Reimbursement Specialist (Bilingual - French & English)

#LI-DNI

JOB DESCRIPTION

Position: Reimbursement Specialist- Patient Assess Specialist (Bilingual- French & English)

Company & Location: Auxilium Health (Hybrid), Oshawa ON

Employment Type: Full-time, Permanent

Hours Worked: 37.5 hours per week, Monday-Friday, 9 am – 5 pm or 12 pm – 8 pm

Department: Patient Support Programs

Reporting To: Manager, Patient Support Programs

Direct Reports?: No

Last Updated: May 2026

POSITION SUMMARY: The role of the Reimbursement Specialist- Patient Assess 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, HCPs (Health Care Providers) and their staff regarding program services


• Respond to inquiries from patients, HCPs 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, HCPs, 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 HCPs 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:

• Office environment: a blend of sitting at a desk, standing, and working on a computer.


• Hybrid working schedule

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.

Auxilium Health is 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.

*This position is being posted to fill an existing vacancy within our team.

#J-18808-Ljbffr