Reimbursement Specialist (Bilingual- French and English)

Auxilium Health; Oshawa; Hybrid; CAD 50,000 - 70,000; Full time

Job summary

A healthcare service provider in Oshawa seeks a Bilingual Reimbursement Specialist to manage patient enrollment and navigation in Patient Support Programs. This full-time role requires proficiency in French and English, excellent communication, and the ability to assist patients with drug coverage and insurance processes. The position operates in a hybrid model, including remote work options, and offers variable shifts to ensure timely support for patients. Ideal candidates will have experience in healthcare or reimbursement-related programs.

Qualifications

• Proficiency in both French and English is required.
• Strong communication skills are essential.
• Experience in reimbursement or Patient Support Programs is a plus.

Responsibilities

• Oversee patient enrollment into the Patient Support Program.
• Assist patients and physicians with drug coverage.
• Provide education regarding program services.

Skills

Proficiency in French

Proficiency in English

Strong written and verbal communication skills

Effective problem solving

Compassion and patience

Experience with Salesforce

Ability to work independently

Education

Completion of post-secondary school

Tools

Salesforce

Microsoft

Adobe

DocuSign

Job description

#LI-DNI

Reimbursement Specialist (Bilingual- French and English) at Auxilium Health (Hybrid), Oshawa ON. Full‑time, Permanent employment. 37.5 hours per week, Monday‑Friday, 9 am – 5 pm or 12 pm – 8 pm. Patient Support Programs department, reporting to Manager, Patient Support Programs. No direct reports. Last updated August 2025.

POSITION SUMMARY

The role of the Reimbursement Specialist involves overseeing all aspects of patient enrollment into a Patient Support Program. Additionally, Reimbursement Specialist will perform a reimbursement navigation and coordinate services for patients who have been prescribed the medication by their doctor. The Reimbursement Specialist's responsibilities include assisting physicians and patients with regards to drug coverage, following up on submissions related to obtaining coverage from insurers and ensuring timely access to prescribed treatments. The Reimbursement Specialist also provides ongoing support to patients through effective communication to ensure seamless access to the prescribed therapy.

GENERAL RESPONSIBILITIES & ESSENTIAL FUNCTIONS

• Work with patients to remove barriers for access to the prescribed medication
• Provide education to patients, HCP’s (Health Care Providers) and their staff regarding program services.
• Respond to inquiries from patients, HCP’s (Health Care Providers) and their staff in a timely and appropriate manner
• Support access to medication and expedite time to obtain the drug prescribed by providing reimbursement support and assistance for patient out-of-pocket costs
• Communicate with patients, HCP’s, clinic staff, and Key Account Managers to provide education and services pertaining to the acquisition, access, coverage, reimbursement and affordability of medication
• Conduct reimbursement investigations with private reimbursement providers
• Review, analyze and validate information provided by patients and HCP’s for accuracy and completeness to ensure initiation of services
• Provide answers to general inquiries on Program services, based on information provided as part of the Program Case Manager materials
• Candidates must be available for variable weekly shifts, scheduled either daytime (9:00 AM – 5:00 PM) and afternoon/evening (12:00 PM – 8:00 PM) hours

QUALIFICATIONS

• Proficiency in French and English required
• Strong written and verbal communication skills
• A positive and hardworking attitude
• Able to demonstrate compassion and patience
• Able to manage multiple tasks and priorities at once with required urgency in a fast‑paced environment
• Experience with Salesforce, Microsoft, Adobe & DocuSign applications
• Ability to work independently and in a team environment
• A willingness to learn
• Effective problem solving and critical thinking skills
• Experience in reimbursement or with Patient Support Programs is an asset
• Experience in the healthcare, pharmaceutical, or insurance industry is an asset

EDUCATION

• Completion of post‑secondary school required

WORKING CONDITIONS

• Remote, home‑office environment or office environment: sitting at a desk, working at a computer