Bilingual Patient Care Navigator

🔥 0 minutes ago

🇨🇦 Canada – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💬 Bilingual

👻 Ghost score 10%

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Sentrex Health Solutions

WebsiteLinkedInAll Job Openings

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

• Manage all aspects of patient enrollment, reimbursement processes, and service coordination for patients enrolled in the Patient Support Program • Act as the primary point of contact for patient-related PSP elements • Enroll patients into the Patient Support Program in a timely manner • Provide inbound and outbound telephone support, including maintenance and adherence calls • Collaborate with patients, insurers, and physicians on documentation required for reimbursement coverage • Investigate public and private insurers and support employer escalations • Review patient charts, previous therapies, and tests to assist physicians with public or private coverage documentation • Provide therapy guidelines and program education to patients and physicians • Collect information and conduct patient financial eligibility assessments • Liaise with physicians' offices, pharmacies, infusion/injection service providers, and other parties to coordinate services and resolve issues • Coordinate and track patient services to ensure quick and continued access to therapy • Review, analyze, and validate patient information for accuracy and completeness • Maintain case-management service levels, telephone answer rates, contact initiation times, adverse-event reporting, and program KPIs • Maintain accurate patient and clinic information in the CRM system • Collaborate with internal patient support teams • Identify coverage obstacles and communicate them to the PSP Supervisor • Follow up and advocate until coverage decisions are received • Maintain confidentiality of patient, client, and corporate information • Perform additional duties as requested by the Manager

🎯 Requirements

• Post-secondary education; experience in healthcare is an asset • Bilingualism (English and French) is required; bilingualism is required in the province of Quebec • Experience with reimbursement billing, special access, 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 • Highly adaptable with a track record of success during growth and organizational change • Proven track record of developing trust and influence at multiple levels • Impactful and candid communication style • Exceptional organizational skills and ability to build effective working relationships with colleagues, management, and stakeholders

🏖️ Benefits

• State-of-the-art facilities to provide high-quality products and services • Flexible working environment that promotes a healthy work-life balance • Employee Development Program • Industry-leading, in-house corporate training offered throughout the year • Competitive salary • Generous vacation entitlement • Wellness Program with 5 paid days off for 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 • Remote work arrangement • No travel required