Healthcare Provider Liaison Specialist
2 weeks ago
At Alberta Blue Cross, we're dedicated to delivering exceptional customer experience and community leadership. As a key member of our team, you'll play a vital role in promoting wellness and providing the best health coverage to our 1.8 million members.
As a Healthcare Provider Liaison Specialist, you'll be responsible for responding to telephone inquiries from dental providers, verifying claims, and ensuring compliance with our policies and regulations. Your strong listening and problem-solving skills will enable you to handle complex inquiries independently, while your pleasant telephone manner will ensure a positive experience for our providers.
Key Responsibilities:
- Respond to telephone inquiries from providers on subscriber verification, benefit eligibility, and claim submission requirements.
- Verify claims through online adjudication systems.
- Make suggestions for improving 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 customer service skills and a commitment to delivering exceptional service.
- Ability to work effectively in a busy environment and thrive in a fast-paced setting.
- Strong attention to detail and organizational skills.
- Ability to conduct research and analysis to determine the root of problems.
- Computer proficiency, particularly with Microsoft Office (i.e. Word and Excel, and preferably Access).
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.
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