Provider Relations Specialist
2 months ago
We are seeking a highly organized and detail-oriented Provider Relations Representative to join our team at Cigna Health and Life Insurance Company. As a key member of our team, you will be responsible for maintaining accurate and up-to-date information on healthcare providers, ensuring seamless claims adjudication and payment.
Key Responsibilities- Provider Agreement Validation: Validate completed provider agreements and return them to providers for further review and modifications if necessary.
- Database Management: Ensure that all pharmacy, medical supplies & equipment, and dental providers' required agreement information is entered into our system in a timely manner.
- Provider Updates: Update all pharmacy, medical supplies & equipment, mental health care, vision care, and dental providers' modifications and terminations in a timely manner.
- Customer Service: Handle provider, association, and software vendor inquiries in a supportive and professional manner.
- Team Collaboration: Collaborate with teammates and assist in other team deliverables as required.
- Education: Post-Secondary school diploma.
- Language Skills: Bilingual an asset (French & English).
- Communication Skills: Excellent written and verbal communication skills.
- Industry Knowledge: Knowledge of healthcare/pharmacy, medical supplies & equipment, or dental benefit administration and claims processing is an advantage.
- Customer Focus: Strong customer service focus - understanding the Express Way Values.
- Technical Skills: Computer literate, possessing intermediate skills in MS Office (Word, Excel, Outlook), and Adobe Reader and Writer.
- Interpersonal Skills: Strong interpersonal skills with ability to work independently with minimal supervision; and as a team player willing to take direction.
- Adaptability: Flexible to new situations and adaptable to change.
- Quality Assurance: A thorough understanding of quality assurance and delivery of service excellence.
- Organizational Skills: Excellent organizational skills, effective time management, and the ability to shift priorities working within established timelines.
- Problem-Solving: Demonstrates initiative (learn processes and procedures, various benefits) and displays self-motivation to grasp new concepts quickly.
- Analytical Skills: Ability to analyze, problem-solve, and mediate difficult situations.
- Results-Oriented: Results-oriented paying attention to detail.
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Provider Relations Specialist
1 week ago
Mississauga, Ontario, Canada The Cigna Group Full timeThe role of Provider Relations is to accurately register healthcare providers and maintain a current database in order to support providers by delivering effective and timely communications to ensure seamless claims adjudication and claims payment.As a Provider Relations Representative at The Cigna Group, you will review network agreements from pharmacy,...
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Provider Relations Specialist
2 months ago
Mississauga, Ontario, Canada Cigna Health and Life Insurance Company Full timeJob SummaryWe are seeking a highly organized and detail-oriented Provider Relations Representative to join our team at Cigna Health and Life Insurance Company. As a key member of our provider relations team, you will play a critical role in ensuring seamless claims adjudication and payment for our healthcare providers.Key ResponsibilitiesValidate and verify...
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Provider Relations Specialist
2 months ago
Mississauga, Ontario, Canada Cigna Health and Life Insurance Company Full timeJob SummaryWe are seeking a highly organized and detail-oriented Provider Relations Representative to join our team at Cigna Health and Life Insurance Company. As a key member of our provider relations team, you will play a critical role in ensuring seamless claims adjudication and payment for our healthcare providers.Key ResponsibilitiesValidate and verify...
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Provider Relations Specialist
4 weeks ago
Mississauga, Ontario, Canada Cigna Health and Life Insurance Company Full timeProvider Relations RepresentativeWe are seeking a skilled Provider Relations Representative to join our team at Cigna Health and Life Insurance Company. 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...
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Provider Relations Specialist
4 weeks ago
Mississauga, Ontario, Canada Cigna Health and Life Insurance Company Full timeProvider Relations RepresentativeWe are seeking a skilled Provider Relations Representative to join our team at Cigna Health and Life Insurance Company. 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...
