Reimbursement Specialist (RN) (6 Month Contract) / Spécialiste du remboursement (RN) (6 Mois Contrat)
BioScript Solutions
The Field Reimbursement Specialist is responsible for managing specific patient cases assigned to them related to reimbursement and coordination for the NavieGo branch of the organization. The Reimbursement Specialist serves as the single point of contact for assigned healthcare providers and ensures the smooth coordination of the entire patient journey.
What we offer (and why you’ll love it here!):
- Epic Work-Life Balance: Flexible remote work options because we value your time and well-being.
- Growth Opportunities: Committed to fostering a culture of growth, where every team member is encouraged to pursue new skills, expand their knowledge, and advance their careers.
- Vibrant Culture: Over 1,500 team members across Canada and year over year we manage to maintain an overall above industry engagement score by using a monthly pulse survey.
- Attractive Compensation: Competitive salary, incentive program, and comprehensive benefits package.
- What & Where: Full-Time, Temporary (6 Months) & Quebec
At BioScript, we're not just a company—we're a fast-growing company always putting patients first. Recognized as one of Canada’s Best Managed Companies, we believe in pushing boundaries, setting trends, and creating meaningful experiences that captivate and inspire. Our vibrant team is made up of innovative minds who are passionate about driving success and making an impact. Ready to be a part of this exhilarating journey?
Your Mission
- Facilitate the entire patient journey, ensuring seamless communication between all parties involved.
- Serve as the single point of contact for assigned healthcare providers, addressing inquiries related to patient cases.
- Coordinate and manage all aspects required to obtain prescription drug coverage for patients.
- Complete documents, submissions and all related paperwork to insurance companies and public funding programs in an accurate and timely manner.
- Coordinate cases with insurance companies, physician’s offices, and healthcare professionals in order to assist a patient in their journey on treatment.
- Coordinate clinic appointments and drug deliveries within timelines.
- Provide support and guidance to patients and healthcare providers throughout the reimbursement process, while building relationships that foster trust.
- Implement best practices as required to maximize a patient's access to drug coverage.
- Coordinate with pharmacy processes required once funding has been obtained.
- Apply an in-depth knowledge of public and private funding systems.
- Collaborate with internal teams to streamline processes and improve efficiency in reimbursement process.
- Continuously strive to enhance the overall patient experience and satisfaction with the reimbursement process.
What You Bring to the Table:
- Post-secondary education or equivalent experience.
- Qualified Registered Nurse, Licensed Practical Nurse, or Registered Practical Nurse (valid license) is strongly preferred.
- Minimum of 2 years’ experience in customer/client service and health care reimbursement.
- Prior experience in oncology is preferred.
- Experience in healthcare, pharmaceutical, or insurance industry is an asset.
- Demonstrated ability to maintain confidentiality when handling sensitive information.
- Strong proficiency in Microsoft and Google applications (Google apps, Word, Excel).
- Able to work rotating shifts Monday through Friday, covering the hours of 8 AM to 8 PM. Your regular scheduled hours will be from 9:00am – 5:00pm EDT.
- Bilingual English/French proficiency is required for this position to effectively communicate with internal and external stakeholders.
We’re proud to be an equal opportunity employer. As a people-centric organization, we’re committed to fostering a welcoming culture free of discrimination, and to providing a healthy and safe work environment where all team members can thrive as individuals. Through our commitment to diversity, inclusion, belonging, and equity, we strive to provide an accessible workplace, where individuals feel valued, respected, and supported every day.
We are committed to creating an inclusive and accessible work environment across Canada. In accordance with applicable provincial legislation, including Quebec’s Charter of the French Language, this job posting is provided in both French and English when required. For positions based in Quebec, French language proficiency is required to perform day-to-day duties.
We encourage and accept all applications, however, only candidates selected for interviews will be contacted. Accommodations can be made available on request for candidates taking part in all aspects of the selection process.
À titre de Spécialiste du remboursement sur le terrain (Infirmier/ère diplômé(e)), vous serez responsable de gérer des cas de patients précis qui vous seront attribués et qui concernent le remboursement, et vous serez responsable de coordonner la division NavieGo de l’entreprise. Vous agirez à titre de point de contact unique pour les prestataires de soins qui vous sont attribués et vous veillerez à la bonne coordination de l’ensemble du parcours du patient.
Ce que nous offrons (et qui fera que vous aimerez travailler avec nous!):
- Excellent équilibre travail-vie personnelle : nous offrons des modalités de travail à distance flexibles, car votre temps et votre bien-être sont importants pour nous.
- Possibilités de croissance : nous nous engageons à favoriser une culture axée sur la croissance qui permet à tous les membres de l’équipe d’acquérir de nouvelles compétences, d’approfondir leurs connaissances, et de progresser dans leur carrière.
- Culture dynamique : nous comptons plus de 1 500 membres de l’équipe dans tout le Canada, et année après année, nous parvenons à maintenir des résultats globaux supérieurs à la moyenne de l’industrie en matière d’engagement, mesurés à l’aide d’un sondage éclair mensuel.
