Provider Relations Representative
2 weeks ago
The role of Provider Relations is to accurately register healthcare providers and maintain a current database in order to support providers by delivering effective and timely communications to ensure seamless claims adjudication and claims payment.
Express Scripts Canada seeks to hire a Provider Relations Representative to work from our Mississauga office.The successful incumbent will review network agreements from pharmacy, medical supplies & equipment, mental health care, vision care, and dental providers for accuracy and completeness and ensure that all providers' pertinent information is correctly entered into the Express Scripts Canada system.
NOTE:
This is a - Months contract position with a possibility of extension. You will have to be on-site at our Head Office Mississauga location.
Key Responsibilities
Validates completed provider agreements and returns to providers for further review and modifications if information is missing
Ensures that all pharmacy, medical supplies & equipment and dental providers' required agreement information is entered into the Express Scripts Canada System in a timely manner
Ensures that all pharmacy, medical supplies & equipment, mental health care, visions care, and dental providers' modifications and terminations are updated in a timely manner
Handles provider, association and software vendor inquiries in a supportive and professional manner
Collaborates with teammates and assists in other team deliverables as required
Qualifications:
Post-Secondary school diploma
Bilingual an asset (French & English)
Excellent written, and verbal communication skills
Knowledge of healthcare/pharmacy, medical supplies & equipment or dental benefit administration and claims processing is an advantage
Strong customer service focus - understanding the Express Way Values
Computer literate, possessing intermediate skills in MS Office (Word, Excel, Outlook), and Adobe Reader and Writer
Strong interpersonal skills with ability to work independently with mínimal supervision; and as a team player willing to take direction
Flexible to new situations and adaptable to change
A thorough understanding of quality assurance and delivery of service excellence
Excellent organizational skills, effective time management, and the ability to shift priorities working within established timelines
Demonstrates initiative (learn processes and procedures, various benefits) and displays self-motivation to grasp new concepts quickly
Ability to analyze, problem-solve and mediate difficult situations
Results-oriented paying attention to detail.
Express Scripts Canada is a Cigna company
Express Scripts Canada is a subsidiary of Express Scripts, a Cigna company
Cigna Corporation (NYSE:
CI) is a global health service company dedicated to improving the health, wellbeing and peace of mind of those we serve.
Cigna offers an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioural health, pharmacy, vision, supplemental benefits, and other related products.
About Express Scripts CanadaExpress Scripts Canada is a leading health benefits manager and has been recognized as one of the most innovative. Our clients include Canada's leading insurers, third party administrators and governments. We work with these clients to develop industry-leading solutions to deliver superior healthcare in a cost-controlled environment.
We provide Active Pharmacy services to more than 7 million Canadian patients and adjudicate more than 100 million pharmacy, dental, and extended health claims annually.
Through our proprietary consumer intelligence, clinical expertise, and patients-first approach, we promote better health decisions for plan members, while managing and reducing drug benefit costs for plan sponsors.
We offer a competitive salary and benefits package, along with a positive work environment built on solid corporate values, integrity, mutual respect, collaboration, passion, service and alignment.
By embracing diversity, we build a more effective organization that empowers our employees to be the best that they can be.
We are committed to creating a working environment that is barrier-free and we are prepared to provide accommodation for people with disabilities.
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