Bilingual Patient Services Specialist

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Job Summary

The Patient Services Specialist is an integral part of the Patient Services team responsible for providing administrative & patient counseling support to physician offices primarily to assist with the completion of paperwork and follow up on the submissions pertaining to obtaining drug reimbursement through private and provincial drug plans relating to the patient support programs offered by McKesson focus of this position is to shorten the approval time for patients who are waiting to start therapy as well as providing value-added services in terms of time and resources to prescribing physicians on an as-needed role involves interactions with patients insurance companies pharmaciesphysiciansand other health care professionals (HCPs) to explore and obtain coverage for the prescribed medication as well as management of the patient cases.

Specific Responsibilities

• Liaise with the patient insurer and physicianregardingthe documentationrequiredfor maximum reimbursement coverage including the exploration of all public and private insurers and providing employer escalations asrequired.

• Responsible for escalation management in cases whereassistancebeyond program scope isrequired.

• Gather all pertinent andappropriate informationfrom the patient chart and complete necessary documents in a conciseorganizedand professional manner andsubmitphysician signed forms to the private and/or provincial drug benefit insurer/agency.

• Follow up with applicable insurers until a decision is received with the intent ofexpeditinga decision where possible. If the submission has been denied the Senior Patient Services Specialist will discuss this with the physician and resubmit if agreed upon.

• Updates with respect to the reimbursement submissions confirmation of coverage and re-submissions will be entered into the patient database.

• Complete follow ups with patients on behalf of the physician offices as required to ensure adherence to treatment regimens.

• Provides information and updates to physicians and staff in their officesregardingthe medication in terms of new criteria and indications as received from McKesson Canadaor the Client.

• TheSenior PSS may be asked to do stretch assignments for the client.

• Assistwith client escalations for the program as needed.

• Provide support to the team byanswering any questions problem solving and assigning tasks.

• Provide support to PM/APMbyassistingin tasks suchas;authoring deviations callreviewsprivacy incidentsand AE reconciliationsasrequested.

• Act as a SME for the programassistsin the development of training material for the team if needed.

• Continuouslyprovidebest practice guidance to the team.

• Receiverecordand report Adverse Events as per the PharmaceuticalManufacturer requirements.

• Participate andassistin departmental continuous improvement activities related to process qualitytrainingetc.

• Maintain service levels in case management including Adverse Events reported within twenty-four hours of receipt and any other Key Performance Indicatorsestablishedat the Program level.

• Perform data-entry answer inbound calls make outbound calls managee-mailand fax software general administrative functions including faxing filing scanning.

Minimum Qualifications

• High school diploma or equivalent required.

• A minimum of 1 year of related experience in a healthcare clinical or administrative setting.

• Excellent verbal and written skills in English and French.

Key Competencies

• Previous experience with Patient Support Programs (PSPs) is highly preferred.

• Strong customer service communication problem solving skillsrequired.

• Proficient in Microsoft Office applications (Word/Excel).

• Team Player and comfortable working independently.

• Thorough knowledge of adult learning principles and training.

• Organized with a high attention to detail.

• Understands and applies techniques to manage multiple priorities.

• Possessesa high levelof motivation to achieve necessary involvement within a team.

• Stress can be a factor of the position because of the variety of duties and prospects of peak periods in certain situations due to the reality of medical management. Work is often performed in emotional situations.

• Mayoperatea vehicle usually locally.

McKesson welcomes and encourages applications from people with disabilities. Accommodations are available on request for candidates taking part in all aspects of the selection process.

We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors including performance experience and skills equity regular job market evaluations and geographical markets. The pay range shown below is aligned with McKessons pay philosophy and pay will always be compliant with any applicable regulations. In addition to base pay other compensation such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson pleaseclick here.

Our Base Pay Range for this position

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McKesson is an Equal Opportunity Employer

McKesson provides equal employment opportunities to applicants and employees without regard to race color religion sex sexual orientation gender identity national origin protected veteran status disability age genetic information or any other legally protected category. For additional information on McKessons full Equal Employment Opportunity policies visit our Equal Employment Opportunity page.

McKesson welcomes and encourages applications from people with disabilities. Accommodations are available on request for candidates taking part in all aspects of the selection process. If you require accommodation please contact us by sending an email to .

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