Pharmacy Reimbursement Specialist (Remote, Canada)

Position Overview

Position Type: Full Time

Department: Pharmacy

Work Location: Canada

Work Arrangement: Remote

Work Hours: Monday - Friday, standard business hours

Travel Required: No

About Sentrex Health Solutions

A proudly Canadian company, Sentrex Health Solutions is a fully integrated specialty distributor and patient support provider for pharmaceutical manufacturers, physicians, and their patients. We provide innovative solutions focused on ensuring patients have access and the support they need to maximize their treatment outcomes. We do this through strategic distribution models and patient support programs that are backed by powerful, integrated technology and experienced, cross‑functional teams. Our core capabilities include Specialty Pharmacy Services, Customized Solutions for Warehouse, Wholesale & Distribution, Patient Support Programs, as well as HCP & Clinic Services.

Why We Love Working Here

• We are 100% Canadian with locations across the country
• State‑of‑the‑art facilities to provide high‑quality products and services
• The opportunity to be a part of a winning, high‑performing team
• Collaborative, engaging workplace culture – we are passionate about our people!
• Flexible working environment that promotes a healthy work‑life balance
• Diverse and inclusive culture where your talent and commitment to excellence is welcomed and valued
• High‑growth environment that provides opportunities for learning and growth supported by our Employee Development Program and industry‑leading, in‑house corporate training offered throughout the year

The Opportunity

The Pharmacy Reimbursement Specialist is primarily responsible for supporting the billing team. The duties may include test billing, commercial billing conversion management of accounts receivable and payments, and maintaining and managing the unfill prescription tracker. This role will be hybrid but may require rotational on‑site pharmacy work.

A Day in the Life (What you will do here)

• Track commercialization efforts using Kroll and BI reports and various other tools
• Review and submit claims for specialty medications related to commercialization efforts
• Find opportunities to perfect billing for commercialization efforts
• Review the pharmacy transactional data and enhance billing policies and practices
• Follow up with patients, insurers, adjudicators, and patient support programs for pharmacy claims
• Support the pharmacy team with accurate processing of prescriptions for all programs/medications
• Provide exemplary customer service in all interactions with patients and clients
• Manage and follow up on accounts receivable for the pharmacy as well as the outstanding balances generated through the commercialization efforts
• Maintain and manage the prescription unfill tracker
• Be the point of contact for internal and external stakeholders for the unfill prescription management
• Adhere to all relevant guidelines, including the established Standard Operating Procedures and all applicable regulatory requirements asset out by the College of Pharmacists
• Assist with other duties as required

What you need to ensure you are set up for success

• 5+ years experience in pharmacy or reimbursement setting required
• Specialty pharmacy experience preferred
• Experience with Kroll billing preferred
• Strong understanding of provincial public and private reimbursement
• Problem solving and critical thinking skills required
• Driven for success and results oriented
• Ability to work independently as well as in a team setting
• Ability to prioritize, organize, and manage the workload efficiently
• Excellent interpersonal and communication skills

What makes you a great fit for this team

• Your commitment to providing a high level of service to your internal and external clients.
• You are highly adaptable with a track record of success during times of growth and organizational change.
• You have a proven track record of developing trust and influence at multiple levels.
• You demonstrate an impactful and candid communication style.
• You have exceptional organizational skills with the ability to build effective working relationships with colleagues, management, and stakeholders.

Why Join Sentrex

• Competitive Salary and generous vacation entitlement
• Wellness Program (5 paid days off for your well‑being!)
• Paid Sick Days
• Competitive Benefits Package including Dental & Extended Health Benefits, AD&D, LTD & Employee/Dependent Life Insurance
• Employee & Family Assistance Program
• RRSP Matching P