Medical Reimbursement Specialist

2 weeks ago

Banff, Alberta, Canada Innomar Strategies Full time

About the Role

We are seeking a highly skilled and detail-oriented Field Case Manager to join our team at Innomar Strategies. As a key member of our team, you will play a critical role in managing physician relationships, educating healthcare professionals, and ensuring seamless patient care.

Key Responsibilities

  • Establish and maintain strong relationships with physicians and their staff to ensure effective program implementation and patient outcomes.
  • Provide education and training to healthcare professionals on various program services, including therapy guidelines and reimbursement procedures.
  • Consult patient charts to complete necessary paperwork and obtain coverage, ensuring timely and accurate processing.
  • Assist physicians in completing Special Authorization (SA) forms, enrollment forms, prescription renewals, and other documentation.
  • Provide ongoing updates to physicians on their patients, ensuring timely and effective communication.
  • Customize program elements to meet the needs of assigned physicians, adjusting to in-clinic and remote MD requirements.
  • Identify areas for risk and foster proactive, continued quality improvement, ensuring compliance with program standards.
  • Collaborate with cross-functional teams to coordinate patient journeys, ensuring seamless care.
  • Participate in scheduled physician meetings with sales representatives, promoting effective program implementation.
  • Attend Continuous Medical Education events and report new activities, staying up-to-date on industry developments.
  • Regular travel to various physician offices, ensuring face-to-face interactions and effective relationship-building.
  • Adverse Event reporting, ensuring timely and accurate documentation.
  • Perform ad-hoc duties as assigned, demonstrating flexibility and adaptability.

Requirements

  • Registered nurse (RN) or related degree, with equivalent transferable skills.
  • Experience in public or private third-party reimbursement arena, pharmaceutical sales, managed care, or clinical support, an asset.
  • Bilingualism (English and French) is an asset, particularly for Quebec and New Brunswick provinces.
  • Previous Case Manager experience, basic CCPE, and exceptional customer service skills are highly valued.
  • Ability to manage multiple tasks and priorities, comprehend medical terminology, and possess strong analytical and organizational skills.
  • Ability to analyze current enrollment volume by MD, engage with physicians and their staff, and communicate effectively in both English and French.
  • Excellent time management skills, sense of urgency, and ability to work autonomously in a remote setting.
  • Ability to adapt to change and ambiguity, with strong computer skills and knowledge of Microsoft Office.
  • Hold and maintain a valid, non-expired, unrestricted driver's license and possess a car.
  • Adhere to Performance Standards and Procedures required by the program.
  • Must have a private, dedicated home office space that accommodates equipment supplied by Innomar Strategies.

About Cencora

We provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness, including support for working families, training programs, and professional development resources.

Schedule

Full-time position

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