Spécialiste Des Services Aux Patients / Patient Services Specialist

Saint-Laurent, QC, Canada

Job Description

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care.
What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you.
specialiste des services aux patients fait partie integrante de l'equipe des Services aux patients et est responsable de la coordination et de la prestation des services lies aux programmes de soutien aux patients offerts par les Services specialises McKesson. Ce poste necessite des interactions avec les patients, les compagnies d'assurance, les pharmacies, les medecins et d'autres professionnels de la sante (PS) pour explorer et obtenir une couverture pour le medicament prescrit ainsi que la gestion des cas des patients.
Responsabilites:

  • Le specialiste des services aux patients sera responsable de l'inscription en temps opportun du patient au programme de soutien aux patients
  • Assurer la liaison avec le patient, l'assureur et le medecin concernant la documentation requise pour une couverture de remboursement maximale, y compris l'exploration de tous les assureurs publics et prives et fournir les recours hierarchiques de l'employeur au besoin
  • Recueillir de l'information et verifier l'admissibilite du patient a l'aide d'une evaluation financiere en fonction des directives du programme
  • Fournir des reponses aux demandes de renseignements generaux en fonction des renseignements fournis dans le cadre du materiel du programme
  • Coordination avec les pharmacies specialisees et de detail pour s'assurer que le patient a acces au traitement requis
  • Surveiller proactivement le dossier du patient pour s'assurer que les renouvellements de remboursement et d'aide financiere sont effectues en temps opportun
  • Documents de processus a l'appui des soins du patient, y compris les rapports de perfusion, les resultats de laboratoire et les quotes-parts
  • Recevoir, enregistrer et signaler les evenements indesirables conformement aux exigences du fabricant de produits pharmaceutiques
  • Participer et assister aux activites d'amelioration continue du service lie aux processus, a la qualite, a la formation, etc.
  • Maintenir les niveaux de service dans la gestion des cas, y compris les taux de reponse par telephone et le delai avant le premier contact avec le patient
  • Evenements indesirables signales dans les vingt-quatre heures suivant la reception et tout autre indicateur cle de performance etabli comme niveau du programme
  • Effectuer la saisie de donnees, repondre aux appels entrants, passer des appels sortants, gerer les logiciels de courriel et de telecopie et exercer des fonctions administratives generales, y compris la telecopie et le classement
Exigences minimales:
  • 5 ans d'experience connexe
Autres competences:
  • Avoir une experience dans le secteur des soins de sante, des produits pharmaceutiques ou de l'assurance est un atout
  • Solides aptitudes pour le service a la clientele, la communication et la resolution de problemes
  • Aisance a travailler dans un environnement de centre de contact
  • Maitrise des applications Microsoft Office (Word/Excel)
  • Esprit d'equipe
  • Etudes postsecondaires ou l'equivalent
  • Organise, avec un grand souci du detail
  • Flexibilite dans la rotation du travail ou la variete des heures de travail (les heures d'ouverture sont de 8 h a 20 h du lundi au vendredi)
  • Le titulaire de ce poste fournira un soutien quotidien aux clients internes et/ou externes a l'exterieur du Quebec et/ou des Etats-Unis. Par consequent, il/elle doit maitriser l'anglais parle et ecrit. Veuillez noter que le nombre de postes necessitant des competences en anglais a ete limite dans la mesure du possible.
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The Patient Services Specialist is an integral part of the Patient Services team, responsible for the coordination and delivery of services related to the patient support programs offered by McKesson Specialty. The role involves interactions with patients, insurance companies, pharmacies, physicians and other health care professionals (HCPs) to explore and obtain coverage for the prescribed medication as well as management of the patient cases.
Responsibilities:
  • The Patient Services Specialist will be responsible for the timely enrollment of the patient into the Patient Support Program
  • Liaise with the patient, insurer and physician regarding the documentation required for maximum reimbursement coverage, including the exploration of all public and private insurers and providing employer escalations as required
  • Conduct information and conduct patient financial assessment eligibility based on program guidelines
  • Provide responses to general inquiry calls based on information provided as part of the program materials
  • Coordination with Specialty and Retail pharmacies to ensure that the patient has access to the required treatment
  • Proactively monitor the patient's file to ensure that reimbursement and financial assistance renewals are done in a timely manner
  • Process documents supporting the patient's care, including infusion reports, lab results, copays
  • Receive, record and report Adverse Events as per the Pharmaceutical Manufacturer requirements
  • Participate and assist in departmental continuous improvement activities related to process, quality, training, etc
  • Maintain service levels in case management, including telephone answer rates, time to initial contact with the patient
  • Adverse Events reported within twenty-four hours of receipt and any other Key Performance Indicators established as the Program level
  • Perform data-entry, answer inbound calls, make outbound calls, manage e-mail and fax software, general administrative functions including faxing, filing.
Minimum Requirements:
  • 5 + years of related experience
Additional Skills:
  • Experience in the healthcare, pharmaceutical or insurance industry would be an asset
  • Strong customer service, communication, problem solving skills required
  • Comfortable working in a contact center environment
  • Proficient in Microsoft Office applications (Word/Excel)
  • Team Player
  • Post-secondary education or equivalent
  • Organized with a high attention to detail
  • Flexibility in working rotational or variety of different hours (hours of operation are 8 am to 8 pm Monday to Friday)
  • The incumbent of this position will provide daily support to internal and/or external clients outside Quebec and/or in the United States. Therefore, he/she must be proficient in spoken and written English. Please note that the number of positions requiring English language skills has been limited where possible
We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please
Our Base Pay Range for this position
$45,000 - $75,000
McKesson is an Equal Opportunity Employer
McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson's full Equal Employment Opportunity policies, visit our page.
Join us at McKesson!

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Job Detail

  • Job Id
    JD2808538
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    $45,000-75,000 per year
  • Employment Status
    Permanent
  • Job Location
    Saint-Laurent, QC, Canada
  • Education
    Not mentioned