Bilingual Reimbursement Specialist
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Bilingual reimbursement specialist coordinating patient drug coverage and funding submissions for Cencora’s Canadian healthcare and pharmaceutical services. Managing insurers, healthcare providers, pharmacies, and adverse-event reporting.
Responsibilities:
- Communicate daily and on an ongoing basis with the Program Manager / Associate Program Manager regarding new and existing projects
- Demonstrate in-depth knowledge of rare disease program offerings, including disease/product pathophysiology, therapeutic areas, disease processes, and mechanisms of action
- Apply rare disease SOPs
- Demonstrate in-depth knowledge of public, private, and federal funding mechanisms, as well as rare disease funding bodies in the United States and Canada
- Coordinate cases with physicians and healthcare professionals to prepare submissions that meet payer specifications and criteria
- Coordinate and manage all aspects required to obtain prescription drug coverage for patients
- Coordinate cases with insurance companies, physician offices, and healthcare professionals to maximize reimbursement solutions
- Navigate the complex advocacy process to obtain prescription drug coverage and reimbursement for life-saving and costly medications
- Coordinate documents, submissions, and related paperwork for insurance companies and public/federal funding programs
- Implement financial means tests to maximize patients’ prescription drug coverage
- Coordinate pharmacy processes once funding has been obtained
- Report all adverse events to the appropriate assigned units/departments
- Perform other duties and tasks as required
Requirements:
- Postsecondary education or equivalent in a related discipline
- Minimum of three years’ experience in the pharmaceutical, insurance, or healthcare-related industries
- Previous reimbursement experience and knowledge of public, private, and federal reimbursement programs required
- Minimum of three years’ experience in a customer service setting, or five or more years of tenure as a Senior Reimbursement Specialist
- Strong proficiency in Microsoft applications, including Outlook, Word, and Excel
- Professional, courteous, and efficient telephone manner
- Proven ability to organize time, set priorities, and multitask to meet competing deadlines
- Strong communication and interpersonal skills, including the ability to communicate with patients in a healthcare setting about highly sensitive topics
- Ability to work independently and in a team environment
- Excellent attention to detail
- Bilingual proficiency in French and English required
- Advanced knowledge of the pharmaceutical or insurance industry
- Strong business and financial acumen
- Strong analytical and mathematical skills
- Ability to communicate effectively both orally and in writing
- Effective interpersonal and leadership skills
- Effective organizational skills
- Excellent problem-solving skills
- Advanced knowledge of the pharmaceutical distribution industry
- Working knowledge of automated warehouse operating systems
- Excellent presentation skills
Benefits:
- Medical, dental, and vision care
- Backup dependent care
- Adoption assistance
- Infertility coverage
- Family-building support
- Behavioral health solutions
- Paid parental leave
- Paid caregiver leave
- Training programs
- Professional development resources
- Mentorship programs
- Employee resource groups
- Volunteer activities
- Reasonable accommodations during the employment process
Similar Jobs
Corporate English Trainer, Spanish Bilingual
Corporate English Trainer teaching Spanish-bilingual professionals live online. Delivering engaging lessons through goFLUENT’s technology, content, and virtual human interaction solutions.
Bilingual Immigration Intake Coordinator – English, Spanish
Bilingual Intake Coordinator leading client intake and pre-consultation quality for Mangone Law Firm, a New Jersey immigration law firm. Managing Qleads, team standards, and process improvements remotely.
Corporate English Trainer, Spanish Bilingual
Corporate English Trainer delivering live online English lessons to professionals. Supporting goFLUENT’s global language-learning solutions through engaging bilingual instruction.
Bilingual Senior Disability Claims Consultant
Senior Disability Claims Consultant coaching disability case managers at Medavie, a Canadian health solutions partner. Reviewing complex claims and improving short- and long-term disability management.
Bilingual Employee Service Center Specialist – Honduras
Bilingual HR service specialist resolving employee questions about payroll, benefits, onboarding, and policies. Supporting a US fast-casual restaurant brand through phone, chat, and email.
Field Trainer – English-French Bilingual
Bilingual field trainer delivering AutoAlert automotive software training and consulting to Canadian dealerships. Supporting platform adoption, customer engagement, and business goals with up to 95% travel.
Enrollment Specialist, Bilingual
Bilingual Enrollment Specialist connecting U.S. family caregivers with Ceresti Health’s dementia-care support program. Conducting empathetic outreach, education, enrollment, and follow-up remotely.
Bilingual Seasonal Loss Prevention Agent
Seasonal bilingual Loss Prevention Agent reviewing orders, detecting fraud, and managing chargebacks for Sur La Table. Remote Mexico role serving CSC Generation’s retail brands.
Clinical Applications Specialist – Periop, Bilingual
Bilingual Clinical Applications Specialist supporting GE HealthCare perioperative technologies. Delivering clinical training, product demonstrations, and customer implementation support across Canada.
Practice Access Manager, Bilingual – Spanish
Bilingual Practice Access Manager supporting BlinkRx, Blink Health’s prescription-access platform. Educating providers, managing accounts, and advancing prior-authorization solutions.
Application Systems Admin – Bilingual, Spanish
Application Systems Administrator providing bilingual Spanish-English Tier 2 support for enterprise applications. Managing accounts, access, incidents, tokens, and service restoration for iQuasar LLC.
Project Engineer, Bilingual – Spanish, English
Project Engineer supporting construction project start-up, closeout, RFIs, submittals, and documentation. Coordinating remotely with Spanish- and English-speaking subcontractors, suppliers, and project managers.
Certified Medical Assistant, Bilingual
Bilingual Medical Assistant processing prescription refills for Carenet Health’s remote healthcare support program. Supporting patients, providers, and pharmacists while ensuring accurate, compliant refill operations.
Bilingual Surgical Coordinator, Scheduler – Orthopedic, Spine
Remote surgical coordinator scheduling orthopedic and spine procedures and coordinating pre/post-operative care. Supporting patients, providers, and facilities across Honduras and Nicaragua.
Member Engagement Coordinator, Bilingual Spanish
Remote bilingual Spanish Member Engagement Coordinator for Senture, engaging members and scheduling free health evaluations. Making high-volume outbound calls while meeting sales and productivity goals.
Bilingual Housing Planner, Spanish
Bilingual housing planner developing countywide housing plans and needs assessments for AlphaGov’s public-sector consulting clients. Facilitating Spanish-English engagement and drafting fair-housing strategies.
Bilingual Fraud Advisor
Bilingual Fraud Advisor helping RBC clients prevent fraud through phone and email support. Advising on security needs and resolving concerns across Canadian banking operations.
Delivery Manager, SAP B1 – Bilingual
Delivery Manager leading SAP Business One implementation teams at Vision33, a global cloud ERP and business transformation partner. Owning delivery performance, people leadership, and commercial outcomes across Eastern Canada.
Bilingual Medical Front Desk Specialist – Women's Wellness
Remote bilingual medical receptionist supporting a Miami-based women's wellness practice. Handling high-volume calls, patient scheduling, benefits verification, and prior authorizations.
Intake Specialist, Bilingual English-Arabic
Remote bilingual intake specialist qualifying personal injury cases for CEO Lawyer, a growing personal injury law firm. Handling leads, client intake, referrals, and case transfers.