Bilingual Reimbursement Specialist
- Edmonton, AB, Canada
$60,000 - $63,000 per year · Full-time
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Job details
- Pay
- $60,000 - $63,000 per year
- Job type
- Full-time
- Posting language
- English
- Posted
Original job description
The Reimbursement Specialist (RS) directly assists patients on identified pharmaceutical company brands to secure private or public insurance reimbursement. They provide direct telephone phone assistance to patients requiring reimbursement support on identified pharmaceutical company brands. They represent the patient with private or public insurers to optimize drug coverage and liaise with Health Management Nurse and Clinical Support Specialist of the program to ensure optimal patient support and communication.
Why Join Us?
At Calian, we believe our people are our greatest asset. We are committed to fostering a workplace that supports your well-being, growth, and long-term success:
Responsibilities
Monday to Friday (8 hour shifts scheduled between the hours of 8am and 8pm EST).
Vacancy:
We have one position for this role
#
Why Join Us?
At Calian, we believe our people are our greatest asset. We are committed to fostering a workplace that supports your well-being, growth, and long-term success:
- Supportive Team Environment: You will work in a collaborative environment alongside healthcare professionals, coordinators, and case managers who are passionate about improving patient outcomes.
- Professional Growth: We invest in our people. You will have opportunities to expand your knowledge in healthcare systems, and pharmaceutical support services. You will also have access to formal leadership programs designed to help you grow professionally.
- Competitive Compensation & Benefits: Enjoy a competitive salary, comprehensive benefits plan, and access to wellness programs that support your personal and professional well-being.
- Mentorship & Collaboration: Participate in events like our speed mentoring sessions to connect with senior leaders and peers across the organization.
Responsibilities
- Liaise with Clinical Coordinator’s to ensure optimal patient support and communication.
- Track and document all case information using the program IT system.
- Ensure quality assurance with respect to all mandates related to the patient support program.
- Through patient-oriented solutions, manage challenging patient situations with empathy and patience.
- Provide direct telephone assistance to patients requiring reimbursement support on identified company brands.
- Assist with the completion of paperwork and follow up on the submissions pertaining to drug reimbursement/coverage through private or public insurers to optimize drug coverage.
- Understanding of private and public payer systems.
- Ability to work in cross-functional team.
- Proficiency in computer applications, including Microsoft Word and Excel.
- Build and maintain strong relationships with a variety of customers (patients, HCPs, caregivers).
- Ability to respond diplomatically and professionally to internal/external clients.
- Skilled in responding diplomatically and professionally to both internal and external clients.
- Skilled in handling escalated concerns from patients and healthcare providers, with professionalism and empathy.
- Ability to manage deadlines.
- Strong communication skills, both oral and written in English and French, required.
- Fluently Bilinguial with English and French.
- College or University degree.
- Minimum 2 years of experience in drug reimbursement assistance navigation.
- Minimum 1 year of experience in a call center or Patient Support Program.
- Must possess mobility to work in a standard office setting and to use standard office equipment, including a computer (finite movements such as typing and other office functions)
- Requires mental stamina to maintain attention to detail despite interruptions, and vision to read printed materials and a computer screen
- $60,000 - $63,000 per year
- 3 weeks paid vacation
- Benefits Available
Monday to Friday (8 hour shifts scheduled between the hours of 8am and 8pm EST).
Vacancy:
We have one position for this role
#
More about this job
Responsibilities
Provide telephone support to patients seeking reimbursement for prescription drugs, and assist with paperwork and follow-up with private and public insurers to optimize coverage. Document case information, uphold program quality requirements, and coordinate with clinical staff while handling patient and provider concerns professionally and empathetically.
Requirements
Fluency in English and French and a college or university degree are required. Candidates need at least two years of drug reimbursement navigation experience and at least one year of call center or Patient Support Program experience, along with computer proficiency and strong communication skills.
Skills
- Drug Reimbursement Assistance
- Private and Public Insurance Navigation
- Patient Support
- Telephone Customer Service
- Case Documentation
- Quality Assurance
- Empathy
- Diplomacy
- Escalation Management
- Deadline Management
- Cross-Functional Collaboration
- Relationship Building
- Written Communication
- Verbal Communication
- Microsoft Word
- Microsoft Excel
Benefits
- Paid Vacation
- Comprehensive Benefits Plan
- Wellness Programs
- Professional Development Opportunities
- Leadership Programs
- Mentorship
Visa sponsorship
Not detected in the job text
Categories
- Healthcare
- Customer Service & Support
- Administrative
Keywords
- Drug Reimbursement
- Patient Support Program
- Pharmaceutical Support Services
- Private Insurance
- Public Insurance
- Payer Systems
- Drug Coverage
- Reimbursement Navigation
- Patient Assistance
- Healthcare Providers
- Clinical Coordination
- Case Management
- Case Documentation
- Quality Assurance
- Call Center
- Microsoft Word
- Microsoft Excel
- English
- French