Bilingual Case Manager

3 weeks ago

Toronto, Canada SRx Health Solutions company Full time

_Do you want to work with a collaborative, diverse team and gain innovative experience in one of the fastest evolving industries?_

SRx health solutions is a fast-growing healthcare solutions services company designed for today’s growing markets. We are Canada’s leading provider and have grown with over 300 employees across Canada. We provide innovative, sustainable, and integrated healthcare solutions on a mission to enhance the wellness of Canadians. You will be part of a team dedicated to creating immersive experiences and transforming ideas into successful health care programs that matter.

We offer a truly inspiring and flexible work environment. Here, you will be empowered to follow your passion to continuously learn and grow. Not to forget to mention, we have one of the friendliest teams on the globe

**About the role**:
Reporting to the Associate Program Manager, Patient Services and Operations, the Bilingual Caseworker is responsible for the coordination and delivery of services related to the patient support programs offered by Specialty Rx Solutions. The role involves liaising with patients, insurance companies, pharmacies, physicians, and other healthcare professionals to investigate and secure coverage for the prescribed medication.

**What you will be doing**:

- Maintain an expert level of knowledge of the Canadian reimbursement landscape and current trends
- Liaise with patients, insurers, and physicians regarding the documentation required to maximize reimbursement coverage, including the exploration of all public and private coverage as needed
- Complete and review insurance-related paperwork prior to submitting to insurers for processing
- Follow-up on, and advocate for patients with public and private payers until a decision is received and coverage is secured
- Complete financial means assessments with patients in accordance to Program offerings and ensure financial assistance renewals are done in a timely manner
- Ensure that reimbursement renewals are completed in a timely manner for all assigned patient files
- Coordinate directly with SRx pharmacies and clinics to ensure that patients have access to, and receive their treatment in a timely manner
- Work collaboratively with Program management and other team members to address any concerns, needs and escalations which may be interrupting the patient journey
- Contact patients to ensure adherence to the treatment plan and coordinate delivery of medication(s)
- Report all Adverse Events (AE) and Product Quality Complaints (PQCs) immediately or as soon as possible upon becoming aware of the event as per client requirements
- Maintain detailed case notes and ensure assigned patient files are accurate and up-to-date at all times within the CRM database
- Participate in and assist with continuous improvement initiatives related to processes, quality, training, etc.
- Maintain a high level of service standards when it comes to reimbursement navigation, telephone answer rates, Adverse Event reporting and other Key Performance Indicators as established by the Program.
- Act as a resource for Program stakeholders, which may include physicians, nurses, patients, clinics and the client
- Assist with data integrity/maintenance as required

**About you**:

- 1-2 years’ experience in customer service
- 1-2 years' experience in the healthcare/pharmaceutical industry
- Experience with public (provincial and federal) and private third party drug reimbursement plans in an asset
- Strong computer and software skills: Excel, Word, Outlook, Adobe Acrobat, CRM database, VoIP telephony, web portals, teleconferences, web-based meetings
- Comfortable with working independently, making decisions using sound judgment, and meeting deadlines
- Comfortable with working in a paperless environment
- Excellent written and verbal communication skills in both English and French
- Flexible to work longer hours, overtime (if required)
- Able to work flexible hours between 8:00am to 8:00pm

**Why you should work with us?**
- Paid vacation, public holidays
- Paid sick days
- Opportunities to develop new skills and progress your career
- Specialized training
- Competitive salary with comprehensive benefits package.
- RRSP matching
- Annual Bonus
- **If it sounds like you, we want you to apply**_

**About us**:
SRx Health Solutions was founded in 2013 by its current President, Adesh Vora. After running retail pharmacies for over 12 years, Mr. Vora opened two pharmacies in Ontario. From the onset, the focus was to provide specialized healthcare solutions for Canadians. To achieve this, Mr. Vora recognized the need to provide more than just retail pharmacy services.

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

**Salary**: From $55,000.00 per year

**Benefits**:

- Dental care
- Extended health care
- Flexible schedule
- Life insurance
- Paid time off
- RRSP match
- Vision care
- Work from home

Schedule:

- Monday to Friday

Supplemental pay types:

- Bonus pay

**Experience*

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