Reimbursement Associate- Patient Support Program

Company Overview

Rx Connections is a Canadian healthcare company dedicated to providing exceptional patient-centered care and access to complex medications. Our team of healthcare professionals is committed to building healthier communities through personalized service and social responsibility.

Summary

Reporting to the Team Lead and/or Manager, the Reimbursement Associate will be primarily responsible for assisting patients through insurance challenges and available provincial/federal programs to make medications more affordable.

The role also includes patient/care partner enrollment for reimbursement, scheduling, and drug ordering. This role also provides bilingual support to ensure accessibility for diverse patient populations.

Primary Duties and Responsibilities:

• Communicate with patients, prescribers, healthcare professionals and other key players to support patients through their treatment journey.
• Verify and investigate insurance coverage and benefits for patients, including eligibility, co-payments, deductibles, and prior authorizations.
• 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.
• Liaise 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.
• Keep up to date with changes in insurance coverage and reimbursement policies and communicate these changes to healthcare providers and patients.
• Monitor treatments as well as chart and report on all activities as directed by Physician protocols.
• Provide patient education based on protocols, individually or in groups.
• Ensure regular availability to meet appointment scheduling needs efficiently and cost-effectively.
• Majority of the time, the role will be dedicated towards Reimbursement services.
• Perform other duties and tasks as required from time to time.
• Provide bilingual assistance to patients and stakeholders for improved accessibility.

Qualifications and Skills:

• A college diploma or higher in a healthcare-related course is an asset.
• Two or more years of reimbursement navigation experience involving private and public payers is required.
• Two or more years of related pharmacy experience is an asset.
• Experience working with Patient Support Programs is an asset.
• Experience with Kroll Pharmacy Management System is an asset.
• Familiarity with the Special Authorization process for both public and private insurance in assigned territory.
• Proficiency in Microsoft Office Applications (Outlook, Word, Excel).
• A demonstrated commitment to high professional ethical standards and a diverse workplace.
• Proven ability to work in a team environment and independently.
• Ease with working in a paperless environment.
• Time management skills and the ability to multi-task and adhere to deadlines.

Fluency in English and French is required.

If you are passionate about making a difference in patients' lives and thrive in a dynamic healthcare environment, we invite you to explore this exciting opportunity with Rx Connections. Join us in our mission to deliver personalized care that truly impacts communities.

Note:

We are an equal opportunity employer committed to fostering an inclusive and diverse workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, age, disability, or any other protected characteristic under applicable Ontario and Canadian human rights legislation.

Accommodations are available upon request throughout the recruitment process . If you require accommodation, please let us know.

Only candidates selected for an interview will be contacted. We thank all applicants for their interest in joining our team.

Job Type: Full-time

Pay: From $50,000.00 per year

Benefits:

• Casual dress
• Company events
• Dental care
• Employee assistance program
• Extended health care
• Life insurance
• On-site parking
• Paid time off
• Vision care

Application question(s):

• Please describe your experience in patient support, reimbursement, or healthcare administration, including the number of years and the types of responsibilities you handled.
• Do you have experience verifying insurance coverage, co-payments, deductibles, and prior authorizations?

Experience:

• in patient support and reimbursement: 2 years (required)

Language:

• French (required)

Work Location: Hybrid remote in Mississauga, ON L5N 8R9