Healthcare Provider Relations Specialist

5 days ago

Mississauga, Ontario, Canada Cigna Full time
About the Role

The Provider Relations Representative will play a crucial role in ensuring seamless claims adjudication and payment by delivering effective and timely communications to healthcare providers.

This is a part-time, permanent position (21 hours a week) that requires a high level of accuracy and attention to detail.

Key Responsibilities
  • Validate completed provider agreements and return them 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.
Qualifications
  • 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.
About Cigna

Cigna is a global health insurance company that is committed to creating a working environment that is barrier-free and inclusive.

We are an equal opportunity employer that promotes a diverse, inclusive, and accessible workplace.

We are committed to creating a workplace that empowers our employees to be the best that they can be.

  • Healthcare Provider Relations Specialist

    4 weeks ago

    Mississauga, Ontario, Canada Cigna Health and Life Insurance Company Full time

    Healthcare Provider Relations Specialist - Cigna Health and Life Insurance Company The Provider Relations Specialist plays a crucial role in the accurate registration of healthcare providers and the maintenance of an up-to-date database, ensuring effective communication that facilitates seamless claims processing and payment. Cigna Health and Life...

  • Healthcare Provider Relations Specialist

    7 days ago

    Mississauga, Ontario, Canada Cigna Health and Life Insurance Company Full time

    Job SummaryWe are seeking a skilled Healthcare Provider Relations Specialist to join our team at Cigna Health and Life Insurance Company. As a key member of our organization, you will play a critical role in maintaining accurate and up-to-date provider information, ensuring seamless claims adjudication and payment.Key ResponsibilitiesProvider Data...

  • Healthcare Provider Relations Specialist

    7 days ago

    Mississauga, Ontario, Canada Cigna Health and Life Insurance Company Full time

    Job SummaryWe are seeking a skilled Healthcare Provider Relations Specialist to join our team at Cigna Health and Life Insurance Company. As a key member of our organization, you will play a critical role in maintaining accurate and up-to-date provider information, ensuring seamless claims adjudication and payment.Key ResponsibilitiesProvider Data...

  • Provider Relations Specialist

    4 weeks ago

    Mississauga, Ontario, Canada Cigna Health and Life Insurance Company Full time

    Position Overview: Cigna Health and Life Insurance Company is seeking a Provider Relations Specialist to enhance our operations. This role involves ensuring the accuracy and completeness of network agreements from various healthcare providers, including pharmacies, medical supplies, mental health services, vision care, and dental care.Key Responsibilities: -...

  • Part-Time Provider Relations Specialist

    4 weeks ago

    Mississauga, Ontario, Canada Cigna Health and Life Insurance Company Full time

    Position Title: Provider Relations Specialist (Part-Time, Contract)Company: Cigna Health and Life Insurance CompanyRole Overview: The Provider Relations Specialist is responsible for accurately registering healthcare providers and maintaining an up-to-date database to facilitate effective communication and ensure smooth claims processing.The successful...

  • Healthcare Provider Liaison Specialist

    1 week ago

    Mississauga, Ontario, Canada The Cigna Group Full time

    About the RoleThe Cigna Group is seeking a skilled Healthcare Provider Liaison Specialist to join our team. As a key member of our organization, you will play a vital role in maintaining accurate and up-to-date information on healthcare providers, ensuring seamless claims adjudication and payment.Key ResponsibilitiesValidate and Verify Provider Information:...

  • Healthcare Provider Liaison Specialist

    3 days ago

    Mississauga, Ontario, Canada The Cigna Group Full time

    About the RoleThe Cigna Group is seeking a skilled Healthcare Provider Liaison Specialist to join our team. As a key member of our organization, you will play a vital role in maintaining accurate and up-to-date information on healthcare providers, ensuring seamless claims adjudication and payment.Key ResponsibilitiesValidate and Verify Provider Information:...

  • Healthcare Provider Liaison Specialist

    3 days ago

    Mississauga, Ontario, Canada The Cigna Group Full time

    About the RoleThe Cigna Group is seeking a skilled Healthcare Provider Liaison Specialist to join our team. As a key member of our organization, you will play a vital role in maintaining accurate and up-to-date information on healthcare providers, ensuring seamless claims adjudication and payment.Key ResponsibilitiesValidate and Verify Provider Information:...

