[Hiring] Bilingual Case Manager @Sentrex

Role Description

The Bilingual Case Manager is responsible for managing all aspects of the enrollment, reimbursement process, and service coordination for patients who have been prescribed the drug by physicians. The Bilingual Case Manager will provide drug coverage support to physicians and patients, follow up on submissions pertaining to obtaining coverage through private and provincial drug plans, ensure patients have access to their prescribed treatments in a timely manner, and provide continuous support for patients through excellent communication skills and available resources.

A Day in the Life (What you will do here):

• Responsible for the timely enrollment of the patient into the Patient Support Program.
• Collaborate with the patient, insurer, and physician regarding the documentation necessary for maximal reimbursement coverage.
• Review patient status and assist the prescribing physician to prepare documentation for public or private coverage.
• Provide therapy guidelines/education on the program to manage patient and physician expectations.
• Collect information and conduct patient financial assessment eligibility based on program guidelines.
• Ensure patient services are coordinated and tracked in a timely manner resulting in quick and continued access to therapy.
• Report Adverse Events / Severe Adverse Events (AE / SAEs) following approved SOPs.
• Maintain service levels in case management, including telephone answer rates and time to initial contact with the patient.
• Electronically update the Customer Relationship Management (CRM) tool by providing timely patient and clinic information.
• Foster and promote a spirit of teamwork while working with internal patient support teams.
• Act as a liaison and provide ongoing feedback to the Program Manager based on observations in the field.
• Identify obstacles to obtaining coverage and channel this information to the Program Manager and/or Assistant Program Manager.
• Complete all relevant reports as per specified timelines and required standards.
• Additional duties as requested by the Manager.

Qualifications

• A Bachelor’s degree
• 2-3 years of experience in Patient Support Program
• Bilingualism (English and French) is required
• Experience with reimbursement billing, special access, and the appeals process is an asset
• Knowledge of private and public reimbursement structure and systems is an asset
• Experience in oncology or rare disease is considered an asset
• Advanced knowledge of the pharmaceutical distribution industry
• Strong analytical skills including interpretation of regulation and legislation
• Excellent customer service, problem-solving, and conflict resolution skills
• Effective interpersonal skills
• Typing skills and ability to be a strong functional user of various computer-based programs

Requirements

• Must be able to work from home and have a quiet, private home office space

Benefits

• Competitive Salary and generous vacation entitlement
• Wellness Program (5 paid days off for your well-being!)
• Paid Sick Days
• Competitive Benefits Package including Dental & Extended Health Benefits, AD&D, LTD & Employee/Dependent Life Insurance
• Employee & Family Assistance Program
• RRSP Matching Program

Company Description

Sentrex Health Solutions is a proudly Canadian company, fully integrated specialty distributor and patient support provider for pharmaceutical manufacturers, physicians, and their patients. We provide innovative solutions focused on ensuring patients have access and the support they need to maximize their treatment outcomes.

• Specialty Pharmacy Services
• Customized Solutions for Warehouse, Wholesale & Distribution
• Patient Support Programs
• HCP & Clinic Services