Medical Claims Specialist

6 days ago


Oshawa, Ontario, Canada Ontario Public Service Full time

We are seeking a highly skilled and detail-oriented Medical Claims Specialist to join our team on a temporary basis. As a key member of our Claims Services Branch, you will play a crucial role in ensuring the timely and accurate processing of claims for health care providers and the public.

Job Summary

The successful candidate will possess excellent analytical and research skills, with the ability to evaluate and adjudicate stakeholder claims in a fast-paced environment. You will be responsible for reviewing and interpreting medical reports, as well as providing exceptional customer service to internal and external clients.

Key Responsibilities
  • Evaluate and adjudicate claims for payment, taking into account relevant policies, procedures, and legislation
  • Provide detailed and understandable explanations of work processes and claims payments to internal and external clients
  • Develop and maintain effective relationships with healthcare providers, patients, and other stakeholders
  • Collaborate with team members to meet deadlines and achieve organizational goals
Required Skills and Qualifications

To be successful in this role, you will require:

  • A high school diploma or equivalent, with a focus on business administration or a related field
  • Proven experience in a similar role, preferably within the healthcare industry
  • Excellent analytical and research skills, with the ability to interpret complex medical reports
  • Exceptional communication and interpersonal skills, with the ability to work effectively in a team environment
Benefits

We offer a competitive salary range of $28.14 - $32.82 per hour, as well as a comprehensive benefits package that includes health, dental, and vision coverage, as well as a generous pension plan.

About Us

The Ontario Public Service is an inclusive employer committed to building a diverse and inclusive workplace. We welcome applications from candidates who share our values and are passionate about making a difference in the lives of Ontarians.


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