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Administration & Reimbursement Specialist (Full Time, Permanent) – Markham, ON

May 27, 2020

JOB POSTING – Administration & Reimbursement Specialist

Join one of Canada’s Best Managed Companies!  Our mission is to provide excellence in pharmaceutical care to meet the individual needs of each client.  Our organization is comprised of committed individuals, each making a positive impact on the well-being of our customers – focused on growth and innovation within the industry.

Our commitment to you:

  •  Providing a safe, secure and supportive environment
  • Strategies that stimulate job satisfaction, professional growth and development
  • Work schedules that allow for a healthy and fulfilling work-life balance
  • Providing the tools, training and resources necessary to achieve success
  • Continuous improvement, innovation and investment in technology
  • Sustaining and strengthening partnerships with the entire health care team

Job Title: Administration & Reimbursement Specialist

Location: Markham, ON

Reports to: Senior Director, Marketing & Business Development

No. of Positions: 1

Type: 1 year contract

Salary: Salaried

Job Responsibilities

Reporting to the Senior Director, Marketing and Business Development, the Administration & Reimbursement Specialist is responsible for the day to day administration and coordination of support requirements of the Specialty Team.    The primary focus of this role is to  facilitate the insurance reimbursement for patients receiving specialty drugs from our physician clients.

  • Receive patient/prescription referrals from specialists offices, contact all required parties (i.e. patient, physician, payers, employers, etc.) to investigate, coordinate and verify drug funding from available sources
  • Works with patients and physician clinics to coordinate reimbursement coverage for specialty drug therapies, including benefit investigation, prior authorization management and sourcing of other financial assistance
  • Assists in patient’s applications for funding, verifying that any existing information is accurate and update patient benefit information in the pharmacy drug management system
  • Coordinate with Pharmaceutical Patient Support Programs as needed
  • Assists in determining copay responsibility and any coordination of benefits opportunity with patients insurance benefits
  • Initiates prior authorizations as required by the patient’s health care plan(s)
  • Places outbound calls to patients or physician’s offices to obtain additional information needed to process the prescription request or to provide status update on the referral
  • Take inbound calls relating to insurance questions from patients, clients, physicians, healthcare providers and clinics regarding inquiries about services provided and financial responsibility
  • Communicates any referral delays or issues to the appropriate escalation contact
  • Provides prompt and accurate information to external and internal customers and ensure client satisfaction
  • Accurately document all communications and upload all source documents into the SalesForce CRM
  • General administrative support for the Specialty  Team, including researching product information, identify product pricing and gross profit, coordinating meetings, support for field resources, organizing and maintaining corporate files
  • Assist with a variety of scheduled and unscheduled projects that may occur within the department at any given time
  • Ability to provide reporting updates, including PowerPoint presentations and spreadsheets as required
  • Support ongoing development of specialty drug programs

Qualifications

  • Diploma or certificate in business/medical administration
  • Minimum of two years relevant experience in a medical billing or benefit reimbursement position
  • Pharmacy or healthcare knowledge an asset
  • Excellent interpersonal skills and communication skills – both written and verbal
  • Exceptional customer service skills, empathetic to patients needs’
  • Proven ability to organize time, set priorities, and multi-task in order to meet various competing Demonstrated attention to details with superior organizational and administrative skills
  • Computer skills including proficiency in MS Office
  • Interest in working in a developing and expanding role

While we thank you for your interest, only selected applicants will be contacted regarding the position.
Please cite Job Posting #Admin-3415 and submit your resume and cover letter in confidence to:

Human Resources

Medical Pharmacies Group Limited is an inclusive and equal opportunity employer committed to providing diversity and accommodations for applicants upon request at any stage of the recruitment process in accordance with the Accessibility for Ontarians with Disabilities Act (AODA) and the Ontario Human Rights Code. All applicants must make their requirements known when contacted.

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