- Working closely with assigned patients' to identify various reimbursement coverage options and investigate financial options for those without insurance.
- Assist with the coaching and mentoring of existing team members.
- Manage a patient caseload larger than their caseworker counterparts.
- Be a reimbursement expert in assigned caseload territory.
- Provides other caseworker(s) assistance with complex reimbursement, insurance, benefit investigation, special authorization, and appeal requests.
- Participate in special projects as assigned by the Program Manager.
- Provide daily support to Associate Program Manager(s)
- Assist management with various reports and program related tasks.
- Work with management to develop program protocol and SOP for Caseworker role.
- With management, lead training of new caseworkers, including but not limited to shadowing & call monitoring.
- Regularly Interacts with insurance companies, physician' offices, and healthcare professionals to provide optimal reimbursement support
- Assists the patient with Clinic and Pharmacy selections, and schedules patient appointments
- Generates drug orders ensuring that required information is faxed to the pharmacy, and related parties
- Adherence to the general company processes.
- Telephone Support : Implementing call-centre programs including the provision of patient, healthcare professional and funding bodies with telephone support. Current assistance lines focus on:
- Funding and access issues, including private, public and special access programs;
- Compliance programs
- Administer and adhere to case-management protocols, including clinical monitoring, data collection, on-going patient follow-up, compliance, therapy disruption/discontinuation monitoring, adverse event reporting and liaison with primary healthcare providers;
- Implementing pharmaceutical and biotechnology related market research initiatives with physicians, patients, pharmacists or other allied health professionals;
- All patient programs are based on casework methods and include a significant amount of out-bound calls.
- Document each activity in program specific database.
- Participate and attend on-going refresher training and in specialized training courses for specific products or programs as deemed appropriate by the manager.
- Clear communication to manager, pod, and program trained colleagues regarding the management of cases during foreseen absences.
- Responsible to report all Adverse Events to the assigned units/departments
- The Senior Caseworker will also be assigned other duties and tasks as required from time to time.
- A minimum of two (2) years experience in customer service; experience in medical, pharmaceutical and/or insurance industry is an asset
- Bilingualism in French and English i an asset
- Highly organized with strong attention to detail
- Strong proficiency in Microsoft applications (Outlook, Word, Excel & PowerPoint)
- Flexibility in working shifts (hours of operation are 8 am - 8pm)
- Ability to apply critical thinking skills in order to solution problems
- A Minimum of 2 years experience working for a patient support program
- Experience working in a call center environment an asset
- Strong communication and interpersonal skills: written and verbal including effective phone etiquette to diverse audiences i.e. internal, healthcare professionals and patients
- Proven ability to manage time, set priorities and multi-task in order to meet various competing work deadlines
- Minimum University Degree in a related field or equivalent
- Demonstrates a strong work ethic, is reliable and shows initiative to purse new skills
- Advanced knowledge of pharmaceutical distribution industry
- Working knowledge of automated warehouse operating system
- Strong business and financial acumen
- Strong analytical and mathematical skills
- Ability to work in a fast paced environment and consistently meet deadlines
- Ability to communicate effectively both orally and in writing- fully bilingual
- Strong communication and interpersonal skills: written and verbal including effective phone etiquette to diverse audiences i.e. internal, healthcare professionals and patients
- Effective interpersonal and leadership skills
- Effective organizational skills; attention to detail
- Excellent problem-solving skills; ability to resolve issues effectively and efficiently
- Strong Knowledge of Microsoft Word, Excel, PowerPoint and other Office Programs
- Excellent leadership skills and training
- In-depth knowledge of patient support programs
- Responsible, dependable, and punctual
- Strong problem solving skills and demonstrates experience handling complex problems.
- Excellent people skills, team work, empathy, influencing others, adaptability.
- Strong technical skills and ability to learn new software/databases quickly
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Senior Caseworker - Ontario, Canada - CB Canada
Description
Are you looking to make a difference in a patient's life? At AmerisourceBergen, you will find an innovative and collaborative culture that is patient focused and dedicated to making a difference. As an organization, we are united in our responsibility to create healthier futures. Join us and Apply today
What you will be doing
PRIMARY DUTIES AND RESPONSIBILITIES:
What your background should look like
EXPERIENCE AND EDUCATIONAL REQUIREMENTS:
MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:
What AmerisourceBergen offers
We offer competitive total rewards compensation. Our commitment to our associates includes benefit programs that are comprehensive, diverse and designed to meet the various needs across our associate population.
Throughout our global footprint and various business units, we take a balanced approach to the benefits we offer. Many benefits are company-paid, while others are available through associate contributions. Specific benefit offerings may vary by location, position and/or business unit.
Schedule
Full time
Affiliated Companies:
Affiliated Companies: Innomar Strategies
Equal Employment Opportunity
AmerisourceBergen is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.
COVID-19 Vaccine Policy
As of October 18, 2021, AmerisourceBergen requires all Canadian team members to be fully vaccinated and show proof of completed vaccine status at time of hire. If you cannot receive the COVID-19 vaccine due to a qualifying medical condition or sincerely held religious belief you will be required to follow AmerisourceBergen's policy and process to apply for an exemption/accommodation.