  • Healthcare Provider Liaison Specialist

    7 days ago

    Mississauga, Ontario, Canada The Cigna Group Full time

    About the RoleThe Cigna Group is seeking a skilled Healthcare Provider Liaison Specialist to join our team. As a key member of our organization, you will play a vital role in maintaining accurate and up-to-date information on healthcare providers, ensuring seamless claims adjudication and payment.Key ResponsibilitiesValidate and Verify Provider Information:...

  • Healthcare Provider Liaison Specialist

    6 days ago

    Mississauga, Ontario, Canada The Cigna Group Full time

    About the RoleThe Cigna Group is seeking a skilled Healthcare Provider Liaison Specialist to join our team. As a key member of our organization, you will play a vital role in maintaining accurate and up-to-date information on healthcare providers, ensuring seamless claims adjudication and payment.Key ResponsibilitiesValidate Provider Agreements: Review and...

  • Healthcare Provider Liaison Specialist

    6 days ago

    Mississauga, Ontario, Canada The Cigna Group Full time

    About the RoleThe Cigna Group is seeking a skilled Healthcare Provider Liaison Specialist to join our team. As a key member of our organization, you will play a vital role in maintaining accurate and up-to-date information on healthcare providers, ensuring seamless claims adjudication and payment.Key ResponsibilitiesValidate Provider Agreements: Review and...

  • Healthcare Provider Liaison Specialist

    6 days ago

    Mississauga, Ontario, Canada The Cigna Group Full time

    About the RoleThe Cigna Group is seeking a skilled Healthcare Provider Liaison Specialist to join our team. As a key member of our organization, you will play a vital role in maintaining accurate and up-to-date information on healthcare providers, ensuring seamless claims adjudication and payment.Key ResponsibilitiesValidate Provider Agreements: Review and...

  • Healthcare Provider Liaison Specialist

    7 days ago

    Mississauga, Ontario, Canada The Cigna Group Full time

    About the RoleThe Cigna Group is seeking a skilled Healthcare Provider Liaison Specialist to join our team. As a key member of our organization, you will play a vital role in maintaining accurate and up-to-date information on healthcare providers.Key ResponsibilitiesValidate Provider Agreements: Review and verify the accuracy of provider agreements, ensuring...

  • Healthcare Provider Liaison Specialist

    7 days ago

    Mississauga, Ontario, Canada The Cigna Group Full time

    About the RoleThe Cigna Group is seeking a skilled Healthcare Provider Liaison Specialist to join our team. As a key member of our organization, you will play a vital role in maintaining accurate and up-to-date information on healthcare providers.Key ResponsibilitiesValidate Provider Agreements: Review and verify the accuracy of provider agreements, ensuring...

  • Healthcare Provider Liaison Specialist

    7 days ago

    Mississauga, Ontario, Canada The Cigna Group Full time

    About the RoleThe Cigna Group is seeking a skilled Healthcare Provider Liaison Specialist to join our team. As a key member of our organization, you will play a vital role in maintaining accurate and up-to-date information on healthcare providers.Key ResponsibilitiesValidate Provider Agreements: Review and verify the accuracy of provider agreements, ensuring...

  • Provider Relations Specialist

    7 days ago

    Mississauga, Ontario, Canada Cigna Health and Life Insurance Company Full time

    Job 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...

  • Provider Relations Specialist

    7 days ago

    Mississauga, Ontario, Canada Cigna Health and Life Insurance Company Full time

    Job 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...

  • Provider Relations Specialist

    3 days ago

    Mississauga, Ontario, Canada The Cigna Group Full time

    About 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 ensuring seamless claims adjudication and payment for our healthcare providers.Key ResponsibilitiesProvider Agreement Validation: Review and validate completed provider agreements to ensure...

  • Provider Relations Specialist

    3 days ago

    Mississauga, Ontario, Canada The Cigna Group Full time

    About 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 ensuring seamless claims adjudication and payment for our healthcare providers.Key ResponsibilitiesProvider Agreement Validation: Review and validate completed provider agreements to ensure...

  • Provider Relations Specialist

    3 days ago

    Mississauga, Ontario, Canada The Cigna Group Full time

    About 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 ensuring seamless claims adjudication and payment for our healthcare providers.Key ResponsibilitiesProvider Agreement Validation: Review and validate completed provider agreements to ensure...