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Senior Caseworker, Bilingual

Location

Canada

Posted

41 days ago

Salary

0

Seniority

Senior

Bachelor Degree2 yrs expFrenchEnglish

Job Description

Senior Caseworker, Bilingual

Recruiting.com

• Working closely with assigned patients’ to identify various reimbursement coverage options and investigate financial options for those without insurance. • Assist with the coaching and mentoring of existing team members. • Manage a patient caseload larger than their caseworker counterparts. • Be a reimbursement expert in assigned caseload territory. • Provides other caseworker(s) assistance with complex reimbursement, insurance, benefit investigation, special authorization, and appeal requests. • Participate in special projects as assigned by the Program Manager. • Provide daily support to Associate Program Manager(s) • Assist management with various reports and program related tasks. • Work with management to develop program protocol and SOP for Caseworker role. • With management, lead training of new caseworkers, including but not limited to shadowing & call monitoring. • Regularly Interacts with insurance companies, physician' offices, and healthcare professionals to provide optimal reimbursement support • Assists the patient with Clinic and Pharmacy selections, and schedules patient appointments • Generates drug orders ensuring that required information is faxed to the pharmacy, and related parties • Adherence to the general company processes. • Implementing call-centre programs including the provision of patient, healthcare professional and funding bodies with telephone support. Current assistance lines focus on: Funding and access issues, including private, public and special access programs; Compliance programs • Administer and adhere to case-management protocols, including clinical monitoring, data collection, ongoing patient follow-up, compliance, therapy disruption/discontinuation monitoring, adverse event reporting and liaison with primary healthcare providers; Implementing pharmaceutical and biotechnology related market research initiatives with physicians, patients, pharmacists or other allied health professionals; All patient programs are based on casework methods and include a significant amount of out-bound calls. • Document each activity in program specific database. • Participate and attend ongoing refresher training and in specialized training courses for specific products or programs as deemed appropriate by the manager. • Clear communication to manager, pod, and program trained colleagues regarding the management of cases during foreseen absences. • Responsible to report all Adverse Events to the assigned units/departments

Job Requirements

  • A minimum of two (2) years experience in customer service; experience in medical, pharmaceutical and/or insurance industry is an asset
  • Bilingual in French and English: written and verbal is an asset
  • Highly organized with strong attention to detail
  • Strong proficiency in Microsoft applications (Outlook, Word, Excel & PowerPoint)
  • Flexibility in working shifts (hours of operation are 8 am - 8pm)
  • Ability to apply critical thinking skills in order to solution problems
  • A Minimum of 2 years experience working for a patient support program
  • Experience working in a call center environment an asset
  • Strong communication and interpersonal skills: written and verbal including effective phone etiquette to diverse audiences i.e. internal, healthcare professionals and patients
  • Proven ability to manage time, set priorities and multi-task in order to meet various competing work deadlines
  • Minimum University Degree in a related field or equivalent

Benefits

  • medical, dental, and vision care
  • comprehensive suite of benefits
  • support for working families
  • backup dependent care
  • adoption assistance
  • infertility coverage
  • family building support
  • behavioral health solutions
  • paid parental leave
  • paid caregiver leave
  • variety of training programs
  • professional development resources
  • mentorship programs
  • employee resource groups
  • volunteer activities
  • inclusive culture

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