Bilingual Reimbursement Specialist

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

📋 Description

• Initiate outbound calls following established protocols.

• Prepare adverse event reports and conduct follow-ups with patients or healthcare providers.

• Handle inquiries related to clinical product support, client-directed procedures, and additional services.

• Engage with consumers, family members, medical offices, pharmacists, nurses, and other healthcare professionals.

• Keep reference materials organized and stay updated with scientific data and medical literature.

• Evaluate clinical information accurately and provide details to aid in risk reduction and decision-making.

• Conduct product-related training sessions and coordinate product testing or administration as necessary.

• Assist with reimbursement processes and manage coverage-related inquiries.

• Oversee benefits documentation, case updates, follow-ups, and reimbursement communications.

• Address routine reimbursement challenges, documentation discrepancies, and workflow exceptions.

• Ensure precise maintenance of case records, reimbursement documentation, and system updates.

• Observe reimbursement trends, recurring challenges, and escalation signals.

• Collaborate with internal and external stakeholders to clarify reimbursement requirements and facilitate case resolution.

• Contribute to improvements in processes and updates to workflows.

• May be required to be on standby or on call.

⛳️ Requirements

• Post-secondary education or equivalent in a relevant field.

• At least 2 years of customer service experience in an office environment.

• Minimum 3–5 years of experience in nursing and related healthcare sectors.

• Bachelor’s degree or relevant diploma in nursing, along with an equivalent combination of experience and education.

• Bilingual proficiency in French and English is mandatory.

• High proficiency in Microsoft applications (Outlook, Word, Excel).

• Familiarity with Microsoft Word, Excel, PowerPoint, and other Office applications.

• Clinical and pharmaceutical knowledge is essential.

• Strong experience in patient management.

• General understanding of reimbursement processes, patient assistance programs, and database functionality.

• Advanced knowledge of the pharmaceutical distribution sector.

• Practical knowledge of automated warehouse operating systems.

• Strong business and financial insight.

• Excellent analytical and mathematical abilities.

• Effective interpersonal, leadership, organizational, presentation, and problem-solving skills.

• Capability to communicate effectively in both spoken and written forms in French and English.

• Ability to consistently meet deadlines.

• Proficiency in multitasking and managing concurrent processes.

• Experience in the healthcare, pharmaceutical, or insurance industries is advantageous.

🏝️ Benefits

• Medical, dental, and vision coverage.

• Backup dependent care.

• Adoption assistance.

• Infertility coverage.

• Support for family building.

• Behavioral health solutions.

• Paid parental leave.

• Paid caregiver leave.

• Training programs.

• Resources for professional development.

• Mentorship initiatives.

• Employee resource groups.

• Opportunities for volunteer activities.

• Reasonable accommodations during the employment process.