Claims Coordinator – Provider Services Specialist
9 hours ago
Claims Coordinator – Provider Services
Job Summary:Alberta Blue Cross is seeking a temporary Claims Coordinator to join our Provider Services team. The successful candidate will be responsible for ensuring timely payment for our providers and members by accurately and efficiently entering and adjudicating 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.
- 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.
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.
How to Apply:If you have the qualifications we are looking for, please apply.
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