Bilingual Case Manager

Sentrex Health Solutions

Bilingual Case Manager managing patient enrollment and reimbursement support in a Canadian healthcare firm. Collaborating with patients and healthcare providers to ensure timely access to treatments.

Posted 6/23/2026full-timeRemote • 🇨🇦 CanadaJuniorWebsite

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 the 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 initiate 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 the 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.
Additional duties as requested by the Manager.

Requirements

What you’ll need

Post secondary education with experience in healthcare is an asset
1-2 years of experience in Patient Support Program is an asset
Bilingualism (English and French) is required
Experience in oncology is an asset
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 and in French
Strong analytical skills including interpretation of regulation and legislation
Advanced knowledge of the pharmaceutical distribution industry
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

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

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Applicant Tracking System Keywords

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Hard Skills & Tools

patient enrollmentreimbursement billingpatient financial assessmentdocumentation preparationadverse event reportingcase managementanalytical skillstyping skillsbilingualism

Soft Skills

communication skillscustomer serviceproblem-solvingconflict resolutioninterpersonal skillsteamworkfeedback provision