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Provider Relations Specialist
2 months ago
The role of Provider Relations is to ensure seamless claims adjudication and payment by delivering effective and timely communications to healthcare providers.
Express Scripts Canada seeks a Provider Relations Representative to work from our Mississauga office. The successful incumbent will review network agreements for accuracy and completeness, and ensure that all providers' pertinent information is correctly entered into the Express Scripts Canada system.
Key Responsibilities:- Validate completed provider agreements and return to providers for further review and modifications if information is missing
- Ensure that all pharmacy, medical supplies & equipment, and dental providers' required agreement information is entered into the Express Scripts Canada System in a timely manner
- Update pharmacy, medical supplies & equipment, mental health care, vision care, and dental providers' modifications and terminations in a timely manner
- Handle provider, association, and software vendor inquiries in a supportive and professional manner
- Collaborate with teammates and assist in other team deliverables as required
- 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 minimal 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, dedicated to improving the health, wellbeing, and peace of mind of those we serve. 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. By embracing diversity, we build a more effective organization that empowers our employees to be the best that they can be.
