Robin Sibley
Stewiacke East
Summary
Dynamic subject matter expert in public, federal, and private coverage reimbursement for immunology biologics, offering over 18 years of comprehensive experience in the healthcare industry. Proven track record as a Reimbursement Analyst and Patient Support Specialist, delivering personalized support across Canada to facilitate access to essential treatments. Committed to eliminating financial barriers by securing free drug options and financial assistance aligned with insurance plans, ensuring patients navigate the complexities of high-cost therapies with ease. Proactive contributor to pharmacovigilance efforts, adept at swiftly reporting adverse events and product complaints while maintaining the highest standards of patient privacy and confidentiality.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Senior Reimbursement Analyst
Johnson & Johnson
03.2019 - 10.2025
- Reimbursement Subject Matter Expert for Johnson & Johnson BioAdvance Immunology Program
- Manage Alberta and Manitoba Premiums Project
- Manage McKesson National Billing Team Project
- Audit Medical Orders for accuracy
- Audit patient files and reports via Microsoft Excel
- Train new BioAdvance Coordinators and Reimbursement Analysts on the reimbursement process
- Review and approved requests for free high-cost biologic drugs ensuring all avenues of public and private coverage are explored within the 24-hour Service Level Agreement
- Review and approve retroactive manual payments
- Troubleshooting of reimbursement inquiries with the McKesson and BioAdvance Copay Teams
- Respond to email inquiries from BioAdvance Coordinators, Reimbursement Team, and outside vendors
- Report adverse events following pharmacovigilance protocol
Reimbursement/Patient Support Specialist
STI Technologies
11.2015 - 03.2019
- Subject Matter Expert in drug claims reimbursement
- Maintain an in-depth knowledge of private and public funding mechanisms
- Review Coordination of Benefits reports ensuring proper billing
- Troubleshoot reimbursement issues with patients and pharmacies
- Program lead for various patient support programs across Canada
- Implement Financial Means Testing to maximize prescription drug coverage
- Report and reconcile adverse events following pharmacovigilance protocol
- Coordinate shipment of drug from manufacturer to pharmacy
- Assist with creation and maintenance of Standard Operating Procedures and Process Documents
Team Leader/Trainer
Capgemini
01.2015 - 11.2015
- Train team members on the New Business Operations Intake life insurance processes
- Maintain 24-hour Service Level Agreement
- Delegate and track all tasks
- Quality check new applications
- Report quality scores and team performance to RBC daily
- Team coaching
- Create and Maintain Standard Operating Procedures
- Coordinate onboarding of 230 new employees
Senior Customer Service Representative/Escalation Team
Medavie Blue Cross
10.2007 - 10.2014
- Reimburse drug and hospital claims
- Investigate health, dental and drug inquiries from patients, pharmacists and healthcare practitioners
- Resolve patient and healthcare practitioner escalations
- Mentoring through peer coaching
Perinatal Centre Clerk (student work term)
IWK
07.2007 - 10.2007
- Register patients for perinatal appointments
- Book patient appointments
- File medical reports
- Order patient medical records
- Create new patient files
Office Manager
Quality Shoes
09.2004 - 04.2006
- Accounts payable and accounts receivable
- Order and input inventory
- Daily bank deposits
- Compile payroll and distribute pay cheques
- Reconcile accounts
Assistant Manager/Trainer
Wal-Mart
09.2000 - 04.2004
- Manage 12-15 photo lab associates
- Maintain film processing and photo lab equipment
- Maintain 1 hour Service Level Agreement
- Order stock
- Interview potential employees
- Onboard and train new employees
- Forecast sales
Education
Diploma - Medical Administrative Assistant
Success Business College
Truro, NS01.2007
Certificate - Essentials of Managing People
Saint Mary's University
Halifax, NS01.2017
Skills
- Advanced Microsoft Office proficiency
- Expertise in patient enrollment platforms
- Expertise in patient reimbursement systems
- Intermediate medical terminology proficiency
- Pharmaceutical sector experience
- Adverse event documentation
- Intermediate proficiency in POS systems
- Intermediate Simply Accounting proficiency
- Data solutions management - Intermediate
- Data-driven analysis
- Team leadership experience
- Clear and concise communication abilities
Languages
English
Native or Bilingual
Essentials of Managing People
Course provided by STI Technologies with course completion certificate provided.
Certification
Essentials of Managing People
Timeline
Senior Reimbursement Analyst
Johnson & Johnson
03.2019 - 10.2025
Reimbursement/Patient Support Specialist
STI Technologies
11.2015 - 03.2019
Team Leader/Trainer
Capgemini
01.2015 - 11.2015
Senior Customer Service Representative/Escalation Team
Medavie Blue Cross
10.2007 - 10.2014
Perinatal Centre Clerk (student work term)
IWK
07.2007 - 10.2007
Office Manager
Quality Shoes
09.2004 - 04.2006
Assistant Manager/Trainer
Wal-Mart
09.2000 - 04.2004
Certificate - Essentials of Managing People
Saint Mary's University
Diploma - Medical Administrative Assistant
Success Business College
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