Bilingual Reimbursement Case Manager - Quebec City, Canada - Bayshore HealthCare

Sophia Lee

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Sophia Lee

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Description

ABOUT THE ROLE
To be a point of contact offering case management support services to patients. Assist the patients, physicians and nurses with the completion of all program-specific paperwork if needed for PSP Hub Programs. Act as a resource to physicians who are prescribing medications and patients who need on-going support. This position reports into the Program Manager.


A DAY IN THE LIFE

  • Ensure patient has been enrolled through support program /PSP Hub Program
  • Keep detailed notes in the patient's electronic chart
  • Followup/advocate until a decision is received to secure coverage for the patient. Completes and/or reviews SA forms prior to submission to insurers
  • Prepare all related paperwork to payors public, private & federal alike
  • Work with the site representatives to support specific customer needs.
  • Act as a central resource liaison for program stakeholders, which include physicians, nurses, patients and clinics.
  • Provide updates to stakeholders as requested and required.
  • Perform dataentry, answer inbound calls, make outbound calls, and manage e
- mail and fax software, general administrative functions including faxing and filing.

  • Must be able to identify and report AE's to Health Canada (if applicable) and enter into source system and third party systems.
  • Report and document Adverse Events as per Pharmacovigilance requirements.
  • Participate in ongoing internal and/or external continuing education activities
  • Adhere to Bayshore Policies and Procedures
  • Participate in quality activities and continuous improvement initiatives in keeping with the company's Quality Management System as well as specific performance indicators for the project
  • Participate in proactive Health & Safety activities while performing all duties. Is responsible to notify immediate Supervisor of any Health & Safety risks or concerns.
  • Maintains confidentiality of client and corporate information and discusses same only with appropriate Bayshore personnel
  • Complete other tasks as requested
Job Qualification


WHAT YOU BRING TO THE TEAM

  • Postsecondary education or equivalent
  • Excellent verbal and written skills in both English and French
  • Minimum 2 years experience in reimbursement, or PSP
  • Strong customer service, communication, problem solving skills required
  • Comfortable working in a contact center environment
  • Organized with a high attention to detail

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