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Provider Relations Specialist

2 months ago


Mississauga, Ontario, Canada The Cigna Group Full time
About the Role

The Cigna Group is seeking a skilled Provider Relations Representative to join our team. As a key member of our organization, you will play a vital role in ensuring seamless claims adjudication and payment for our healthcare providers.

Key Responsibilities
  • Provider Agreement Validation: Review and validate completed provider agreements to ensure accuracy and completeness.
  • Database Management: Enter and maintain provider information in our Express Scripts Canada system in a timely and accurate manner.
  • Provider Communication: Handle inquiries from providers, associations, and software vendors in a professional and supportive manner.
  • Collaboration and Teamwork: Work collaboratively with teammates to achieve team deliverables and support the success of our organization.
Requirements
  • Post-Secondary Education: A post-secondary school diploma is required.
  • Bilingualism: Bilingualism in French and English is an asset.
  • Excellent Communication Skills: Possess excellent written and verbal communication skills.
  • Healthcare Knowledge: Have knowledge of healthcare, pharmacy, medical supplies, and equipment or dental benefit administration and claims processing.
  • Customer Service Focus: Demonstrate a strong customer service focus and understanding of the Express Way Values.
  • Technical Skills: Possess intermediate skills in MS Office (Word, Excel, Outlook), Adobe Reader, and Writer.
  • Interpersonal Skills: Possess strong interpersonal skills, with the ability to work independently and as a team player.
  • Adaptability: Be flexible and adaptable to new situations and changes.
  • Quality Assurance: Demonstrate a thorough understanding of quality assurance and delivery of service excellence.
  • Organizational Skills: Possess excellent organizational skills, effective time management, and the ability to shift priorities.
  • Problem-Solving: Demonstrate the ability to analyze, problem-solve, and mediate difficult situations.
  • Results-Oriented: Be results-oriented and pay attention to detail.