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Bilingual Reimbursement Case Manager

4 months ago

Quebec City, Canada Bayshore HealthCare Full time

**ABOUT THE ROLE**
To be a point of contact offering case management support services to patients. Assist the patients, physicians and nurses with the completion of all program-specific paperwork if needed for PSP Hub Programs. Act as a resource to physicians who are prescribing medications and patients who need on-going support. This position reports into the Program Manager.

**A DAY IN THE LIFE**
- Ensure patient has been enrolled through support program /PSP Hub Program
- Keep detailed notes in the patient’s electronic chart
- Follow-up/advocate until a decision is received to secure coverage for the patient. Completes and/or reviews SA forms prior to submission to insurers
- Prepare all related paperwork to payors public, private & federal alike
- Work with the site representatives to support specific customer needs.
- Act as a central resource liaison for program stakeholders, which include physicians, nurses, patients and clinics.
- Provide updates to stakeholders as requested and required.
- Perform data-entry, answer inbound calls, make outbound calls, and manage e
- mail and fax software, general administrative functions including faxing and filing.
- Must be able to identify and report AE’s to Health Canada (if applicable) and enter into source system and third party systems.
- Report and document Adverse Events as per Pharmacovigilance requirements.
- Participate in ongoing internal and/or external continuing education activities
- Adhere to Bayshore Policies and Procedures
- Participate in quality activities and continuous improvement initiatives in keeping with the company's Quality Management System as well as specific performance indicators for the project
- Participate in proactive Health & Safety activities while performing all duties. Is responsible to notify immediate Supervisor of any Health & Safety risks or concerns.
- Maintains confidentiality of client and corporate information and discusses same only with appropriate Bayshore personnel
- Complete other tasks as requested

Job Qualification

**WHAT YOU BRING TO THE TEAM**
- Post-secondary education or equivalent
- Excellent verbal and written skills in both English and French
- Minimum 2 years experience in reimbursement, or PSP
- Strong customer service, communication, problem solving skills required
- Comfortable working in a contact center environment
- Organized with a high attention to detail