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Bilingual Reimbursement Specialist - Contract, Canada Remote
Support Canadian diabetes patients with insurance verification, reimbursement, and prior authorization for Insulet’s Omnipod system. Process claims and coordinate with payers, healthcare providers, and internal commercial teams in English and French.
कनाडा$60,425 – $77,675 / वर्ष
रिमोटअनुबंधमध्य स्तरवरिष्ठआवश्यक भाषा: अंग्रेज़ीआवश्यक भाषा: फ़्रेंचद्विभाषीविवरण
- Interpret Insulet insurance contracts, channeling procedures, and processing requirements for covered products
- Process reimbursement cases by contacting payers, verifying benefits, and following medical guidelines
- Submit prior authorization requests to support approval and payment for Insulet products
- Calculate and record cost-sharing amounts for English- and French-speaking customers
- Coordinate with Case Management, Omnipod Sales, Billing, and other commercial teams regarding customer orders
- Record customer interactions and calls in the database
- Follow HIPAA and other applicable regulatory requirements
- Share feedback and recommendations for ongoing process improvement
- Complete other assigned duties as required
- Help patients and customers navigate insurance, reimbursement, and prior authorization processes
- Act as a resource for patients, healthcare providers, insurance payers, and internal teams
आवश्यकताएँ
- Associate degree required
- Strong preference for proficiency in both English and French
- Bachelor’s degree preferred
- Preferred 2–4 years of experience in medical devices, pharmaceuticals, healthcare, or consumer products
- Knowledge of the managed care industry preferred
- Experience supporting patients with diabetes preferred
- Experience with reimbursement or private and public payers in Canada
- Experience with Salesforce or another CRM platform preferred
- Ability to work overtime to meet business objectives
- Strong oral and written communication skills in English and French
- Problem-solving, collaboration, accountability, self-management, prioritization, and multitasking abilities
- Proficiency with Microsoft Office and CRM systems
- Ability to work in a standard office environment, including sitting and standing
- Manual dexterity for computer keyboard use
- Ability to perform occasional lightweight lifting
लाभ
- Fully remote work arrangement, with the option to work from home virtually
- Option to choose a hybrid on-site and virtual work arrangement
- Reasonable accommodations available for individuals with disabilities
- Use bilingual language skills while developing expertise in reimbursement, managed care, and medical devices
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