information from patients/caregivers/prescribers in a concise, organized and professional manner
- Complete, submit and follow-up on requisite paperwork in a timely manner
- Liase with private and public insurance providers to determine coverage options
- Act as a central liaison for stakeholders such as physicians, nurses, patients and clinics and provide required updates
- Maintain confidentiality of patient healthcare information
- Keep up-to-date with changes in insurance coverage and reimbursement policies, and communicate these changes to healthcare providers and patients.

**Job Requirements**:

- Excellent customer services skills
- Experience working with Patient Support Programs (Asset)
- Excellent verbal and written communication skills and interpersonal skills
- English & French (asset)
- Reimbursement experience (asset)
- Understanding of provincial and private drug coverage criteria
- Familiarity with the Special Authorization process for both public and private insurance in assigned territory.
- Strong computer and Technical skills: Excel, Word, Outlook, tablets, web-portals/internet use
- **Experience with Kroll Pharmacy Management System is an asset**:

- Making decisions using sound judgment, and meeting deadlines.
- Accurate data collection and data integrity
- Ease with working in a paperless environment.
- Ability to drive for results
- Proven ability to work in a team environment
- Strong sense of organization and attention to detail
- Time management skills and the ability to multi-task and adhere to deadlines

To apply, please submit your resume and cover letter. We thank all applicants for their interest, however, only those selected for an interview will be contacted.

**Job Types**: Full-time, Permanent

**Salary**: $55,000.00-$65,000.00 per year

**Benefits**:

- Casual dress
- Dental care
- Extended health care
- On-site parking
- Paid time off
- Vision care

Flexible Language Requirement:

- French not required

Schedule:

- 8 hour shift
- Day shift
- Monday to Friday
- No weekends

Work Location: In person

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