Alternate Funding Program, Claims Analyst

3 days ago

Dartmouth, Canada Medavie Blue Cross Full time

For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. As a not-for-profit organization, we proudly invest in communities to help address some of Canada's most pressing health care challenges. We are one of Canada's Most Admired Corporate Cultures, one of Canada's Top 100 Employers, Canada's Life & Health Insurer of the Year for 2021 and an Imagine Canada Caring Company.

Our 2,400 professionals work across six provinces, united by our shared values of being caring, accountable, responsible, innovative and community-minded. We're committed to ensuring our employees thrive in our award-winning, collaborative culture focused on ensuring health, wellness, and personal and professional growth through a variety of programs and support across our organization.

Together with Medavie Health Services, we are part of Medavie - a national health solutions partner with over 7,700 employees. Our mission is to improve the wellbeing of Canadians.

Job Title: Alternate Funding Program, Claims Analyst - Part-Time Permanent Department: Government Programs: Nova Scotia Provincial Programs Competition: 87189 Internal/External: Both Employment Type: Part Time Permanent Location: Nova Scotia, Remote/Office/Hybrid - Flexible Salary: Competitive Compensation and Benefits Reports To: Team Leader, Medicare Programs NSPP Apply By: July 14, 2024

Position Summary

Reporting to the Team Leader and working in a team environment, the Alternate Funding Claims Analyst is responsible for a wide variety of claim types under the Alternate Funding Program. Each claim type has a varying degree of eligibility and policy requirements. The Claims Analyst will analyze, investigate and pay claims which include the payment of locum, sessional, psychiatry and various other claims on an ad hoc basis. The claims analyst is required to maintain current knowledge with respect to policy and procedure changes. The claims analyst will liaise closely with the Department of Health and Wellness, physicians, colleagues, the Team Leader and the Manager on claims as they pertain to the Alternate Funding Program.

This position is permanent, part-time 25 hours per week, which will be 5 hours per day, Monday - Friday. Flexible within our core business hours of 8am-5pm Atlantic Time.
Remote work ( from home) within the province of Nova Scotia, or the option to work in-office in Dartmouth, or a hybrid of from home and office.

Key Responsibilities

Review, analyse and set up payment data based on contracts forwarded from the Department of Health & Wellness. Maintain and reconcile contract payments to physicians using standard procedures. Adjudicate and apply data entry functions for all alternate funding programs and billings from physicians with a strong emphasis on accuracy and efficiency. Review applications from the Boarding, Transportation and Ostomy Program as well as the Locum Program to determine eligibility Respond to customer enquiries in a prompt, courteous and professional manner. Meet payment deadlines as determined by the business area Liaise with the Department of Health and Wellness and physicians in a professional manner with respect to claims submissions and payment reconciliations. Establish and maintain effective working relationships with other internal operational areas

Required Qualifications

Education: Post-secondary education in Business Administration, Accounting, Finance or other related field.
Work Experience: Minimum2 - 3 years of relevant experience paying complex claims relating to healthcare, OR Payroll / Finance experience is a strong asset

Other Qualifications:

Able to adapt in a changing and fast paced environment with the ability to accept and implement changes; able to work independently. Possess a high attention to detail and a high level of accuracy; analytical in nature and have proven problem solving skills with an aptitude for mathematics.

Computer Skills: Strong computer skills and experience working with the Microsoft Office Suite; strong key boarding skills and the ability to enter data with speed and precision.
Language Skills: Bilingualism is considered an asset, English required.

We are an Equal Opportunity Employer.

Medavie Blue Cross strives to foster a culture where everyone is enabled to achieve their full potential -a culture of diversity, equity and inclusion (DEI) where we live our values every day in the way we treat each other, our members and the communities we serve. Accessibility is a top priority.

For applicants with disabilities, we provide accommodations throughout the recruitment, selection and/or assessment process. If selected to participate in the recruitment, selection and/or assessment process, please inform Medavie Blue Cross Human Resources staff of the nature of any accommodation(s) that you may require in respect of any materials or processes used to ensure your equal participation. All personal information is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act.

We would like to thank all candidates for expressing interest. Please note only those selected for interviews will be contacted.

Job Segment: Payroll, Data Entry, Claims, Medicare, Equity, Finance, Administrative, Insurance, Healthcare

#J-18808-Ljbffr

  • Alternate Funding Program, Claims Analyst

    7 days ago

    Dartmouth, Canada Medavie Blue Cross Full time

    For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. As a not-for-profit organization, we proudly invest in communities to help address some of Canada’s most pressing health care challenges. We are one of Canada's Most Admired Corporate Cultures, one of Canada’s Top...

  • Alternate Funding Program, Claims Analyst

    4 days ago

    Dartmouth, Canada Medavie Blue Cross Full time

    For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. As a not-for-profit organization, we proudly invest in communities to help address some of Canada’s most pressing health care challenges. We are one of Canada's Most Admired Corporate Cultures, one of Canada’s Top...

  • Analyst, Insurance Claims Quality Assurance

    2 weeks ago

    Dartmouth, Canada Definity Financial Corporation Full time

    Job ID : 7061 Category : Claims Brand : Definity Regular/Temporary : Regular Fulltime/Parttime : Full Time Location : Dartmouth, Canada Definity includes some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. With strong roots that date back...

  • Quality Claims Analyst Ii

    2 weeks ago

    Dartmouth, Canada Intact Full time

    Nos employés sont au cœur de ce que nous faisons de mieux : aider les gens, les entreprises et la société à aller de l’avant dans les bons moments et à être résilients dans les moments difficiles. En vous joignant à notre équipe, vous contribuerez à ces efforts aux côtés de gens expérimentés et passionnés. Intégrez un milieu où vous...

