Reimbursement Specialist

JOB SUMMARY

Under the supervision of the Associate Program Manager, the Reimbursement Specialist 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, act as a resource to physicians who are prescribing this medication and provide continuous support for patients for renewals, and coverage changes.

DUTIES AND RESPONSIBILITIES

• Gather all pertinent and appropriate information from the chart to complete the necessary forms (private and/or provincial insurance) in a concise, organized, and professional manner.
• Liaise and advocate with insurance providers and provincial governments as necessary to determine coverage options.
• Keep detailed notes in the patient’s electronic chart.
• Follow‑up/advocate until a decision is received to secure coverage...