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- Ensure patient has been enrolled through support program /PSP Hub Program.
- Keep detailed notes in the patient's electronic chart.
- Follow-up/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 data-entry, answer inbound calls, make outbound calls, and manage email and fax software, general administrative functions including faxing and filing.
- Must be able to identify and report AEs 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
- Post-secondary education or equivalent.
- Experience in the Healthcare, pharmaceutical or insurance industry would be an asset.
- Solid reimbursement experience.
- Strong customer service, communication, problem solving skills required.
- Excellent verbal and written skills on English and French.
- Comfortable working in a contact center environment.
- Proficient in Microsoft Office applications (Outlook, Word & Excel).
- Organized with a high attention to detail.
Bilingual Non-Nurse Case Manager - Ontario, Canada - Bayshore HealthCare
Description
Job 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
Job Qualification
What You Bring to the Team