Patient Services Specialist
Core
Coordinate administrative and reimbursement activities for Patient Support Programs to help patients navigate therapy access and coverage.
Role type
Patient Services Specialist (Healthcare Administration)
Builds
Patient access to prescribed therapies and reimbursement decisions
Domain
Healthcare / Pharmaceutical / Insurance
Deliverable
dashboards & analysis
Required skills
Reimbursement form processing, case note documentation, stakeholder communication, data entry, adverse event reporting, multi-priority management
Preferred skills
Patient Support Program experience, specialty pharmacy knowledge, Canadian drug reimbursement process knowledge, healthcare/insurance/pharma environment experience, remote work experience
Technologies
Microsoft Office Suite, case management systems
Responsibilities
Serve as primary contact for patients and insurers regarding reimbursement; Collect and submit reimbursement forms to private insurers and provincial drug plans; Follow up with agencies to obtain coverage decisions; Maintain accurate case notes and patient records; Escalate complex cases; Provide reimbursement updates to healthcare professionals; Support patient follow-up activities; Respond to inbound inquiries and conduct outbound outreach; Document and report Adverse Events; Meet service levels and performance metrics.
