Unilingual Administration & Copay Assistant

Overview

Part-time administrative role supporting patient reimbursement and copay processes within a pharmaceutical setting.

What you'll do

• Follow up with patients according to the approved/allowed cadence to obtain reimbursement-related updates and information required to support case progression.
• Update and maintain patient files accurately and in a timely manner, ensuring all reimbursement-related activities, outcomes, and communications are properly documented.
• Support reimbursement processes by collecting, reviewing, and recording information related to coverage, claims status, and patient access matters, in accordance with program requirements.
• Escalate reimbursement issues, coverage barriers, and case-specific concerns to the appropriate team members as required.
• Report all Adverse Events identified during patient interactions to the assigned units/departments in accordance with company policies and procedures.
• Maintain accurate and current records in applicable systems and department files.
• Compile reimbursement-related information from various sources for reporting, tracking, and case management purposes.
• Interact with internal team members and management to support resolution of case-related and workload-related issues.
• Maintain positive and professional working relationships with associates, management, and other internal stakeholders.
• Comply with all applicable policies, procedures, privacy requirements, safety rules, and program guidelines.
• Perform related reimbursement support duties as assigned.

What you'll need

• Post-secondary education in a related field.
• 1-3 years' experience in an administrative role in a pharmaceutical setting.
• In-depth knowledge of the Microsoft Office Suite of applications is essential.
• Proven accuracy when processing large amounts of data.
• Strong communication and interpersonal skills.
• Ability to work independently and in a team environment.
• Adaptability to change and to learn new skills as required.
• High School Diploma/GED or equivalent experience required.
• 2+ years of experience in patient access, reimbursement, prior authorization, benefit verification, managed care coordination, specialty pharmacy, or a related field required.
• Registered Nurse (RN) license or equivalent certification required.
• Knowledge in patient support program operations and case-based service delivery models.
• Knowledge in call center operations, service workflows, and quality assurance practices.
• Knowledge in training coordination, coaching support, and learning administration practices.
• Knowledge in reimbursement support programs, adherence programs, education programs, and patient support services.
• Knowledge in operational reporting, work allocation, and scheduling support practices.
• Ability to coordinate assigned projects and operational activities within established program structures.
• Ability to support training development and training delivery across patient support activities.
• Ability to provide first-line guidance on routine process and workflow inquiries.
• Ability to monitor service quality activities and identify issues requiring follow-up.
• Ability to organize work, manage priorities, and support multiple operational activities.
• Ability to communicate effectively in writing and verbally with internal stakeholders.
• Ability to work within defined service hours and support operational continuity requirements.

Nice to have

• Prior Authorization Certified Specialist (PACS), or equivalent certification.

Details

• Location: Remote, ON.
• Employment type: Part time.
• Ability to work within defined service hours.