Reimbursement Specialist
New
CanadaFull-TimeMiddle
Salary44,300 - 68,090 CAD per year
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Job Details
- Experience
- Minimum 2 years
- Required Skills
- Microsoft OfficeComplianceAnalytical thinking
Requirements
- Post-secondary education in a related field or equivalent combination of education and experience.
- Minimum 2 years of experience in customer service, healthcare administration, insurance, or office-based environments.
- Strong understanding of reimbursement systems, healthcare funding processes, or pharmaceutical/insurance workflows is an asset.
- Excellent communication and interpersonal skills, with the ability to engage professionally with healthcare providers and patients.
- Strong organizational skills with the ability to prioritize, multitask, and meet strict deadlines.
- High attention to detail with strong analytical and problem-solving abilities.
- Proficiency in Microsoft Office (Outlook, Word, Excel, PowerPoint).
- Ability to work independently while also collaborating effectively in a team environment.
- Experience in the pharmaceutical, healthcare, or insurance industry is a strong asset.
- Bilingualism (English/French) is considered an advantage.
Responsibilities
- Coordinate and manage all activities required to secure prescription drug coverage for patients across public, private, and federal programs.
- Act as a liaison between insurance providers, physicians, healthcare professionals, and patients to optimize reimbursement outcomes.
- Prepare, organize, and submit all necessary documentation, applications, and forms to funding agencies and insurers in a timely manner.
- Apply financial means testing and other eligibility assessments to maximize patient coverage opportunities.
- Track reimbursement cases end-to-end, ensuring follow-up, accuracy, and resolution of outstanding issues or requirements.
- Support pharmacy-related processes once funding approvals are obtained to ensure smooth medication access and fulfillment.
- Maintain detailed knowledge of reimbursement systems, funding mechanisms, and related healthcare programs.
- Ensure compliance with reporting requirements, including documentation and escalation of adverse events.
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