Program Coordinator, Payor Solutions

1 month ago


Toronto, Canada Bayshore HealthCare Full time

Job Description

JOB SUMMARY

To provide administrative program, and call center support to the Payor Solutions department within Bayshore Specialty Rx. To complete all client referrals, program communications, inputs data and maintains data integrity, and triages all inbound call center inquiries as required by the Bayshore Specialty Rx Payor Solutions department.

Pay rate - 42,000 to 45,000

DUTIES AND RESPONSIBILITIES

Act as a central resource liaison for program stakeholders, which include clients, patient support programs, plan members and pharmacies. Proactively offer assistance to plan members and advocate on their behalf. Provide updates to stakeholders as requested and required. Perform data-entry, answer inbound calls, make outbound calls, manage program e-mail inboxes, and fax software, general administrative functions. Triage program referrals, emails, communications, and tasks to program staff once entered into the CRM. Provide other ongoing administrative help and support to Program Manager, Payor Solutions as needed. Acquire data from primary or secondary data sources and maintain databases/ CRM systems. Participate in data integrity/file cleanup projects as required Performing additional duties to include reconciliation of billing data, data entry, filing, obtaining, and obtaining/organizing supporting documentation including preparation of reports, spreadsheets and dashboards as needed; ensuring monthly timelines and targets are met. Ensure deadlines are met for all reporting and service commitments. Assist with training and mentoring of new staff Participate in quality activities and continuous improvement initiatives in keeping with the company’s Quality Management System. Participate in proactive Health & Safety activities while performing all duties. Is responsible to notify immediate Supervisor of any Health & Safety risks or concerns. Maintain confidentiality of client and corporate information and discusses same only with appropriate Bayshore personnel. Participate in ongoing internal and/ or external continuing education activities. Complete other tasks as requested.

Job Qualification

Education and/ or Experience

Bilingualism in English and French is considered an asset. Experience in the insurance, healthcare, or pharmaceutical industry is an asset. Experience working with insurance data is an asset. Strong customer service, communication, problem solving skills required. Exceptional interpersonal skills and ability to work independently and as part of a team. Organized with a high attention to detail. Excellent verbal and written skills in English. Ability to work in a high paced environment. Ability to adapt to change quickly. Expert knowledge of Microsoft Office (Excel, Word, Outlook) Post-secondary education or equivalent. At least one year of recent experience in insurance or pharmaceutical customer service-related role At least one year of recent experience in an administrative role.

“At Bayshore Healthcare, our commitment to Equity, Diversity & Inclusion is our strength. This is how we bring our vision of being the difference in the lives of those we care for, work with and in our communities. We have a great sense of pride in creating a culture of belonging, where individual differences are embraced and celebrated, through programs, resources and policies that support each individuals purpose, potential and wellbeing.” 

Bayshore operates in accordance with the Accessibility for Ontarians with Disabilities Act, and applicable Provincial Human Rights Codes.



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