[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 prescribed medication by physicians. Responsibilities include:

• Timely enrollment of patients into the Patient Support Program.
• Collaboration with patients, insurers, and physicians regarding documentation for maximal reimbursement coverage.
• Reviewing patient status and assisting prescribing physicians in preparing documentation for coverage.
• Providing therapy guidelines/education to manage patient and physician expectations.
• Collecting information and conducting patient financial assessment eligibility based on program guidelines.
• Coordinating and tracking patient services for quick access to therapy.
• Reporting Adverse Events/Severe Adverse Events (AE/SAEs) following approved SOPs.
• Maintaining service levels in case management, including KPIs established at the Program level.
• Updating the Customer Relationship Management (CRM) tool with timely patient and clinic information.
• Fostering teamwork with internal patient support teams.
• Acting as a liaison and providing feedback to the Program Manager based on field observations.
• Identifying obstacles to obtaining coverage and communicating this to the Program Manager.
• Completing relevant reports (timesheets, expenses, etc.) as per specified timelines.
• Coordinating cases with insurance companies, physicians, and healthcare professionals.
• Helping patients navigate the insurance landscape.
• Preparing, organizing, and submitting documentation to insurance providers and funding programs.
• 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 structures 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 proficiency in various computer-based programs.

Requirements

• Must be able to work from home with a quiet, private home office space.
• Commitment to providing a high level of service to internal and external clients.
• Highly adaptable with a track record of success during growth and organizational change.
• Proven track record of developing trust and influence at multiple levels.
• Impactful and candid communication style.
• Exceptional organizational skills with the ability to build effective working relationships.

Benefits

• Competitive Salary and generous vacation entitlement.
• Wellness Program (5 paid days off for 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.