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Provider Relations Representative

3 months ago

Winnipeg, Manitoba, Canada Manitoba Blue Cross Full time
About Manitoba Blue Cross


We're a Manitoba-based, not-for-profit, health benefits provider with a vision to be the trusted and essential health and wellness partner for all Manitobans.

Every dollar made is reinvested in our infrastructure, our people, and our province with the goal of providing better care for our members, expanding our community impact and broadening our health care knowledge.

Why work for us?

Manitoba Blue Cross, is a Manitoba Top Employer.

We are empowered to give back to the community, and we know that caring needs to start in our workplace with our own Manitoba Blue Cross team.

We actively foster a culture that focuses on your satisfaction, development, diversity, and growth.
Culture of Caring

We strive to succeed at reaching our organizational goals, but we always make time to celebrate our successes.

Having fun as a group and rewarding our employees for their accomplishments is an essential part of our workplace culture.

We want our workforce to reflect the diverse community we serve, and we're committed to creating a fair and respectful workplace.

We offer a work environment that promotes a healthy work-life balance and support to advance your career that includes:

  • Competitive starting salary.
  • A comprehensive health benefit package.
  • Hybrid work environment, flexible work schedules.
  • Fully equipped onsite fitness center.
  • Casual dress code to promote diversity and inclusivity.
  • Personal and professional development.


Are you a driven, dedicated, and enthusiastic individual who wants to work in a friendly and rewarding environment? If so, we are looking for someone like you The following position is open to anyone residing in Winnipeg and surrounding areas with valid work authorization.


JOB SUMMARY

The Provider Relations Representative is responsible for investigating the eligibility of providers, setting up of providers in all systems, issuing agreements and correspondence, and inquiries.


DUTIES AND RESPONSIBILITIES

  • Communicates and coordinates fees with Providers.
  • Determines the eligibility of Providers for the Claims department, including National Providers, and eligibility for web registration.
  • Contacts providers for claims information.
  • Contacts Provider Associations to respond to Claims inquiries.
  • Assists with the maintenance of the Provider portion of the Manitoba Blue Cross website and assists with the development of all communication pieces for Providers, including provider user guides.
  • Maintains BlueNet pharmacy providers. Registers and coordinates agreements with new pharmacies and updates files as necessary.
  • Communicates with providers in writing and by phone.
  • Issues ambulance, EHB, medical transfer, vision and hostel provider agreements.
  • Maintains all Provider listings for the Claims department.
  • Participates in corporate and departmental projects.
  • Performs other related duties as assigned.

SKILLS AND QUALIFICATIONS

  • Dedicated to the principles of exceptional service; committed to responding to, anticipating and addressing customer needs, for both internal and external customers.
  • Post secondary degree, certificate, or diploma in Commerce or Business Administration or discipline related to Health Benefits industry. Equivalent combination of education and 2 to 5 years' experience may be considered.
  • Superior written and verbal communication skills including experience conducting presentations.
  • Exceptional interpersonal skills with ability to deal with all levels within the organization in a team environment.
  • Functions well in a team setting.
  • Ability to complete unstructured, nonroutine assignments.
  • Requires mínimal supervision and direction.
  • Ability to learn and absorb a variety of tasks quickly.
  • Completion of or capable of completing industry education programs entailing a selfdirected study and the writing of graded examinations. Specific programs include but are not limited to LOMA ( ACS ) and CEBS. Enrollment in, and completion of, such courses, as well as programs of professional development, will be encouraged.
Ready to Apply? We are excited to meet you

We thank all applicants for their interest; however only those being considered will be contacted.

Manitoba Blue Cross is committed to the principles of diversity, equity & inclusion and to promoting opportunities in hiring for everyone.

We want our workforce to reflect the diverse community we serve, and we're committed to creating a fair and respectful workplace.