Reimbursement Specialist Healthcare/Pharmaceutical - C4K7UBESTFEN

Randstad Canada; Toronto; On-site; CAD 40,000 - 80,000; Full time

Job summary

Join a forward-thinking company as a Reimbursement Specialist, where your expertise in navigating healthcare systems will make a meaningful impact. In this full-time role, you will ensure timely and accurate processing of patient reimbursement claims, helping individuals access vital healthcare services. Your analytical skills and problem-solving abilities will be key in resolving claim issues and communicating effectively with patients and providers. Enjoy a supportive work environment that values professional development and offers competitive salaries along with comprehensive benefits. If you are passionate about patient care and want to contribute to their well-being, we encourage you to apply today!

Benefits

Competitive salary

Performance-based bonuses

Comprehensive benefits package

Paid training

Opportunities for career advancement

Supportive work environment

Qualifications

• 1-3 years of experience in reimbursement or medical billing preferred.
• Certification in medical billing/coding is a plus.

Responsibilities

• Verify patient eligibility and benefits for healthcare programs.
• Process and submit reimbursement claims to insurance providers.
• Research and resolve claim denials and discrepancies.

Skills

Analytical Skills

Problem-Solving

Communication Skills

Interpersonal Skills

Education

High School Diploma

Associate Degree in Healthcare Administration

Bachelor’s Degree in Finance

Tools

Medical Billing Software

Microsoft Office Suite

CRM Systems

Job description

Reimbursement Specialist Healthcare/Pharmaceutical - C4K7UBESTFEN

We are seeking an experienced and detail-oriented Reimbursement Specialist to join our team. This critical role ensures timely and accurate processing of patient reimbursement claims, helping patients access essential healthcare services and medications. If you have a passion for problem-solving and navigating complex healthcare systems, we want to hear from you!

Advantages:

• Competitive salary and performance-based bonuses.
• Comprehensive benefits package, including health, dental, and vision insurance.
• Paid training and opportunities for career advancement.
• A supportive work environment focused on patient care and professional development.

Responsibilities:

• Verify patient eligibility and benefits for various healthcare programs and services.
• Process and submit reimbursement claims to insurance providers and third-party payers.
• Research and resolve claim denials, rejections, and payment discrepancies.
• Communicate with patients, healthcare providers, and insurance companies to ensure proper claim resolution.
• Maintain detailed and accurate records of reimbursement activities and patient interactions.
• Stay up-to-date on healthcare regulations, insurance policies, and program guidelines.
• Collaborate with internal teams, including case managers and patient support specialists, to address patient needs.

Qualifications:

• High school diploma or equivalent (required); associate or bachelor’s degree in healthcare administration, finance, or a related field (preferred).
• 1-3 years of experience in reimbursement, medical billing, or claims processing (healthcare or pharmaceutical setting preferred).
• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal abilities.
• Proficiency in medical billing software, Microsoft Office Suite, and CRM systems.
• Knowledge of insurance verification, prior authorization, and claims submission processes.
• Certification in medical billing/coding (e.g., CPC, CPB) is a plus.

Summary:

Interested candidates, please submit your resume while applying through the job posting. Applications will be reviewed on a rolling basis, so apply today! Join us in making a meaningful impact in the lives of patients every day!

Seniority level

Not Applicable

Employment type

Full-time

Job function

Customer Service

Industries

Staffing and Recruiting