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Mississauga, Ontario, Canada Cigna Health and Life Insurance Company Full timeJob Title: Provider Relations RepresentativeWe are seeking a highly skilled Provider Relations Representative to join our team at Express Scripts Canada, a Cigna company. As a key member of our team, you will play a critical role in reviewing network agreements from various healthcare providers, ensuring accuracy and completeness, and entering pertinent...
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Provider Relations Specialist
1 month ago
Mississauga, Ontario, Canada Cigna Health and Life Insurance Company Full timeProvider Relations RepresentativeThe Provider Relations Representative plays a vital role in ensuring seamless claims adjudication and payment by delivering effective and timely communications to healthcare providers.This part-time, 9.75-month contract opportunity is based in our Mississauga office, where the successful candidate will review network...
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Provider Relations Specialist
1 month ago
Mississauga, Ontario, Canada Cigna Health and Life Insurance Company Full timeJob Title: Provider Relations RepresentativeWe are seeking a highly skilled Provider Relations Representative to join our team at Express Scripts Canada, a Cigna company. As a key member of our team, you will play a critical role in reviewing network agreements from various healthcare providers, ensuring accuracy and completeness, and entering pertinent...
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Provider Relations Specialist
1 month ago
Mississauga, Ontario, Canada Cigna Health and Life Insurance Company Full timeProvider Relations RepresentativeThe Provider Relations Representative plays a vital role in ensuring seamless claims adjudication and payment by delivering effective and timely communications to healthcare providers.This part-time, 9.75-month contract opportunity is based in our Mississauga office, where the successful candidate will review network...
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Provider Relations Specialist
1 month ago
Mississauga, Ontario, Canada Cigna Health and Life Insurance Company Full timeProvider Relations RepresentativeThe Provider Relations Representative plays a vital role in ensuring seamless claims adjudication and payment by accurately registering healthcare providers and maintaining a current database.This part-time, permanent position (21 hours a week) requires the successful incumbent to review network agreements from various...
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Provider Relations Specialist
1 month ago
Mississauga, Ontario, Canada Cigna Health and Life Insurance Company Full timeProvider Relations RepresentativeThe Provider Relations Representative plays a vital role in ensuring seamless claims adjudication and payment by accurately registering healthcare providers and maintaining a current database.This part-time, permanent position (21 hours a week) requires the successful incumbent to review network agreements from various...
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Provider Relations Specialist
1 month ago
Mississauga, Ontario, Canada Cigna Health and Life Insurance Company Full timeProvider Relations RepresentativeThe Provider Relations Representative plays a vital role in ensuring seamless claims adjudication and payment by delivering effective and timely communications to healthcare providers.This part-time, permanent position (21 hours a week) requires the successful candidate to review network agreements from various healthcare...
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Provider Relations Specialist
1 month ago
Mississauga, Ontario, Canada Cigna Health and Life Insurance Company Full timeProvider Relations RepresentativeThe Provider Relations Representative plays a vital role in ensuring seamless claims adjudication and payment by delivering effective and timely communications to healthcare providers.This part-time, permanent position (21 hours a week) requires the successful candidate to review network agreements from various healthcare...
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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
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Mississauga, Ontario, Canada Cigna Health and Life Insurance Company Full timeJob SummaryCigna Health and Life Insurance Company 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 maintaining accurate and up-to-date provider information, ensuring seamless claims adjudication and payment.Key ResponsibilitiesProvider Agreement Validation: Review and...
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Provider Relations Specialist
2 months ago
Mississauga, Ontario, Canada Cigna Health and Life Insurance Company Full timeJob SummaryCigna Health and Life Insurance Company 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 maintaining accurate and up-to-date provider information, ensuring seamless claims adjudication and payment.Key ResponsibilitiesProvider Agreement Validation: Review and...
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Healthcare Provider Relations Specialist
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Mississauga, Ontario, Canada The Cigna Group Full timeAbout the RoleThe 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 maintaining accurate and up-to-date provider information, ensuring seamless claims adjudication and payment.Key ResponsibilitiesValidate and review provider agreements for accuracy and...
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