Join Bayshore as a Reimbursement Specialist, focused on enhancing patient access to necessary medications. Your role supports physicians and patients in navigating insurance coverage effectively.
Under the direction of the Associate Program Manager, you'll act as a crucial resource for advocating drug coverage options. Your role involves completing forms concisely, liaising with insurance providers, and ensuring detailed record-keeping in patient charts. Drive quality improvement initiatives while maintaining up-to-date knowledge of relevant regulations and guidelines.
Key Responsibilities:
• Organize and submit patient insurance documentation
• Advocate for coverage options with providers
• Document all interactions in electronic health systems
• Follow-up to ensure timely coverage decisions
• Provide financial assistance options proactively
Requirements:
• Minimum of 2 years in public/private reimbursement settings
• Knowledge of drug coverage criteria for chronic diseases
• Experience with Special Authorization processes
• Proficient in various software tools and platforms
• Bilingual in English and French preferred
Your expertise can significantly impact patients’ medication access at Bayshore, ensuring timely treatments for those in need.
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