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Dental Claims Management Professional
2 months ago
About Alberta Blue Cross
Alberta Blue Cross is a leading health insurance provider dedicated to delivering exceptional customer experiences and community leadership. We strive to provide the best health coverage to our members and take an active role in promoting wellness.
Our Commitment
We value diversity, encourage our employees to maintain a healthy work-life balance, and provide opportunities for career growth. Our employees are recognized for their contributions, and we place trust in them to deliver our vision.
Job Summary
We are seeking a temporary (18-month) Claims Coordinator to join our Provider Services team. The successful candidate will be responsible for ensuring that claims are accurately and efficiently managed, including the entry and adjudication of dental claims and treatment plans.
Key Responsibilities
- Enter and manage dental claims and treatment plans to ensure timely payment for our providers and members.
- Research and compile information from various sources to resolve inquiries and claim discrepancies, consulting with senior staff if assistance is required.
- Contact providers to obtain necessary information to assess claims.
- Adjudicate claims in accordance with Dental Services policies and standards with a high degree of accuracy and efficiency.
- Monitor individual production to ensure that claim turnaround expectations are met.
- Make suggestions to improve workflows and processes.
Requirements
- Knowledge of dental terminology and nomenclature is a definite asset.
- Demonstrated excellence in accuracy and multi-tasking under tight time frames and heavy workload.
- Demonstrated ability to work with minimal supervision and within a team environment.
- Demonstrated problem-solving and decision-making capabilities as well as strong organizational skills.
- Strong attention to detail and a desire for continuous learning.
- Proficiency with Microsoft Office Suite is required.
About the Role
This position will remain open until a suitable candidate is selected. 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.
What We Offer
We offer a competitive salary and benefits package and the opportunity to work in an innovative, high-energy team-focused environment. If you have the qualifications we are looking for, please apply.
