One Point Patient Care/ Reimbursement Specialist

6 months ago

Mississauga, Canada Greenshield Holdings Full time

**WHO WE ARE**

When it comes to health, we’re always looking for ways to push for better. It’s why we were founded in the first place. In 1957, our founder, pharmacist William Wilkinson, witnessed a mother sacrifice her health by forgoing her own medicine to pay for her sick daughter’s prescription. He knew there had to be a better way. So, he introduced North America’s first prepaid drug plan, and GreenShield was born as a not-for-profit with a mission to support better health for all Canadians.

We aren’t just a health and benefits company. We’re the only not-for-profit social enterprise that brings worlds of coverage and care together, all in one place. We’re noble challengers, purposefully building a better way and we need the best people to help us create a more holistic approach that takes care of the mind and body.

Our mission is to create better health for all Canadians, and we know that starts with our employees.

Greenshield Specialty Pharmacy is a specialty pharmacy and healthcare company focused on the handling and service of injectable, infused and biologic medications. We provide high quality service by strategically focusing on chronic autoimmune and neurological conditions, such as: rheumatoid arthritis, gastrointestinal diseases, dermatological diseases, stroke rehabilitation, migraines, and multiple sclerosis. An organizational dedication to program innovation and R&D has allowed GreenShield to design and deliver superior healthcare solutions over the years, which has earned them a premium reputation with patients, physicians, and medication manufacturers. GreenShield Specialty Pharmacy truly creates a complete patient experience as it works with patients, physicians, clinics, hospitals, and nursing homes on all aspects of treatment.

We are a premier specialty pharmacy services provider, offering innovative programs, exceptional service, and superior value. For our patients, we are committed to achieving better health.

Exciting opportunities await While we're not actively hiring today, we're gathering a group of talented individuals for a future Full-time **_Patient Care/Reimbursement Specialist_**. If you're skilled in the pharmacy field, share your resume to join our exclusive talent pool. Your expertise could be the key to our next success. Elevate your career with us

Under the direction of the Biologic Manager, the Patient Care Coordinator is responsible for managing all aspects of onboarding patients for assigned physicians in a given geographical area or hospital. The individual will work directly with the physicians and or the office staff to provide proactive and seamless services with respect to onboarding new patients. This role is performed both in our offices and in the field.

**ROLE IN A NUTSHELL**:

- Be the single point of contact with physician(s)
- Communicate within the pharmacy team to assist with patient care
- Provide ongoing updates to MDs on patient status
- Follow up with MD to insure patient status updates are shared
- Accurate and timely patient charting in CRM
- Proactively provides assistance to resolve client issues with regards to assigned physicians
- Manage all patient starts from time of enrollment to start of therapy.
- Single point of contact for patients enrolled in the support program and prescribing physician, if applicable
- Conducts welcome calls to gather relevant information, introduces patients to the support program, and obtains patient consent as required.
- Informs the patient about all program offerings - for example case management support, reimbursement support, self-injection training, prescription coordination and ongoing compliance
- Understands the molecule(s) in full detail
- Maintains an expert level of knowledge of reimbursement mechanisms in the public and private arenas, specifically within assigned territory
- Acts as a patient advocate, exploring all options for funding of medications, determines coverage details and develops/maintains complete and accurate documentation required to facilitate a successful outcome of the reimbursement process
- Administers financial means tests and manages all aspects of financial assistance within the program as applicable
- Ensures coordination of program services to patients in an effective manner resulting in prompt and continued access to therapy; including self-injection training
- Works collaboratively with Program Management, other Patient Care Specialists, and Field Case Manager/Case Manager (program dependent) to address patients concerns or needs and escalations interrupting the patient journey
- Contact clients periodically to confirm adherence and coordinate delivery of medications (including date, time)
- Report all adverse Events (AE) and Product Technical complaints (PTC) immediately or as soon as possible upon becoming aware of the event as per current policies and procedures

**WHAT WE ARE LOOKING FOR**:

- College Diploma or University degree is required
-

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