Unilingual Administration, Copay Assistant

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

📋 Description

• Engage with patients based on the approved cadence to gather updates related to reimbursement and information essential for advancing cases.

• Accurately and promptly update and maintain patient records.

• Gather, review, and document information concerning coverage, claims status, and patient accessibility issues.

• Address reimbursement challenges, coverage obstacles, and case-specific issues by escalating them to the relevant team members.

• Report any adverse events discovered during interactions with patients in accordance with company policies and procedures.

• Keep precise and up-to-date records within relevant systems and departmental files.

• Assemble reimbursement-related information for the purposes of reporting, tracking, and case management.

• Collaborate with internal team members and management to resolve case-related and workload-related challenges.

• Foster positive and professional relationships with colleagues, management, and internal stakeholders.

• Adhere to relevant policies, procedures, privacy regulations, safety standards, and program guidelines.

• Execute additional reimbursement support responsibilities as assigned.

⛳️ Requirements

• Completion of post-secondary education in a related discipline.

• 1-3 years of experience in an administrative capacity within a pharmaceutical environment.

• Extensive knowledge of Microsoft Office Suite applications.

• Demonstrated accuracy in processing substantial data sets.

• Excellent communication and interpersonal abilities.

• Capability to work independently as well as collaboratively in a team setting.

• Flexibility to adapt to change and eagerness to acquire new skills.

• High School Diploma/GED or equivalent experience is mandatory.

• Minimum of 2 years' experience in patient access, reimbursement, prior authorization, benefit verification, managed care coordination, specialty pharmacy, or a comparable field is required.

• A Registered Nurse (RN) license or an equivalent certification is necessary.

• Prior Authorization Certified Specialist (PACS) or an equivalent certification is preferred.

• Familiarity with patient support program operations and case-based service delivery models.

• Knowledge of call center operations, service workflows, and quality assurance methodologies.

• Understanding of training coordination, coaching support, and learning administration practices.

• Expertise in reimbursement support, adherence, education, and patient support programs.

• Acquainted with operational reporting, work allocation, and scheduling support practices.

• Ability to coordinate assigned projects and operational activities within established program frameworks.

• Capability to assist in training development and delivery across patient support functions.

• Competence to provide first-line guidance on routine process and workflow inquiries.

• Ability to monitor service quality efforts and identify issues needing follow-up.

• Proficiency in organizing work, managing priorities, and supporting various operational activities.

• Skillful in effectively communicating both in writing and verbally with internal stakeholders.

• Ability to work within designated service hours and uphold operational continuity requirements.

🏝️ Benefits

• Medical, dental, and vision coverage.

• Backup dependent care services.

• Adoption assistance programs.

• Infertility treatment coverage.

• Support for family planning.

• Behavioral health solutions.

• Paid parental leave.

• Paid caregiver leave.

• Access to training programs.

• Resources for professional development.

• Mentorship initiatives.

• Employee resource groups.

• Opportunities for volunteer activities.