Healthcare Claims Specialist

3 days ago


Montreal, Quebec, Canada Medavie Full time

Company Overview:

Medavie is a national health solutions partner that puts people first in everything it does. With over 8,000 professionals across diverse fields, the company creates industry-leading solutions in insurance, primary care, and emergency medical services that impact millions of lives in Canada each year.

The organization's mission is to improve the wellbeing of Canadians so that every life can be lived to the fullest. Medavie celebrates individuality and values the diverse perspectives and skills its employees contribute.

The company offers opportunities for personal and professional growth, flexible work options, meaningful experiences, and supportive leadership. This creates an environment where employees can be their best selves, feel they belong, and achieve their full potential.

Job Description:

We are seeking a highly skilled Healthcare Claims Specialist to join our Insurance Business Claims team. The successful candidate will play a crucial role in data entry, processing, and analyzing health and dental claims.

The ideal candidate will have current knowledge with respect to process and procedure changes. They will be responsible for maintaining accurate and efficient claim processing while providing excellent customer service when interacting with providers or members.

Responsibilities:

  • Receiving and assessing claims through a scanned image/paperless environment;
  • Processing health and dental claims accurately and efficiently;
  • Ensuring all details have been provided to determine claim eligibility;
  • Communicating with providers and members to clarify claim submissions;
  • Organizing work to ensure timely and accurate payment of claims;
  • Providing exceptional customer service when interacting with providers or members.

Requirements:

  • Post-secondary education in a related field such as healthcare administration, business, or a similar field;
  • A minimum six months work experience in an office and customer service environment;
  • Experience with data entry, knowledge of claims processing, eligibility, and claims systems is considered an asset;
  • Computer skills with proficiency in Microsoft Office Suite;
  • Bilingualism in English and French is considered an asset.

Benefits:

  • A competitive salary range of $60,000 - $80,000 per annum, depending on experience;
  • Opportunities for career growth and development;
  • A dynamic and supportive work environment;
  • Flexible work options to suit individual needs;
  • Access to industry-leading training and professional development programs.

About Medavie:

At Medavie, we believe our employees should reflect the communities we serve. We welcome applications from candidates of all backgrounds. If you require accommodations or adjustments at any stage of the recruitment process, please inform our Recruitment team.



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