
Caseworker
Posted 1 day ago

Posted 1 day ago
This is a fully remote position, open to applicants in Canada.
• Facilitate reimbursement processes to ensure timely, precise, and consistent management of coverage-related requests across customer operations and patient support workflows.
• Coordinate documentation related to benefits, case updates, follow-up activities, and reimbursement support communications to promote case advancement.
• Address routine reimbursement challenges, documentation deficiencies, and workflow exceptions to minimize delays and enhance access-related outcomes.
• Maintain precise case records, reimbursement documentation, and system updates to ensure operational transparency, reporting readiness, and workflow management.
• Observe reimbursement trends, recurring challenges, and escalation indicators to foster proactive issue resolution and service continuity.
• Collaborate with internal and external stakeholders to synchronize communications, clarify reimbursement requirements, and aid in case resolution.
• Contribute to process enhancements, workflow modifications, and operational preparedness initiatives that bolster scalable and future-oriented reimbursement support services.
• A minimum of 2 years of experience in reimbursement support, patient services, customer operations, healthcare support services, case coordination, claims support, or a related area is required.
• Certification in reimbursement support, patient access, customer support, service management, customer relationship management systems, or process improvement is preferred.
• Advanced knowledge of the pharmaceutical distribution sector.
• Familiarity with automated warehouse operating systems.
• Strong business and financial insight.
• Excellent analytical and mathematical abilities.
• Proficient in effective oral and written communication.
• Strong interpersonal and leadership capabilities.
• Exceptional organizational skills with a keen attention to detail.
• Proven ability to consistently meet deadlines.
• Outstanding problem-solving skills; adept at resolving issues effectively and efficiently.
• Excellent presentation skills.
• Proficient in Microsoft Word, Excel, PowerPoint, and other Office Programs.
• Medical, dental, and vision care.
• Backup dependent care.
• Adoption assistance.
• Infertility coverage.
• Family building support.
• Behavioral health solutions.
• Paid parental leave.
• Paid caregiver leave.
• Training programs.
• Professional development resources.
• Mentorship programs.
• Employee resource groups.
• Volunteer activities.
Behavioral Health Works, Inc.
Sodexo
Sodexo
EVERSANA
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