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Case Management Coordinator
2 months ago
**Job Summary**
Alberta Blue Cross is seeking a highly skilled and detail-oriented Case Management Coordinator to join our team on a temporary basis. As a Case Management Coordinator, you will play a critical role in ensuring the smooth operation of our claims process, working closely with internal and external stakeholders to resolve claims-related issues.
**Key Responsibilities**
- Manage and maintain accurate and confidential claim files, ensuring all necessary documentation is up-to-date and readily available.
- Coordinate with Group Administration to enroll members in their benefits, ensuring timely and accurate processing.
- Communicate effectively with employers, plan members, beneficiaries, and physicians to obtain required information and resolve claims-related issues.
- Validate member information, census, salary, and eligibility information to ensure accuracy and compliance.
- Setup and manage tasks on claims to support intake and maintenance, ensuring timely and efficient processing.
- Prepare confidential correspondence for employers, members, physicians, treatment providers, lawyers, and other stakeholders.
- Update claims throughout their lifecycle in claims adjudication systems, including Access and FINEOS.
- Gather relevant documentation for case file assembly as it relates to referrals, litigation, or subrogation requests.
- Work collaboratively with Case Managers, Adjudicators, and Payment Specialists to resolve claims-related issues.
- Communicate with internal departments, including Medical Underwriting, Group Underwriting, Sales, Group Administration, and Payment team, to provide and exchange information regarding claims activities, eligibility, and financial transactions.
**Requirements**
- Related post-secondary education.
- Excellent knowledge and experience with Microsoft Word, Access, Excel, and PowerPoint.
- Keen attention to detail.
- Strong analytical skills.
- Excellent verbal and written communication skills.
- Strong organizational skills.
- Ability to work well under pressure and assess priorities in a confident manner.
- Flexibility, innovation, and independence.
- Excellent interpersonal skills.
- Experience with database management is an advantage.
**What We Offer**
Alberta Blue Cross is an inclusive employer committed to a workplace that reflects the diversity of the communities we serve. We empower and are advocates for our employees by welcoming, respecting, and valuing their unique perspectives, backgrounds, and experiences.
We offer a competitive salary and benefits package and the opportunity to work in an innovative, high-energy team-focused environment.
