Ppo Network Coordinator Ii

2 weeks ago

Sherbrooke, Canada Global Excel Management Full time

**Job Description**:
Are you a person with strong analytical skills? Are you interested in working in a multilingual, dynamic and friendly environment that encourages personal and professional development? We would love to meet you

As a PPO Network Coordinator II, you will help create greater revenue diversity for our clients by maximizing PPO network savings. You will increase hit rates through analysis of all available information, determining best network options for medical providers and identifying gaps in network access or utilization in a designated area. You will also be responsible to ensure timely and accurate claims processing according to client expectations through auditing of our tools.

**What does your typical day look like?**
- Pulling network data to perform analysis on performance and provide facts to support the data;
- Making recommendations that increase savings for our clients and participating in implementation of the solutions;
- Participating in preparation of quarterly network performance analysis;
- Ensuring client expectations and thresholds are considered in decision-making;
- Ensuring accurate and timely bill processing through communication with PPO network contacts to resolve daily and escalated issues;
- Ensuring savings are maximized and claims processing is accurate and consistent for all repriced bills through review of daily audit report.

**What skills and experience are we looking for?**
- College diploma (or equivalent);
- 3 to 5 years of experience in an office environment;
- Excellent verbal and written communication skills (English);
- Excellent working knowledge of Microsoft Office products (Word/Excel) and Internet;
- Excellent analytical and problem solving skills;
- Details-oriented and team player.

We offer you:

- Competitive vacation package;
- An extensive benefit package that includes health (100%), dental, life and travel insurance, as well as a retirement savings plan;
- A flexible and supportive work environment offering several benefits such as on-call doctors, on-site Bistro, and much more;
- A company wellness program that includes an on-site gym, opportunities to participate in fitness classes, discounts at local businesses as well as “lunch-and-learns” on various topics linked to health and wellness;
- Many opportunities for advancement, development and financial assistance to employees who wish to continue their education.

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