Pharmacy Assistant

Rx Connect Specialty Pharmacy; Mississauga; On-site; CAD 40,000 - 50,000; Full time

Job summary

Rx Connect Specialty Pharmacy in Nova Scotia is seeking a Pharmacy Assistant with Reimbursement Experience to aid patients with insurance challenges and enhance medication accessibility. The ideal candidate should have strong organizational skills, communication skills, and experience with Kroll Pharmacy Management Software.

This role involves verifying insurance coverage, compiling patient information efficiently, and liaising with private and public insurance providers. If you are looking to join a dynamic team in a growing company, we welcome your application!

Qualifications

• Two or more years of reimbursement navigation experience involving private and public payers is required.
• Proven ability to work in a team environment and independently.
• Time management skills and ability to multi-task.

Responsibilities

• Communicate with patients, prescribers, and healthcare professionals.
• Verify and investigate insurance coverage and benefits for patients.
• Complete, submit, and follow-up on requisite paperwork.

Skills

Excellent communication skills

Customer service

Proficiency with Kroll Pharmacy Management Software

Troubleshooting adjudication issues

Education

College diploma in a healthcare related course

Tools

Kroll Pharmacy Management System

Microsoft Office Applications (Outlook, Word, Excel)

Job description

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 opportunity 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.