Ragini Simadree
Mississauga,ON
Summary
Overview
14
14
years of professional experience
5
5
years of post-secondary education
3
3
Certifications
2
2
Languages
Work History
Bilingual Case Manager
SRX Health Solutions
07.2023 - 01.2024
- Provided support and guidance to patients throughout their healthcare journey
- Advocated for patients' needs, ensuring access to resources, services, and therapies
- Collaborated with SRX health, physicians, pharmacists, and other healthcare providers to ensure that patients receive appropriate medication and therapy
- Assisted patients and physicians with insurance paperwork, applications, and appeals related to drug access and reimbursement
- Developed and implement individualized care plans in collaboration with the healthcare team
- Coordinated appointments, tests, and consultations for timely scheduling and follow-up
- Maintained accurate patient records and document interactions, interventions, and outcomes
- Generated reports and communicate patient progress to the healthcare team as required
- Analyzing data and generating reports to evaluate the effectiveness of care plans and identify areas for improvement
- Assisted the prescribing physician to complete patient enrolments; including gathering all pertinent and appropriate information to complete the necessary forms (private and/or provincial insurance) in a concise, organized, and professional manner
- Liaised and advocate with third-party providers and provincial governments as necessary to determine coverage options
- Reviewed patient charts (paper and electronic based)
- Ensured patients are scheduled and notify physicians of any requests
- Completed Welcome Call activities with the patient according to defined scripts
- Facilitated any required communication with physicians, Patient Support Programs, or other healthcare professionals involved in the patient's circle of care
- Act as a central resource liaison for program stakeholders, which include physicians, nurses, patients, and clinics
- Ensured patient records are maintained and data-accurate to meet program reporting
- Reported Adverse Events in Client Portal and Internal Database.
Bilingual Patient Reimbursement Specialist
McKesson
12.2020 - 09.2023
- Acted as the main point of contact for end-customers (wholesalers, pharmacists, physicians and clinics)
- Coordinated and managed the setup of new end-customer requirements in our Salesforce and SAP system
- Supported end-customers on return claims through follow up to provide authorization
- Communicated with Claims Department with regards to unpaid credits and claims
- Responsible for implementing the highest standards of Quality & Compliance
- Enrolled the patients into Support programs (PSP), Data Entry, Safety Reporting, HCP calls, financial assistance including reimbursements
- Corresponding messages in the MIDAS systems
- Reported Adverse Events and Product Complaints.
Patient Care Specialist
Centric Health
11.2019 - 11.2020
- Review, analyze and validate information provided by patients and Physician offices
- Identifying and assessing patient and physician needs to achieve satisfaction
- Maintained service levels in case management; including telephone management answer rates, time to initial contact with patient
- Coordination with Specialty and Retail Pharmacies to ensure that patient has access to the required treatment.
Bilingual Pharmaceutical Billing Associate
Medical Pharmacies Group Limited
10.2016 - 10.2019
- Data Entry of prescriptions in Kroll
- Label all products appropriately including cautionary and auxiliary labels
- Blister packing and operation of Pack-med
- Inventory/Narcotics handling
- Contacting 3rd party/ insurance/ provincial billing/ LU's/ Pharmaceutical Opinion.
Pharmacy Technician
Selhurst pharmacy
08.2009 - 12.2011
- Receive Prescriptions from patients and validation
- Accuracy check
- Dispense/Compounding the medication.
Education
Diploma in Pharmacy Technician in Pharmacy - Pharmaceutical Sciences
South London College
London, UK 06.2007 - 05.2009
Bachelor's Degree in Business in management - Business Management
South London College
London, UK 01.2007 - 08.2009
Skills
undefined
Certification
Standard First Aid and CPR
Timeline
Bilingual Case Manager
SRX Health Solutions
07.2023 - 01.2024
Bilingual Patient Reimbursement Specialist
McKesson
12.2020 - 09.2023
Patient Care Specialist
Centric Health
11.2019 - 11.2020
Bilingual Pharmaceutical Billing Associate
Medical Pharmacies Group Limited
10.2016 - 10.2019
Pharmacy Technician
Selhurst pharmacy
08.2009 - 12.2011
Diploma in Pharmacy Technician in Pharmacy - Pharmaceutical Sciences
South London College
06.2007 - 05.2009
Bachelor's Degree in Business in management - Business Management
South London College
01.2007 - 08.2009
Standard First Aid and CPR
Pharmacy Technician (UK)
Health and social care management
Similar Profiles
Zoë LefebvreZoë Lefebvre
Clinic Manager (RN) at SRx Health SolutionsClinic Manager (RN) at SRx Health Solutions
Manu Sebastian LukaManu Sebastian Luka
Operations Manager (Health Industry) at SRx Health wholesale & DistributionOperations Manager (Health Industry) at SRx Health wholesale & Distribution
NANDINI GUPTANANDINI GUPTA
Staff Pharmacist at SRx PharmacyStaff Pharmacist at SRx Pharmacy