Bilingual Care Navigator

🕒 July 30

🇨🇦 Canada – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💬 Bilingual

👻 Ghost score 10%

infoinfo

🗣️🇫🇷 French Required

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Logo of Sentrex Health Solutions

Sentrex Health Solutions

501 - 1000 employees

Founded 2017

🏥 Healthcare

💊 Pharmaceuticals

🤝 B2B

Healthcare • Pharmaceuticals • B2B

Sentrex Health Solutions is a Canadian specialty healthcare services company that partners with pharmaceutical companies, clinics, and patients to deliver customized specialty care solutions. They provide specialty pharmacy distribution and 3PL services, patient support programs, and purpose-built technology to streamline complex care and improve patient access and outcomes. Sentrex works B2B with pharmaceutical partners and healthcare providers while offering direct patient support and clinic-focused solutions.

📋 Description

• Act as the primary point of contact for all patient related elements of the PSP. • Responsible for the timely enrollment of the patient into the Patient Support Program. • Telephone support (including maintenance calls and adherence support both inbound and outbound as needed). • 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. • Review the patient status and assist the prescribing physician to prepare documentation for public or private coverage by reviewing patient charts, assessing previous therapies and tests. • Provide therapy guidelines/education on the program to manage patient and physician expectations. • Collect information and conduct patient financial assessment eligibility based on program guidelines. • Liaise with physicians' offices, pharmacies, infusion/injection service providers, and other parties to provide comprehensive and coordinated service to patients and physicians and resolve issues as they arise. • Ensure patient services are coordinated and tracked in a timely manner resulting in quick and continued access to therapy. • Review, analyze, and validate information provided by patients for accuracy and completeness to ensure initiation and continuation of services. • Maintain service levels in case management, including telephone answer rates, time to initiate contact with the patient, Adverse Events reported as per SOPs, and any other KPIs established at the program level. • Maintain accurate and timely patient/clinic information within the Customer Relationship Management (CRM) system. • Foster and promote a spirit of teamwork while working with internal patient support teams. • Identify obstacles to obtaining coverage and channel this information to the PSP Supervisor. • Follow up/advocate until a decision is received, ideally securing coverage for the patient. • Maintain confidentiality of patient, client, and corporate information and discuss same only with appropriate personnel. • Additional duties as requested by the Manager.

🎯 Requirements

• Post-secondary education with experience in healthcare is an asset. • Bilingualism (English and French) is an asset. Bilingualism is required in the province of Quebec. • Experience with reimbursement billing, special access, the appeals process, and providing support and consultation is an asset. • Knowledge of private and public reimbursement structures, systems, and processes is an asset. • Must be able to work from home and have a quiet, private home office space. • Excellent verbal and written communication skills. • 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.

🏖️ Benefits

• 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

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