Provider Relations Specialist

3 weeks ago


Calgary, Alberta, Canada Alberta Blue Cross Full time

About the Role:

Alberta Blue Cross is seeking a skilled and enthusiastic individual to join our Provider Relations team as a Contact Centre representative. In this role, you will be responsible for responding to telephone inquiries from dental providers regarding subscriber verification, benefit eligibility, and claim submission requirements.

Key Responsibilities:

  • Respond to telephone inquiries from providers on subscriber verification, benefit eligibility, plan maximums, requirement of prior approvals, and claim inquiries.
  • Verify claims through online adjudication systems.
  • Make suggestions for ways to improve workflows and processes.
  • Record and forward pharmacy provider feedback to the appropriate Team Manager and/or Manager.
  • Support various projects and analyses using Excel, Word, Access, and other computer software.
  • Log details of calls.
  • Assist with other duties as required.

Requirements:

  • Strong listening and problem-solving skills to handle complex inquiries independently.
  • Pleasant telephone manner and ability to work effectively with people.
  • Able to thrive in a busy environment.
  • Demonstrate a strong attention to detail, organizational skills, and the desire for continuous learning.
  • Assume ownership of the position and accountability for information relayed to providers.
  • Demonstrate advanced customer service skills on a daily basis.

About Us:

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.

Why Work with Us:

We value diversity, encourage our employees to maintain a healthy work-life balance, and provide opportunities for career growth. If you have the qualifications and skills we are looking for, please apply.



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