  • Analyst, Insurance Claims Quality Assurance

    2 weeks ago

    Dartmouth, Canada Definity Financial Corporation Full time

    JobID :7061Category : ClaimsBrand : DefinityRegular/Temporary : RegularFulltime/Parttime : Full TimeLocation : Dartmouth, CanadaDefinity includes some of Canada's most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. With strong roots that date back to 1871,...

  • Funding Analyst

    1 week ago

    Dartmouth, Canada ADP Full time

    **Position Summary**: The Funding unit within the Financial Services Department is responsible for monitoring and receipting specific wire payments for all payroll platforms. The team maintains accounts with major domestic and international financial institutions allowing clients to wire funds between banks in order to fund payroll. The department also...

  • Analyst, Insurance Claims Quality Assurance

    2 weeks ago

    Dartmouth, Canada Definity Financial Corporation Full time

    Job ID : 7062 Category : Personal Insurance Brand : Definity Regular/Temporary : Temporary Fulltime/Parttime : Full Time Location : Dartmouth, Canada Definity includes some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. With strong roots...

  • Specialist, Property Claims

    4 weeks ago

    Dartmouth, Canada Definity Financial Corporation Full time

    Job ID : 7039 Category : Claims Brand : Definity Regular/Temporary : Regular Fulltime/Parttime : Full Time Location : Dartmouth, Canada Definity includes some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. With strong roots that date back...

  • Specialist, Claims- Property New

    2 weeks ago

    Dartmouth, Canada Definity Financial Corporation Full time

    Job ID : 7255 Category : Claims Brand : Definity Regular/Temporary : Regular Fulltime/Parttime : Full Time Location : Dartmouth, Canada Posting Range : $55,800 - $102,800 Definity is the parent company to some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and...

  • Advisor, Claims Technical

    4 weeks ago

    Dartmouth, Canada Definity Financial Corporation Full time

    Job ID : 6819 Category : Claims Brand : Definity Regular/Temporary : Regular Fulltime/Parttime : Full Time Location : Dartmouth, Canada Definity includes some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. With strong roots that date back...

  • Board Certifed Behavioural Analyst, Emhas, Funds

    2 weeks ago

    Dartmouth, Canada IWK Health Centre Full time

    Company :IWK Health**:Req ID:149707Department/Program:EMHAS, FUNDS & Specific Care Clinics, Mental Health & Addictions ProgramLocation: HalifaxType of Employment:Permanent Hourly FT (100% FTE) x 1 position(s)Start Date:ASAPUnion Status: NSGEU Hlthcare, Healthcare Bargaining UnitCompensation: $39.5341**:- **$ /hourClosing Date: 21 February 2023 (Applications...

  • Team Leader, Property Claims New

    3 weeks ago

    Dartmouth, Canada Definity Financial Corporation Full time

    Job ID : 7487 Category : Claims Brand : Definity Regular/Temporary : Regular Fulltime/Parttime : Full Time Location : Dartmouth, Canada Posting Range : $66,300 - $122,100 Definity is the parent company to some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and...

  • Claims Assistant I

    2 weeks ago

    Dartmouth, Canada Intact Financial Corporation Full time

    Our team is all about helping people, businesses, and society succeed through good times and tough times. When you join us, you become part of a dedicated community of experts who bring this mission to life.Feel empowered to develop and learn while being appreciated for who you are - here, our diversity is a key asset. We are committed to helping you achieve...

  • Property Large Loss Claims Consultant

    2 weeks ago

    Dartmouth, Canada Intact Full time

    Our employees are at the heart of what we do best: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you're bringing this purpose to life alongside a passionate community of experts.Feel empowered to learn and grow while being valued for who you are- here, diversity is a strength. You have our...

  • Manager, National Casualty and Bodily Injury Claims

    2 weeks ago

    Dartmouth, Canada Definity Full time

    Job ID : 6593 Category : Claims Brand : Definity Regular/Temporary : Regular Fulltime/Parttime : Full Time Location : Dartmouth, Canada Definity includes some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. With strong roots that date back...

  • Inside Claim Professional Property Claims

    2 months ago

    Dartmouth, Canada The Travelers Companies, Inc. Full time

    - Who Are We? - Solid reputation, passionate people and endless opportunities. That’s Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference. -...

  • Inside Claim Professional Property Claims

    2 weeks ago

    Dartmouth, Canada The Travelers Companies, Inc. Full time

    - Who Are We? - Solid reputation, passionate people and endless opportunities. That’s Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference. -...

  • Claims Advocate

    4 days ago

    Dartmouth, Canada Steers Insurance Atlantic Ltd. Full time

    Steers Insurance Atlantic Ltd. is a fast paced and exciting insurance brokerage looking to expand its team. We represent several of Canada's leading insurers and currently have an expanding career opportunity for someone that wants to develop and build a claims team within our brokerage. We are a high energy, supportive group with a dedication to building...

  • Claims Representative

    1 week ago

    Dartmouth, Canada Intact Full time

    Our employees are at the heart of what we do best: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you're bringing this purpose to life alongside a passionate community of experts. Feel empowered to learn and grow while being valued for who you are– here, diversity is a strength. You have...

  • Business Advisor I, Claims

    2 weeks ago

    Dartmouth, Canada Intact Full time

    Our employees are at the heart of what we do best: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you’re bringing this purpose to life alongside a passionate community of experts. Feel empowered to learn and grow while being valued for who you are - here, diversity is a strength. You...