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Case Manager Summer Intern – Fixed-Term
Sentrex Health SolutionsCase Manager Summer Intern managing all aspects of patient enrollment, reimbursement support at Sentrex Health Solutions. Collaborating with patients and physicians to ensure timely access to therapies.
About the role
Key responsibilities & impact- Responsible for the timely enrollment of the patient into the Patient Support Program.
- Collaborate with the patient, insurer and physician regarding the documentation necessary for maximal reimbursement coverage, including the investigation of all public and private insurers and supporting employer escalations as required.
- Reviews patient status and assists the prescribing physician to prepare documentation for public or private coverage by reviewing patient charts, assessing previous therapies and tests.
- Provides therapy guidelines/education on the program to manage patient and physician expectations.
- Collects information and conducts patient financial assessment eligibility based on program guidelines.
- Ensures patient services are coordinated and tracked in a timely manner resulting in quick and continued access to therapy.
- Reports Adverse Events / Severe Adverse Events (AE / SAEs) following approved SOPs.
- Maintain service levels in case management, including telephone answer rates, time to initial contact with the patient, Adverse Events reported within twenty-four hours of receipt and any other KPIs established as the Program level.
- Electronically updates the Customer Relationship Management (CRM) tool by providing timely patient and clinic information.
- Fosters and promotes a spirit of teamwork while working with internal patient support teams.
- Acts a liaison and provides ongoing feedback to the Program Manager based-on observations in the field and feedback from customers as it pertains to quality of services, training, and other areas of importance.
- Identifies obstacles to obtaining coverage and channels this information to the Program Manager and/or Assistant Program Manager.
- Completes all relevant reports (time sheets, expenses, mileage, validate CRM reports, etc.) as per specified timelines and as per required standards.
- Flexible to work rotating shifts between 8am - 8pm (EST)
Requirements
What you’ll need- Currently enrolled in post secondary education (College or University)
- 1-2 years of related customer service experience
- 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
- Must be able to work from home and have a quiet, private home office space
- Excellent verbal and written communication skills in English
- Excellent customer service, problem-solving, and conflict resolution skills
- Effective interpersonal skills
- Typing skills and ability to be a strong functional user of various computer-based programs
- Bilingualism (English and French) is an asset
- High degree of accuracy
Benefits
Comp & perks- 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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
reimbursement billingappeals processpatient financial assessmentdocumentation preparationcase managementCRMtyping skillscustomer service experiencefield-based reimbursement supportspecial access
Soft Skills
verbal communicationwritten communicationproblem-solvingconflict resolutioninterpersonal skillsteamworkflexibilityattention to detailcustomer serviceorganizational skills