Reimbursement Associate
7 days ago
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 opening soon in Calgary, Alberta. We are a distinctive healthcare company, with patient relationship skills that set us apart. We mainly deal with patients who require biologics/specialty medications used in the treatment of chronic medical conditions such as rheumatoid arthritis, psoriatic arthritis, urticaria, ulcerative colitis, and many others.
At Rx Connect Specialty Pharmacy, we provide patient-centric healthcare and assist patients in overcoming the challenges of specialty pharmacy. We utilize innovative strategies to deliver patients access to specialized therapy in a cost-effective, timely and caring manner leading to improved adherence, therapeutic success and overall well-being.
**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
- 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
**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 the 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
**Job Types**: Full-time, Permanent
**Salary**: $43,000.00-$55,000.00 per year
**Benefits**:
- Dental care
- Extended health care
- Paid time off
- Vision care
Flexible Language Requirement:
- French not required
Schedule:
- 8 hour shift
- Day shift
Application question(s):
- Do you have experience dealing with insurance companies for benefits coverage?
**Experience**:
- reimbursement: 1 year (preferred)
- Pharmacy assistant: 1 year (preferred)
- Kroll: 1 year (preferred)
Work Location: One location
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