Reimbursement Specialist, RN – 12 Month Contract

Posted Oct 23

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

📋 Description

• Oversee designated patient cases related to reimbursement and manage the NavieGo branch.

• Act as the primary contact for healthcare providers assigned to your cases.

• Facilitate the complete patient journey and ensure effective communication among all parties involved.

• Manage and coordinate applications for prescription drug coverage.

• Accurately complete and submit necessary documents and paperwork to insurance companies and public funding programs in a timely manner.

• Liaise with insurance companies, physicians’ offices, and healthcare professionals regarding case coordination.

• Organize clinic appointments and drug deliveries within specified timelines.

• Provide support and guidance to patients and healthcare providers throughout the reimbursement process.

• Foster trust-based relationships with patients and healthcare providers.

• Implement best practices to enhance patient access to drug coverage.

• Manage pharmacy processes once funding is secured.

• Utilize knowledge of public and private funding systems effectively.

• Collaborate with internal teams to optimize reimbursement processes and enhance efficiency.

• Strive for continual improvement in patient experience and satisfaction regarding reimbursement.


⛳️ Requirements

• Completion of post-secondary education or equivalent experience is required.

• A qualified Registered Nurse, Licensed Practical Nurse, or Registered Practical Nurse with a valid license is strongly preferred.

• At least 2 years of experience in customer/client service and healthcare reimbursement is necessary.

• Previous experience in oncology is preferred.

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

• Must maintain confidentiality when managing sensitive information.

• Proficient in Microsoft and Google applications, including Word, Excel, and Google Apps.

• Availability to work rotating shifts Monday through Friday between 8 AM and 8 PM.

• Regular working hours are from 9:00 AM to 5:00 PM EDT.

• Proficiency in English is required.

• French proficiency may be necessary depending on the role, location, and business requirements.


🏝️ Benefits

• Flexible remote work options.

• Opportunities for growth and professional development.

• Competitive salary.

• Incentive program.

• Comprehensive benefits package.

• Healthy and safe work environment.

• Accessible and inclusive workplace.

• Accommodations available upon request during the selection process.

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