Reimbursement Specialist

JobgetherPharmaceutical reimbursement

Based in CanadaFull-TimeJunior

Salary not disclosed

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Job Details

Languages: Excellent verbal and written communication skills in both French and English; bilingual proficiency is mandatory.
Experience: At least one year of professional experience in the pharmaceutical, insurance, or healthcare industry. A minimum of one year of customer service experience.
Required Skills: Microsoft ExcelMicrosoft OfficeCustomer serviceFinancial analysis

Have at least one year of professional experience in the pharmaceutical, insurance, or healthcare industry.
Have at least one year of customer service experience.
Have previous reimbursement coordination experience.
Understand public, private, and federal prescription drug funding mechanisms.
Have strong knowledge of pharmaceutical or insurance processes and complex reimbursement requirements.
Be proficient in both French and English, with strong verbal and written communication skills.
Demonstrate analytical and mathematical skills for assessing financial information and funding options.
Use Microsoft Office applications, particularly Outlook, Word, and Excel.
Demonstrate strong organization, time management, attention to detail, and ability to meet deadlines.
Handle sensitive patient information and financial or medical discussions with discretion and empathy.
Work independently and collaborate with program managers, healthcare professionals, insurers, pharmacies, and internal teams.

Coordinate daily activities and communicate with program managers about new and existing patient support projects.
Develop and maintain knowledge of rare disease programs, treatment products, therapeutic areas, and applicable standard operating procedures.
Navigate public, private, provincial, and federal reimbursement systems and patient funding programs.
Coordinate cases with physicians, medical offices, healthcare professionals, insurers, and other stakeholders to obtain coverage information.
Manage prescription drug reimbursement cases and identify funding options to secure timely coverage for eligible patients.
Prepare, submit, and follow up on documentation required by insurers, public funding programs, federal agencies, and other reimbursement bodies.
Assess patient circumstances and conduct financial means testing when required to identify assistance options.
Coordinate with pharmacies and healthcare partners after funding is secured to facilitate medication access.
Maintain case records, monitor outstanding requests, meet deadlines, and report adverse events through established procedures.

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