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Reimbursement Specialist – Specialty Pharmacy

Job summary

An Insurance Specialist at Pharmacie Martin Gilbert is responsible for managing and optimizing the administrative and financial processes related to private and public insurance plans, as well as patient assistance programs within a specialty pharmacy setting. Their primary role is to facilitate access to specialized treatments by reducing financial barriers and ensuring compliance with required processes.

Advantages

Daytime schedule, Monday to Friday, from 8:00 a.m. to 4:00 p.m. or 9:00 a.m. to 5:00 p.m. (37.5 hours/week);
No evenings, weekends, or statutory holidays;
30-minute paid lunch break (total of 40 paid hours per week);
Competitive salary;
Annual bonus;
4 weeks of vacation starting upon hire;
Comprehensive group insurance fully paid (100%) by the employer;
Telemedicine services;
Employer contributions to a group RRSP;
Various employee social activities;
Employee well-being at the heart of our priorities;
On-site gym and group fitness classes;
And much more!

Tasks and responsibilities

Verify eligibility and coverage under both private and public insurance plans.
Communicate with patient support programs to obtain free medication doses and financial assistance for patients.
Process retroactive billing following insurance approval.
Prepare and submit prior authorization and special authorization requests.
Follow up on claims and resolve denials or discrepancies.
Communicate with patients to explain costs, funding options, and timelines.
Collaborate with the pharmacy team to deliver exceptional patient service.

Skills and qualifications

Experience: Minimum of 1 to 2 years in a similar role (pharmacy, insurance, or healthcare).
Education: High school diploma completed.
Strong knowledge of private and public insurance plans.
Good understanding of pharmacy practice and prescription renewals.
Excellent communication and customer service skills.
Ability to work in a fast-paced environment and manage multiple files simultaneously.
Proficiency with computer tools and billing systems.

Explore available opportunities.

Our team is made up of people from diverse backgrounds, all united by a shared passion: taking care of everything for our patients and simplifying the lives of those taking specialty medications. If you're looking for a meaningful and fulfilling career, you’re in the right place.

Available positions

RPMSQ | Pharmacie Martin Gilbert is a founding member of the Regroupement des pharmacies de médicaments de spécialité du Québec (RPMSQ).

Pharmacist Martin Gilbert is solely responsible for the practice of the pharmacy.

1525 Ford Boulevard 
Châteauguay, QC, J6J 4Z2

Phone: 450-844-4679 Toll-free: 1-877-522-4679

Fax: 1-877-644-4679

info@pharmaciepmg.ca