Medical Services Plan Document Processing Specialist

3 weeks ago


Saanichton, British Columbia, Canada PBC Solutions Full time
Job Title: Medical Services Plan Document Processing Specialist

PBC Solutions is seeking a highly skilled Medical Services Plan Document Processing Specialist to join our team at our Greater Victoria office.

About PBC Solutions

PBC Solutions Ltd. was created in 2022 as a wholly owned subsidiary of PBC Health Benefits Society, a leading health benefits provider in BC. Our mandate is to design, transform, and deliver benefits and claims administration services for governments and large organizations.

Since 2023, PBC Solutions has administered and led the transformation and digitization of Health Insurance BC Services (HIBC) on behalf of the BC Ministry of Health. HIBC Services administers medically-necessary insured doctor and hospital services through the Medical Services Plan (MSP) and drug coverage through the PharmaCare and Fair PharmaCare programs.

Job Summary

This position processes applications and forms related to Medical Services Plan and Fair PharmaCare enrolment, requiring intermediate knowledge of MSP processes and policies. The successful candidate will validate information provided through imaging software and other resources, entering it into our enrolment system as deemed appropriate by policies and procedures.

Key Responsibilities
  1. Process complex higher-residency level documents provided by the public.
  2. Validate information and documentation provided by the public, reject or accept applications and requests as appropriate.
  3. Apply MSP/PharmaCare procedures and policies to the form/correspondence being processed, updating our enrolment systems accordingly.
  4. Release personal information to 3rd Party Requesters.
  5. Meet KPIs to provide excellent customer service.
  6. Correspond with the public to explain policy decisions and seek or provide information.
  7. Resolve escalations from other departments (Call Tickets).
  8. Participate in additional projects and initiatives assigned to Document Operations.
  9. Provide intermittent peer-to-peer mentorship/training as required.
  10. Work independently and find answers to questions independently, prioritizing and being flexible to change.
Requirements
  1. High school diploma or GED equivalent, required, may be subject to standardized testing.
  2. Minimum of one year's experience in a data entry environment.
  3. Proficiency in basic computer skills in a Windows environment, including MS Office Suite and ability to operate standard office equipment.
  4. Preferred intermediate knowledge of Medical Services Plan policies and procedures.
  5. Preferred Certification in Level 1 Document Processing.
What We Offer

We offer a robust health and dental benefits plan, with flexible options to meet your and your family's needs. We also offer a Defined Benefit Pension Plan (PSPP) for all eligible employees.

We strive to create a workplace where everyone feels valued and empowered to freely participate and contribute, regardless of race, ethnicity, gender or gender identity, sexual orientation, religion, ability, education level, parental status, or socioeconomic status.

PBC Solutions is an equal opportunity employer and welcomes applications from all qualified candidates.

To request an accommodation in completing this application, pre-employment testing, interviewing, or otherwise participating in the employee selection process, please direct your inquiries to hr@pbcsolutions.ca



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