Bilingual Field Health Case Manager
Sentrex Health Solutions
full-time
Posted on:
Location Type: Remote
Location: Canada
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About the role
- Reporting to the Field Supervisor, the Bilingual Field Health Case Manager is responsible for managing various aspects of Program service coordination for patients who have been prescribed the drug by physicians.
- Provide Program services support to patients and clinics which may include, but not limited to, training clinics in Program services, patient enrollments, obtaining coverage through private and provincial drug plans, ensuring patients have access to their prescribed treatments in a timely manner, and provide continuous support for patients and clinics through excellent communication skills and available resources to ensure patients have easy access to their prescribed therapy.
- Interact with clinics face-to-face, other Program Personnel and client personnel in supporting all services offered by the Patient Support Program (PSP).
- In-clinic and remote PSP service activities within assigned territory.
- Utilize PSP-related applications and software to complete reports and facilitate completion of enrollment forms, reimbursement forms and other Program functions.
- Schedule and manage weekly clinic visits (or at such frequency as deemed appropriate).
- Support PSP dose reconciliation.
- Complete relevant reports such as timesheets, expenses, mileage, validate CRM reports etc. as per established Program procedures.
- Offer support to clinics by performing and managing PSP service-related interactions; these activities include specific functions such as training physicians and other clinic staff on PSP Service offerings.
- Enroll patients into the PSP utilizing the appropriate enrolment forms, assist the clinics in preparing documentation for reimbursement of the drug prescribed through the appropriate insurer.
Requirements
- Completion of Post-secondary is required
- Communication in French and English is required
- Experience in reimbursement and/or with Patient Support Programs required (3-5 years)
- Experience with reimbursement billing, special access, the appeals process, and conducting field-based reimbursement support and consultation is an asset
- Knowledge of private and public reimbursement structure, systems, and the process is an asset
- Experience of the pharmaceutical distribution industry is an asset
- Professional demeanor with proven ability to communicate effectively with internal and external customers and stakeholders
- Excellent interpersonal skills: ability to build and maintain good relationships with clinic personnel, internal Sentrex Health Services colleagues, and all client personnel
- Excellent verbal and written communication skills
- Must be able to work from home and have a quiet dedicated office space
- Strong analytical skills including interpretation of regulation and legislation
- Excellent customer service, problem-solving, and conflict resolution skills
- Typing skills and ability to be a strong functional user of various computer-based programs
- Must be willing to travel and have a valid driver’s license
- Must be able to lift and carry products up to 25 lbs.
Benefits
- Competitive Salary and generous vacation entitlement
- Wellness Program (5 paid days off for your well-being!)
- Paid Sick Days
- Competitive Benefits Package including Dental & Extended Health Benefits, AD&D, LTD & Employee/Dependent Life Insurance
- Employee & Family Assistance Program
- RRSP Matching Program
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
reimbursement billingpatient support programsenrollment formsreimbursement formsdose reconciliationanalytical skillstyping skills
Soft skills
communication skillsinterpersonal skillscustomer serviceproblem-solvingconflict resolutionprofessional demeanorability to build relationshipsverbal communicationwritten communication
Certifications
Post-secondary education