Company Overview
Rx Connect is a Canadian healthcare company dedicated to providing exceptional patient-centered care and access to complex medications. Our team of healthcare professionals is committed to building healthier communities through personalized service and social responsibility.
About the Position:
We are looking for a Pharmacy Assistant with Reimbursement Experience to join our Rx Connect Specialty Pharmacy team in Mississauga. We are looking for a candidate who is reliable and organized, with excellent communication skills and capable of providing exceptional customer service. Preference will be given candidates who are proficient with Kroll Pharmacy Management Software and experienced in troubleshooting adjudication issues with public and private payers.
Reporting to our Reimbursement Team Lead, the Pharmacy Assistant/ Reimbursement Specialist will be primarily responsible for assisting our patients in navigating insurance challenges and available provincial/federal programs to make their medications more affordable. If you are looking for the opportunity to join a rapidly growing company, we highly encourage you to apply!
Duties and Responsibilities:
- Communicate with patients, prescribers, healthcare professionals and other key players to support patients through their treatment journey.
- Verify and investigate insurance coverage and benefits for patients, including eligibility, co-payments, deductibles, and prior authorizations.
- Gather and document information from patients/caregivers/prescribers in a concise, organized, and professional manner.
- Complete, submit and follow-up on requisite paperwork on time.
- Liase with private and public insurance providers to determine coverage options
- Act as a central liaison for stakeholders such as physicians, nurses, patients, and clinics and provide required updates
- Maintain confidentiality of patient healthcare information
- Keep up to date with changes in insurance coverage and reimbursement policies and communicate these changes to healthcare providers and patients.
- Monitor treatments as well as chart and report on all activities are directed by Physician protocols.
- Provide patient education based on protocols, individually or in groups
- Regular, predictable availability to meet appointment scheduling needs efficiently and cost-effectively to provide patients with quick access to necessary therapies.
- Majority of the time, the role will be dedicated towards Reimbursement services
- The Reimbursement Associate will also be assigned other duties and tasks as required from time to time.
Job Requirements:
- A college diploma or higher in a healthcare related course is an asset
- Two or more years of reimbursement navigation experience involving private and public payers is required.
- Two or more years of related pharmacy experience is an asset
- Experience working with Patient Support Programs is an asset
- Experience with the Kroll Pharmacy Management System is an asset
- Familiarity with the Special Authorization process for both public and private insurance in assigned territory
- Proficiency in Microsoft Office Applications (Outlook, Word, Excel)
- A demonstrated commitment to high professional ethical standards and a diverse workplace
- Proven ability to work in a team environment and independently
- Ease with working in a paperless environment
- Time management skills and the ability to multi-task and adhere to deadlines.
Number of positions: 4
Vacancy Type: Replacement
At Rx Connect, we may leverage AI-powered tools in our recruitment process. AI will never reach out to our candidates directly.
Rx Connect operates in accordance with the Accessibility for Ontarians with Disabilities Act and applicable Provincial Human Rights Codes.
If you require accommodation in the interview process, please let us know.
Thank you for your interest in a career with Rx Connect. We appreciate all applications; however, only candidates whose experience and qualifications closely match the job requirements will be contacted.
Job Types: Full-time, Permanent
Pay: $22.00-$24.00 per hour
Benefits:
- Dental care
- Extended health care
- Paid time off
- Vision care
Application question(s):
- Do you have experience dealing with insurance companies for benefits coverage? If yes, please explain it briefly.
Experience:
- Specialty Pharmacy: 1 year (preferred)
- reimbursement: 2 years (required)
- Kroll: 2 years (required)
Work Location: Hybrid remote in Mississauga, ON L5N 8R9
