Reimbursement Coordinator

🔥 3 hours ago

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BioScript Solutions

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2001

📦 Logistics

🏥 Healthcare

💊 Pharmaceuticals

Logistics • Healthcare • Pharmaceuticals

BioScript Solutions is a Canadian specialty pharmacy and specialty-care services provider that helps patients with chronic and complex conditions access specialty drug therapies. The company operates infusion clinics and pharmacies, runs patient support programs, and offers wholesale pharmaceutical distribution and third-party logistics to manufacturers, payors and healthcare practitioners across Canada. BioScript focuses on patient-centred care, medication delivery and care coordination to improve health outcomes and simplify access to specialty treatments.

📋 Description

• Coordinate and manage all aspects of prescription drug coverage and reimbursement for assigned patient cases. • Oversee the initiation, tracking, and maintenance of reimbursement related activities while ensuring compliance with organizational policies and regulations. • Liaise effectively with insurance companies, physician offices, pharmacies, and other healthcare professionals to optimize reimbursement outcomes. • Collect, review, and submit all necessary documentation to private insurers, public/federal funding programs, and specialty pharmacy services. • Maintain up-to-date knowledge of insurance plans, public and private funding sources, and reimbursement policies. • Review and validate patient and healthcare provider information to ensure completeness and eligibility. • Provide responsive inbound and outbound telephone support, addressing inquiries and resolving reimbursement issues in a timely manner. • Accurately document all case-related activities, including communication, coverage decisions, and outcomes. • Offer constructive feedback to enhance service delivery and patient satisfaction. • Participate in training and development programs to stay informed about changes in reimbursement, drug programs, and healthcare systems. • Maintain strict confidentiality and discretion in all interactions and documentation. • Perform administrative tasks including data entry, record maintenance, document scanning/faxing, and filing. • Monitor and triage all inbound patient and healthcare provider emails, faxes, and other communication channels, ensuring they are directed to the appropriate program staff for timely response. • Assist in managing patient case files, ensuring all relevant documentation is complete, accurate, and updated in the program's CRM. • Responsible to report any patient safety information as per adverse event reporting requirements and product quality complaints reporting requirements.

🎯 Requirements

• Post-secondary education in a related field is required. • Minimum 1 year of experience in client services within a healthcare, pharmaceutical, or insurance environment. • Prior experience in a reimbursement-focused role is a strong asset. • Experience handling high call volumes in a customer service or call center setting is preferred. • Bilingualism (French and English) is an asset. • Knowledge of public, private, and federal drug coverage systems is an asset. • Strong organizational skills and a high level of attention to detail. • Excellent problem-solving abilities and the capacity to work independently in a fast-paced environment. • Proficiency with Microsoft Office and comfort using digital systems and databases. • Effective communication and interpersonal skills, with a positive and professional demeanor. • English proficiency is required for this position to effectively communicate with internal and external stakeholders.

🏖️ Benefits

• Growth Opportunities: Committed to fostering a culture of growth, where every team, member is encouraged to pursue new skills, expand their knowledge, and advance their careers. • Vibrant Culture: Over 1,500 team members across Canada and year over year we manage to maintain an overall above industry engagement score by using a monthly pulse survey. • Attractive Compensation: Competitive salary, incentive program, and comprehensive benefits package.