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Provider Relations Specialist

2 months ago


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

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, 9.75-month contract opportunity is based in our Mississauga office, where the successful candidate will review network agreements from various healthcare providers for accuracy and completeness.

Key Responsibilities

  • Validate completed provider agreements and return them to providers for further review and modifications if necessary.
  • Ensure timely entry of pharmacy, medical supplies & equipment, and dental providers' required agreement information into the Express Scripts Canada System.
  • 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 Health and Life Insurance Company

Cigna Health and Life Insurance Company is a global health insurance company dedicated to improving the health and vitality of those we serve. 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.

We are an equal opportunity employer that promotes a diverse, inclusive, and accessible workplace. By embracing diversity, we build a more effective organization that empowers our employees to be the best that they can be.