Job Description

#LI-DNI

JOB DESCRIPTION

POSITION Reimbursement Specialist (Bilingual- French and English)
COMPANY AND LOCATION Auxilium Health (Hybrid), Oshawa ON
EMPLOYMENT TYPE Full-time, Permanent
HOURS WORKED 37.5 hours per week, Monday-Friday, 9 am – 5 pm or 12 pm – 8 pm

DEPARTMENT Patient Support Programs
REPORTING TO Manager, Patient Support Programs
DIRECT REPORTS No
COMPENSATION RANGE $48,000-$53,000 (commensurate with experience)

POSITION SUMMARY:
The role of the Reimbursement Specialist involves overseeing all aspects of patient enrollment into a Patient Support Program. Additionally, Reimbursement Specialist will perform a reimbursement navigation and coordinate services for patients who have been prescribed the medication by their doctor. The Reimbursement Specialist's responsibilities include assisting physicians and patients with regards to drug coverage, following up on submissions related to obtaining coverage from insurers and ensuring timely access to prescribed treatments. The Reimbursement Specialist also provides ongoing support to patients through effective communication to ensure seamless access to the prescribed therapy.

GENERAL RESPONSIBILITIES & ESSENTIAL FUNCTIONS:

Work with patients to remove barriers for access to the prescribed medication
Provide education to patients, HCP’s (Health Care Providers) and their staff regarding program services.
Respond to inquiries from patients, HCP’s (Health Care Providers) and their staff in a timely and appropriate manner
Support access to medication and expedite time to obtain the drug prescribed by providing reimbursement support and assistance for patient out-of-pocket costs
Communicate with patients, HCP’s, clinic staff, and Key Account Managers to provide education and services pertaining to the acquisition, access, coverage, reimbursement and affordability of medication
Conduct reimbursement investigations with private reimbursement providers
Review, analyze and validate information provided by patients and HCP’s for accuracy and completeness to ensure initiation of services
Provide answers to general inquiries on Program services, based on information provided as part of the Program Case Manager materials
Candidates must be available for variable weekly shifts, scheduled either daytime (9:00 AM – 5:00 PM) and afternoon/evening (12:00 PM – 8:00 PM) hours

QUALIFICATIONS

Proficiency in French and English required
Strong written and verbal communication skills
A positive and hardworking attitude
Able to demonstrate compassion and patience
Able to manage multiple tasks and priorities at once with required urgency in a fast-paced environment
Experience with Salesforce, Microsoft, Adobe & DocuSign applications
Ability to work independently and in a team environment
A willingness to learn
Effective problem solving and critical thinking skills
Experience in reimbursement or with Patient Support Programs is an asset
Experience in the healthcare, pharmaceutical, or insurance industry is an asset

EDUCATION

Completion of post-secondary school required

WORKING CONDITIONS:

Remote, home-office environment or office environment: sitting at a desk, working at a computer

DISCLAIMER
The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

We appreciate the applications from all candidates but please note we will only be contacting the candidates that are selected for an interview.

Auxilium Health is an equal opportunity employer. We welcome diversity and are committed to creating an inclusive environment for all employees. Accommodations are available on request for candidates taking part in all aspects of the selection process.

*As our company continues to grow, we’re excited to add another Reimbursement Specialist - Bilingual to our team.

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Auxilium Health

Open Positions

Reimbursement Specialist - Bilingual (French & English)