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Reimbursement Specialist

4 months ago

Mississauga, 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:
Reporting to our Reimbursement Team Lead, 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**: $45,000.00-$48,000.00 per year

**Benefits**:
Casual dress
Company events
Dental care
Discounted or free food
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

Ability to commute/relocate:
Mississauga, ON: reliably commute or plan to relocate before starting work (required)

Application question(s):
Do you have experience dealing with insurance companies for benefits coverage?

**Experience**:
Reimbursement: 1 year (preferred)
Kroll: 1 year (preferred)

Work Location: In person