In Office Case Coordinator

2 weeks ago

Halifax, Canada Drs. Samad, Archibald and Francisconi Full time

Duties:

- Responsible for the timely enrollment of the patient into the Patient Support Program.
- Collaborate with the patient, insurer, and physician regarding the documentation necessary for maximum reimbursement coverage, including the investigation of all public and private insurers and supporting employer escalations, as required.
- Reviews patient status and assists the prescribing physician with preparing documentation for public or private coverage by reviewing patient charts, assessing previous therapies, and tests.
- Reconciliation of injection doses.
- Reimbursement activities relating to injections.
- Completing and submitting insurer forms.
- Provides therapy guidelines/education on the Program to manage patient and physician expectations.
- Collects information and conducts patient financial assessment eligibility based on Program guidelines
- Ensures patient services are coordinated and tracked in a timely manner resulting in quick and continued access to therapy.
- Reports Adverse Events/Severe Adverse Events (AE/SAEs) following approved SOPs.
- Maintain service levels in case management, with the patient, Adverse Events reported within twenty-four hours of receipt.
- Electronically update the Customer Relationship Management (CRM) tool by entering timely patient and clinic information.
- Fosters and promotes a spirit of teamwork while working with internal and external patient support teams.
- Acts as a liaison and provides ongoing feedback to the Program Manager based on observations in the field and feedback from customers as it pertains to quality of services, training, and other areas of importance.
- Identifies obstacles to obtaining coverage and channel this information to the Program Manager and/or Assistant Program Manager.

Preferred Qualifications and Education Requirements
- Completion of a Bachelor's degree
- Excellent written and verbal communication skills
- Excellent customer service, problem solving, and conflict resolution
- Typing skills and ability to be a strong functional user of various computer-based programs
- Experience with reimbursement billing, special access, appeals process, and conducting field-based reimbursement support and consultation is an asset
- knowledge of private and public reimbursement structure, systems and process is an asset
- Knowledge of pharmaceutical distribution industry.

Note: This job description is intended to provide a general overview of the position. It is not an exhaustive list of all responsibilities, duties, requirements, or working conditions associated with the job.

**Salary**: $20.00-$25.00 per hour

Expected hours: No less than 40 per week

**Benefits**:

- Dental care
- Extended health care

Flexible Language Requirement:

- French not required

Schedule:

- Monday to Friday

**Education**:

- Bachelor's Degree (preferred)

Ability to Commute:

- Halifax, NS B3H 1Y6 (required)

Work Location: In person

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