- Rémunération attrayante : nous offrons des salaires concurrentiels, un programme d’incitation au rendement et des avantages sociaux complets.
- Détails et lieu de l’emploi : Poste temporaire à temps plein (6 mois), à Quebec
BioScript n’est pas qu’une simple entreprise; elle est une entreprise en forte croissance qui accorde toujours la priorité aux patients. BioScript est reconnue comme l’une des sociétés les mieux gérées au Canada et nous croyons en l’importance de repousser les limites, d’établir des tendances et de créer des expériences significatives, captivantes et inspirantes. Notre équipe dynamique est composée de personnes innovatrices qui ont une passion pour le succès et qui souhaitent faire bouger les choses. Pourquoi ne pas vous joindre à nous dans notre aventure exaltante?
Votre mission
- Faciliter l’ensemble du parcours du patient, et garantir une communication fluide entre toutes les parties concernées.
- Servir de point de contact unique pour les prestataires de soins qui vous sont attribués, et répondre aux demandes concernant les dossiers des patients.
- Coordonner et gérer tous les aspects nécessaires à l’obtention de la couverture des médicaments d’ordonnance pour les patients.
- Remplir avec exactitude et dans les délais prescrits les documents, les soumissions et tout autre formulaire connexe et les transmettre aux compagnies d’assurance et aux programmes de financement public.
- Assurer la coordination des cas avec les compagnies d’assurance, les cabinets de médecins et les prestataires de soins afin d’accompagner les patients dans leur parcours de traitement.
- Coordonner les rendez‑vous à la clinique et les livraisons de médicaments dans les délais prévus.
- Apporter un soutien et des conseils aux patients et aux prestataires de soins tout au long du processus de remboursement, tout en établissant des relations qui favorisent la confiance.
- Mettre en œuvre les pratiques exemplaires nécessaires pour optimiser l’accès des patients à une couverture d’assurance de médicaments.
- Assurer la coordination avec les processus pharmaceutiques requis une fois le financement accordé.
- Mettre en pratique ses connaissances approfondies sur les systèmes de financement public et privé.
- Collaborer avec les équipes internes afin de simplifier les processus et d’améliorer l’efficacité du processus de remboursement.
- Chercher de façon constante à améliorer l’expérience globale des patients et leur satisfaction à l’égard du processus de remboursement.
Formation
- Avoir fait des études postsecondaires ou l’équivalent.
- Détenir le titre d’infirmier(-ère) autorisé(e), d’infirmier(-ère) auxiliaire [autorisé(e)] ou d’infirmier(-ère) immatriculé(e) est un atout considérable.
- Posséder au moins deux (2) ans d’expérience dans le service à la clientèle et en remboursement dans le secteur de soins de santé.
- Avoir une expérience préalable en oncologie est un atout.
- Avoir de l’expérience dans l’industrie des soins de santé, l’industrie pharmaceutique ou l’industrie des assurances est un atout.
- Avoir la capacité éprouvée de préserver la confidentialité lors de la gestion d’informations de nature délicate.
- Posséder une bonne maîtrise des logiciels de Microsoft (Word, Excel) et des applications Google (Google Apps);
- Être en mesure de travailler sur des quarts rotatifs du lundi au vendredi, entre 8 h et 20 h. Votre horaire de travail habituel sera de 9 h à 17 h (heure avancée de l’Est).
- Avoir une bonne maîtrise de l’anglais est nécessaire dans le cadre de ce poste afin de communiquer efficacement avec les parties prenantes internes et externes.
- Être bilingue (français et anglais) peut être nécessaire selon le rôle, l’emplacement et les besoins précis de l’entreprise.
C’est une fierté d’être un employeur favorable à l’égalité professionnelle. En tant qu’entreprise centrée sur les personnes, BioScript croit foncièrement à l’importance de favoriser une culture accueillante exempte de discrimination, et de fournir un lieu de travail sain et sûr où l’ensemble des membres de l’équipe peuvent exprimer leur individualité. Grâce à notre engagement à la diversité, l’inclusion, l’appartenance et l’équité, nous sommes déterminés à fournir un milieu de travail où chaque personne se sent appréciée, respectée et soutenue chaque jour.
Nous nous engageons à créer un environnement inclusif et respectueux dans l’ensemble du Canada. Conformément aux lois provinciales applicables, y compris la Charte de la langue française du Québec, l’affichage du présent poste est publié en français et en anglais, le cas échéant. Pour les postes au Québec, la maîtrise du français est nécessaire afin d’effectuer les tâches quotidiennes.
Nous encourageons et acceptons toutes les candidatures; toutefois, nous communiquerons seulement avec les personnes dont la candidature a été retenue pour une entrevue. Des mesures d’adaptation sont offertes sur demande aux candidates et candidats qui participent à tous les aspects du processus de sélection.
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