Job Description

Our Mission:


Ontario Medical Supply is a Leading Distributor of medical equipment, supplies, and services for healthcare organizations and home healthcare clients across Ontario. Specializing in long term care, assisted living, retirement and home health care. Ontario Medical Supply is partnered for success with Royal Drugs. Royal Drugs is a healthcare company providing specialty pharmacy, infusion therapy, and retail pharmacy services. Together, we work towards supporting optimal health outcomes and better quality of life.

Come Join Our Team!
Purpose:


The Reimbursement Coordinator is responsible for overall management of their patient cases and acts as Single Point of Contact for clinics and patients. They are a team player with the desire to provide a superior customer care experience.



Location: Ontario Medical Supply, GTA

Reports to: Reimbursement Team Lead

No. of Positions: 1

ATR: 4910

Type: Full time, Permanent

Salary: Salaried, commensurate with experience

Benefits: Yes
Job Responsibilities:


Responsible for the coordination of the patient treatment journey for your assigned patients and/or clinics

Act as the primary point of contact for physicians to enroll patients into the various patient support programs

Conduct patient welcome calls to gather relevant information, introduce patients to the support program, and obtain patient consent as required.

Establish and maintain a strong, trusting relationship with assigned clinics and physicians

Coordinate reimbursement paperwork and PSP navigation. Main resource to request all information needed from the patient and physician to complete the patient support program forms in a timely manner

Assists in determining copay responsibly and any coordination of benefits opportunity with patients'insurance benefits

Initiate prior authorizations as required by the patient's health care plan(s)

Communicate any referral delays or issues to the appropriate escalation contact

Accurately document all communications and upload all source documents into the SalesForce CRM in a timely manner

Coordinate patient deliveries within timelines based on secured drug coverage

Coordinate injection training for patients as needed

Assist pharmacies to resolve prescription billing and adjudication issues with public and private payers

Conduct patient follow up calls to confirm adherence, monitor adverse events (AE), and provide bloodwork reminders if needed

Report all adverse Events (AE) and Product Technical complaints (PTC) immediately upon becoming aware of the event as per policies and procedures

Foster and build relationships with patients and key health care providers, as well as with internal team members (account manager, pharmacy team, reimbursement team)

Assist with a variety of scheduled and unscheduled projects that may occur within the department at any given time.
Qualifications:


Diploma or certificate in business/medical administration Minimum of two years of experience working in a pharmacy setting adjudicating claims or as a Reimbursement Coordinator/Reimbursement Specialist. Pharmacy or healthcare knowledge an asset Experience with the prior authorization process for specialty/high-cost medication. Experience working in therapeutic areas such as neurology, allergy and respirology, dermatology, and rheumatology+ Experience in navigation Patient Support Programs an asset. Proficiency with Kroll Pharmacy Management Software an asset. Experience with SalesForce an asset


SKILLS:

Interest in working in a developing and expanding role. Professional/courteous/efficient telephone manner. Ability to work independently and in a team environment. Computer skills including proficiency in MS Office Ability to resolve issues effectively and efficiently. Critical thinking and problem-solving abilities. Excellent interpersonal skills and communication skills - both written and verbal Exceptional customer service skills, empathetic to patients needs', proven track record as a patient advocate Proven ability to organize time, set priorities, and multi-task to meet various competing requirements. Demonstrated attention to details with superior organizational and administrative skills

Human Resources:


While we thank you for your interest, only select applicants will be contacted regarding the position.



Ontario Medical Supply is an inclusive and equal opportunity employer committed to providing diversity and accommodations for applicants upon request at any stage of the recruitment process in accordance with the Accessibility for Ontarians with Disabilities Act (AODA) and the Ontario Human Rights Code. All applicants must make their requirements known when contacted.



The company reserves the right to close the competition based on business need and a sufficient pool of candidates who have applied.