Bilingual Patient Care Navigator

This is a fully remote position, open to applicants in Canada.

📋 Description

• Oversee all facets of enrollment, reimbursement procedures, and service coordination for patients participating in the Patient Support Program.

• Serve as the main point of contact for all patient-related components of the program.

• Ensure timely enrollment of patients into the Patient Support Program.

• Provide both inbound and outbound telephone assistance, including maintenance and adherence calls.

• Collaborate with patients, insurers, and healthcare providers regarding documentation to maximize reimbursement coverage.

• Research public and private insurers and assist with employer escalations.

• Review patient statuses, medical charts, prior therapies, and tests to aid physicians with coverage documentation.

• Offer therapy guidelines and program education to both patients and healthcare providers.

• Gather information and perform financial eligibility assessments for patients.

• Coordinate services by liaising with physicians' offices, pharmacies, infusion/injection service providers, and other stakeholders.

• Monitor patient services to ensure prompt and ongoing access to therapy.

• Review, evaluate, and confirm the accuracy and completeness of patient information.

• Uphold case-management service levels and program KPIs.

• Ensure accurate patient and clinic data is maintained in the CRM system.

• Work collaboratively with internal patient support teams.

• Identify coverage challenges and escalate information to the PSP Supervisor.

• Follow up and advocate until coverage decisions are finalized.

• Uphold the confidentiality of patient, client, and corporate information.

• Execute additional responsibilities as assigned by the Manager.

⛳️ Requirements

• Post-secondary education coupled with experience in healthcare is advantageous.

• Bilingual proficiency in English and French is mandatory.

• Experience in reimbursement billing, special access, the appeals process, and providing support and consultation is beneficial.

• Familiarity with private and public reimbursement frameworks, systems, and processes is a plus.

• Ability to work from home and possess a quiet, private home office space is required.

• Exceptional verbal and written communication skills are essential.

• Strong analytical abilities, including the capacity to interpret regulations and legislation.

• Advanced understanding of the pharmaceutical distribution sector.

• Outstanding customer service, problem-solving, and conflict resolution capabilities.

• Effective interpersonal skills are necessary.

• Highly adaptable with a proven history of success during periods of growth and organizational change.

• Demonstrated ability to build trust and influence at various levels.

• Direct and impactful communication style.

• Exceptional organizational skills with the ability to cultivate effective working relationships with colleagues, management, and stakeholders.

🏝️ Benefits

• State-of-the-art facilities to deliver high-quality products and services.

• Flexible working environment that supports a healthy work-life balance.

• Employee Development Program.

• Industry-leading, in-house corporate training available throughout the year.

• Competitive Salary.

• Generous vacation entitlement.

• Wellness Program offering 5 paid days off for your well-being!

• Paid Sick Days.

• Competitive Benefits Package including Dental & Extended Health Benefits, AD&D, LTD & Employee/Dependent Life Insurance.

• Employee & Family Assistance Program.

• RRSP Matching Program.

• Remote work arrangement.

• Accommodations available upon request during the selection process.