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Provider Relations Specialist
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Mississauga, Ontario, Canada The Cigna Group Full timeThe Provider Relations Representative role at The Cigna Group is responsible for ensuring seamless claims adjudication and payment by maintaining an accurate database of healthcare providers. This position is located in our Mississauga office, where the successful candidate will review network agreements for accuracy and completeness.Key responsibilities...
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Provider Relations Specialist
2 months ago
We are seeking a highly skilled Provider Relations Representative to join our team at Express Scripts Canada, a subsidiary of The Cigna Group. As a key member of our team, you will play a critical role in maintaining accurate and up-to-date provider information, ensuring seamless claims adjudication and payment.
Key Responsibilities- Validate and verify provider agreements, ensuring all necessary information is complete and accurate.
- Enter and update provider information into our system in a timely and efficient manner.
- Handle provider inquiries and resolve issues in a professional and courteous manner.
- Collaborate with teammates to achieve team deliverables and support the overall success of the organization.
- Post-secondary school diploma or equivalent.
- Bilingualism (French and English) is an asset.
- Excellent written and verbal communication skills.
- Knowledge of healthcare, pharmacy, or dental benefit administration and claims processing is an advantage.
- Strong customer service focus and ability to work independently with minimal supervision.
- Computer literacy and proficiency in MS Office, Adobe Reader, and Writer.
- Ability to analyze, problem-solve, and mediate difficult situations.
Express Scripts Canada is a leading health benefits manager, providing innovative solutions to deliver superior healthcare in a cost-controlled environment. We work with clients to develop industry-leading solutions and 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. We are an equal opportunity employer that promotes a diverse, inclusive, and accessible workplace.
