Rx Connect is a Canadian healthcare company dedicated to providing exceptional patient-centered care and access to complex medications. Our team of healthcare professionals is committed to building healthier communities through personalized service and social responsibility.

About the Position:
We are looking for a Pharmacy Assistant with Reimbursement Experience to join our Rx Connect Specialty Pharmacy team in Mississauga. We are looking for a candidate who is reliable and organized , with excellent communication skills and capable of providing exceptional customer service . Preference will be given candidates who are proficient with Kroll Pharmacy Management Software and experienced in troubleshooting adjudication issues with public and private payers.

Reporting to our Reimbursement Team Lead, the Pharmacy Assistant/ Reimbursement Specialist will be primarily responsible for assisting our patients in navigating insurance challenges and available provincial/federal programs to make their medications more affordable. If you are looking for the prospect to join a rapidly growing company, we highly encourage you to apply!

Duties and Responsibilities:

Communicate with patients, prescribers, healthcare professionals and other key players to support patients through their treatment journey.

Verify and investigate insurance coverage and benefits for patients, including eligibility, co-payments, deductibles, and prior authorizations.

Gather and document information from patients/caregivers/prescribers in a concise, organized, and professional manner.

Complete, submit and follow-up on requisite paperwork on time.

Liase with private and public insurance providers to determine coverage options

Act as a central liaison for stakeholders such as physicians, nurses, patients, and clinics and provide required updates





Maintain confidentiality of patient healthcare information

Keep up to date with changes in insurance coverage and reimbursement policies and communicate these changes to healthcare providers and patients.

Monitor treatments as well as chart and report on all activities are directed by Physician protocols.

Provide patient education based on protocols, individually or in groups

Regular, predictable availability to meet appointment scheduling needs efficiently and cost-effectively to provide patients with quick access to necessary therapies.

Majority of the time, the role will be dedicated towards Reimbursement services

The Reimbursement Associate will also be assigned other duties and tasks as required from time to time.

Job Requirements:

A college diploma or higher in a healthcare related course is an asset

Two or more years of reimbursement navigation experience involving private and public payers is required.

Two or more years of related pharmacy experience is an asset

Experience working with Patient Support Programs is an asset

Experience with the Kroll Pharmacy Management System is an asset

Familiarity with the Special Authorization process for both public and private insurance in assigned territory

Proficiency in Microsoft Office Applications (Outlook, Word, Excel)

A demonstrated commitment to high professional ethical standards and a diverse workplace

Proven ability to work in a team environment and independently

Ease with working in a paperless environment

Time management skills and the ability to multi-task and adhere to deadlines.

Number of positions: 2

Rx Connect operates in accordance with the Accessibility for Ontarians with Disabilities Act and applicable Provincial Human Rights Codes.

If you require accommodation in the interview process, please let us know.

#J-18808-Ljbffr

📌 Pharmacy Assistant (Ontario)
🏢 Rx Connect Specialty Pharmacy
📍 Ontario