Bilingual Patient Care/ Reimbursement Specialist

5 days ago

Mississauga, Canada NKS HEALTH Full time

We are looking for a Full-time _**Bilingual Patient Care/ Reimbursement Specialist **_to join our growing specialized pharmacy operations in Mississauga.

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.

**PRIMARY DUTIES AND RESPONSIBILITIES**:

- Complete welcome calls to new patients within 24hrs of receiving prescription
- Main point of Contact for select physicians
- Handle and review case progress and determine and document all case closures through Citus CRM
- Facilitate multiple care aspects (case coordination, information sharing, vaccines, pre
- testing, clearance to start)
- coordinate data entry, reimbursement, dispensing, and pharmacist injection trainings for all specialty medications.
- Develop effective working relations and cooperate with patient support programs and Physicians throughout entire case management process.
- Follow
- Follow-up with patient support programs for updates on reimbursement status for all pending new enrollments
- Ensure Assigned biologic spreadsheets remain updated Daily
- Assist with creation of training documents for future onboarding
- Assist with Compliance calling and updated training dates in all spreadsheets
- Adhere to ALL NKS Health professional standards

**EXPERIENCE AND EDUCATIONAL REQUIREMENTS**:

- College Diploma or University degree is required
- Bilingual proficiency is a must
- 2-3 years’ experience in the healthcare or pharmaceutical industry, preferably working with directly with patients and with other health professionals (i.e. physicians, nurses, pharmacists)
- Experience with public (provincial and federal) and private third party drug reimbursement plans
- 2-3 years’ experience in a Customer Service or Call Centre setting
- Strong Computer skills in a Windows environment using MS Office and experience using a customer relationship database is an asset
- Demonstrated ability to work successfully within a fast paced, team based environment
- Excellent communication skills, written and verbal, to interact effectively with patients and clients
- Demonstrated ability to analyze and interpret information, data, and regulations.
- Demonstrated ability to pay attention to details and make decisions using sound judgement.
- Flexible to work longer hours, overtime as required
- Able to work flexible hours between 8:00AM to 8:00PM

**MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS**:

- Superior customer service skills
- Demonstrated teamwork abilities
- Ability to manage multiple tasks and priorities at once
- Comprehension of medical terminology, Ability to read and interpret patient charts
- Strong analytical skills including interpretation of regulation and legislation.
- Ability to make decisions using sound judgment
- Ability to work autonomously
- Strong organizational skills, creative problem solving and results oriented.
- Strong time and project management skills and sense of urgency
- Ability to analyze current enrollment volume by MD
- Ability to analyze enrollment potential based on prescription volume of other biologics
- Ability to engage with a physician and his/her staff as a trusted and well-informed medical counterpart
- Must have a valid driver’s license and possess a car
- Ability to conduct Continuous Healthcare Education (CHE) events with HCPs, which may occur outside regular business hours
- Can interact with multiple sales reps and district managers from the commercial team
- Superior verbal and written communication skills, interpersonal skills and
- Attention to detail.
- Ability to speak multiple languages an asset
- Established relationships with Customers in a given territory, an asset
- Knowledge of public, private and federal reimbursement an asset
- Hold and maintain a valid, non-expired, unrestricted driver’s license'

**Benefits**:

- Extended health care
- Paid time off

Schedule:

- 8 hour shift
- Monday to Friday
- No weekends

Supplemental pay types:

- Bonus pay

Ability to commute/relocate:

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

Application question(s):

- Do you have atleast 2 years of experience working as a case manager/patient care specialist at a specialty pharmacy or a patient support program?

**Language**:

- French (required)

Work Location: In person

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