Reimbursement Specialist, RN – 6 Month Contract
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Job Description
Reimbursement Specialist coordinating patient cases, prescription coverage, and healthcare-provider communication for BioScript Solutions. Supporting patients through insurance, public funding, pharmacy, appointments, and drug delivery processes.
Responsibilities:
- Manage assigned patient cases related to reimbursement and coordinate the NavieGo branch
- Facilitate the entire patient journey and ensure seamless communication among all parties
- Serve as the single point of contact for assigned healthcare providers
- Address inquiries related to patient cases
- Coordinate and manage requirements for obtaining prescription drug coverage
- Complete and submit documents, applications, and paperwork to insurance companies and public funding programs accurately and promptly
- Coordinate cases with insurance companies, physicians’ offices, and healthcare professionals
- Coordinate clinic appointments and drug deliveries within required timelines
- Support and guide patients and healthcare providers throughout the reimbursement process
- Build trust-based relationships with patients and healthcare providers
- Implement best practices to maximize patient access to drug coverage
- Coordinate pharmacy processes after funding is obtained
- Apply in-depth knowledge of public and private funding systems
- Collaborate with internal teams to streamline processes and improve reimbursement efficiency
- Continuously improve the patient experience and satisfaction with the reimbursement process
Requirements:
- Post-secondary education or equivalent experience
- Qualified Registered Nurse, Licensed Practical Nurse, or Registered Practical Nurse with a valid license strongly preferred
- Minimum 2 years’ experience in customer/client service and health care reimbursement
- Prior oncology experience preferred
- Experience in healthcare, pharmaceutical, or insurance industry is an asset
- Ability to maintain confidentiality when handling sensitive information
- Proficiency in Microsoft and Google applications, including Word, Excel, and Google Apps
- Ability to work rotating shifts Monday through Friday between 8 AM and 8 PM
- Regular scheduled hours from 9:00 AM to 5:00 PM EDT
- English proficiency required
- French and English bilingualism may be required depending on the role, location, and business needs
Benefits:
- Flexible remote work options
- Growth opportunities and career advancement support
- Competitive salary
- Incentive program
- Comprehensive benefits package
- Healthy and safe work environment
- Accessible and inclusive workplace
- Accommodations available on request during the selection process
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