Bilingual Reimbursement SpecialistJob Type:
Shoppers Drug Mart Specialty Health Network Inc. ("SDM Specialty Health") is a wholly owned subsidiary of Shoppers Drug Mart Inc. ("SDM"). SDM Specialty Health is Canada's unique provider of client-focused healthcare products, services, and patient support programs. Being successful at SDM Specialty Health means you've enhanced a patient's life, and we do that every day! All across Canada, our team provides a number of services directly to patients; these brand-focused programs, sponsored by pharmaceutical companies, help patients manage and optimize their drug and medical therapies in the community.
We employ various healthcare professionals, and dedicated support staff to ensure the success of the team. With hundreds of employees across Canada, were proud to be able to offer a family-oriented environment that gives staff greater control over their own life choices.
Do you have what it takes to be successful at SDM Specialty Health Network? Come join our Team!
The Reimbursement Specialist is responsible for ensuring that SDMSHN reimbursement cases are managed effectively on a day-to-day basis. The incumbent must be able to work effectively, with short lead times and changing customer demands. As the position deals with highly sensitive information, the incumbent is expected to act in a diplomatic professional manner, and maintain patient confidentiality, as per SDM Specialty Health Network policy and legal requirements.
Initiate and coordinate new reimbursement programs, and coordinate and follow-up on existing programs as per contract requirements with pharmaceutical manufacturers in accordance with SOPs.
Communicate with clients to obtain consent and to gather pertinent information for providing reimbursement services.
Liaise with the required parties (provincial and private insurers, physicians, nurses, pharmacists, employers' human resource representatives and internal staff), act as a patient advocate, explore all options for funding of medications and/or services, determine coverage details and develop/maintain complete and accurate documentation required to facilitate a successful outcome of the reimbursement process.
Work with staff in the coordination of reimbursement services to facilitate medication dispensing, invoicing, payment schedules and loan programs.
Contact clients to confirm delivery of medications (including date, time and special instructions)
Qualifications and Skills
* University degree or equivalent working experience in the healthcare or insurance industry
* A team player with the desire to provide superior customer care
* Excellent communication skills, verbal and written
* Strong computer skills in a Windows environment using MS Office (Excel, Word)
* Bilingualism (French & English)