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Provider Relations Specialist
2 months ago
The 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 (21 hours per week) on-site contract opportunity is available for 9.75 months at our Mississauga location.
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.
- 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.
Cigna is an equal opportunity employer that promotes a diverse, inclusive, and accessible workplace. We are committed to creating a working environment that is barrier-free and we are prepared to provide accommodation for people with disabilities.
We offer a competitive salary and benefits package, along with a positive work environment built on solid corporate values, integrity, mutual respect, collaboration, passion, service, and alignment.
