Reimbursement Specialist

ABOUS US:
Peritus Medical is a leading provider of specialty drugs services, specializing in managing the complex logistics of access, maintenance and delivery of specialty pharmaceuticals. Our processes preserve the safety and integrity of specialty drugs and our services are streamlined to make the logistics as straightforward and simple as possible, so that our health care partners may focus on the provision of patient care. To read more about Peritus Medical, please click here: https://www.peritusmedical.ca/

POSITION SUMMARY:

The Reimbursement Specialist is responsible for preparing medication orders, processing prescriptions using pharmacy software, and completing other technical tasks in an accurate and timely manner. This specialty pharmacy is closed to the public; medications are sent directly to medical clinics. We are looking
for a candidate who is reliable, organized, and has excellent communication skills. Preference will be given to candidates who have experience with Kroll PMS and troubleshooting adjudication issues with public/private insurers. Experience is an asset but is not required.

GENERAL RESPONSIBILITIES & ESSENTIAL FUNCTIONS:

• Accurate data entry of prescriptions into Kroll and filling/billing such prescriptions
• Answering incoming calls and field general inquiries from patients with professionalism and tactfulness (refer to a pharmacist when necessary for counselling and clinical questions)
• Preparing orders for deliveries using cold chain management for refrigerated and frozen medications
  • Packing shipments, completing shipping documentation
• Coordination of deliveries and prescriptions with PPNs
• Maintenance of pharmacy stock through inventory management system (product return credits expired/damaged product disposal, organizing inventory/packaging supplies)
• Confirm and investigate insurance coverage and benefits for patients, including eligibility, co-payments, and deductibles
  • Contact patient assistance programs to determine coverage options for patients
  • Complete manual claims and reversal forms
• Management of transactions with patients (e-transfers, refunds)
• Maintain confidentiality of patient healthcare information at all times
• Other administrative tasks to support the pharmacy/clinic workflow as required

QUALIFICATIONS:

• Experience with Kroll Pharmacy Management Software (preferred)
• Excellent Knowledge of MS Word, Excel and G Suite
• Excellent customer service skills
• High level of professionalism
• Strong written, verbal, and computer skills are required
• Self-motivated with strong work ethic
• Deadline-oriented and strong prioritization skills a must
• Experience with Kroll or in a pharmacy setting (asset)

EDUCATION:

• Highschool diploma or equivalent
• Completion of post-secondary education an asset

WORKING CONDITIONS:

• Office setting
• Fast-paced, busy work environment
• Manual dexterity to complete computer work

What we are looking for:
Our team consists of people with a commitment to excellence. In addition to the specific job qualifications, we want people on our team who are compassionate and attentive with a “can-do” attitude, and willing to go above and beyond in their work for themselves, their co-workers, and our clients. We are dedicated to providing everyone around us with a superior service experience.
Our commitment to you:
We are committed to a company culture that motivates collaboration, innovation, and continuous improvement and development. We encourage all employees to share forward-thinking ideas and work at their highest potential.
We support the health and wellness of our employees and offer a flex benefits plan covering medical, dental and vision services.
We appreciate the applications from all candidates but please note we will only be directly contacting the candidates that are selected for an interview.
We are an equal opportunity employer. We welcome diversity and are committed to creating an inclusive environment for all employees. Accommodations are available on request for candidates taking part in all aspects of the selection process.
DISCLAIMER
The job description is not designed to cover or contain a comprehensive listing of activities, duties or
responsibilities that are required of the employee. Duties, responsibilities and activities may change or
new ones may be assigned at any time with or without notice.

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