Third Party Administrator

HearingLife Canada, and National Affiliated Providers, is the largest provider of hearing healthcare service in Canada. Working in unison with the National Campaign for Better Hearing's awareness campaign (campaignforbetterhearing.org), our core philosophy is to "do what is best for the client" while increasing awareness of the effects of hearing loss and the benefits of hearing devices._ - At HearingLife we are the Modern Hearing Care Professionals: Our Purpose is to provide Life-Changing Hearing Health with a Mission of Helping More People Hear Better._ Reporting to the Manager of Administrative Operations, the **Third Party Insurer Administrator **will be primarily responsible for coordinating, submitting, updating, and organizing HearingLife’s provider contracts with the various federal and provincial 3rd party funding programs as well as with private insurance companies. The administrator will maintain a database of provider contracts that HearingLife has obtained and manage renewals as needed, while maintaining positive rapport and good relationships with stakeholders. You will be a Subject Matter Expert on insurer policies and billing procedures and alongside the Clinic Support Team you will work on enhancing documentation, communication of best practices and assist clinics struggling with 3rd Party receivables. **_ The specific roles and responsibilities of this position shall include, but are not limited to:_** **Key Responsibilities**: - Oversee and execute all 3rd party provider account creations, authorizer updates, and clinic updates including new users/providers, address changes, and operating name changes in timely manner. 3rd parties include all insurers across Canada such as but are not limited to: ADP, WSIB, VAC, WCB-BC, WCB-AB, WCB-MB, WCB-SK, FCH, AADL, and private insurers. - Managing all 3rd party contracts for approvals, renewals, and closing accounts, in line with the Legal team, as needed. - Creating and assisting in documentation and keeping up to date information on **how to apply** **and what to submit** for accounts and process 3rd party insurer provider numbers for clinics. - Creating and updating step-by-step documentation on 3rd party online billing procedures for clinic staff and coordinate training materials with Clinic Support team. - Reporting on any updates/changes to 3rd party protocols, policies, and procedures to the team. - Provide suggestions and improvements to existing HDIs/SOPs as they relate to 3rdparty processes, online billing, and claims. - Liaise with various government 3rd party agencies to resolve provider setup issues. - Work closely with team members to receive, validate, and when required, follow-up on 3rd party claims such as investigating and problem solving when remittances or payments are not being received (i.e. complete and submit indemnity forms for lost cheque payments). - Proactively setting up EFT payments for all 3rd party payments, if possible. - Maintain understanding of the company’s business system (Blueprint) to support staff on unpaid claims. - Answering requests in a timely manner from clinic staff on provider creations, account updates/creations, online billing questions. - Provide backup for colleagues in Clinic Support team and Third Party team, as needed, for clinic staff questions and requests. - Processing renewals of clinic business licences yearly **Critical Skills Needed**: - Intermediate to Advanced Skills with Microsoft Suites, Excel, Outlook and general computer use. - Advanced knowledge of internal client management - Excellent problem solving skills. - Excellent organizational and communication skills. - Team player who can also work independently with a can-do and positive attitude. - Ability to multi-task and work well under pressure. - Excellent attention to detail and thoroughness. - Self-managing to complete all tasks within deadlines **Other Details** - This role is on-site at HearingLife’s Corporate Office at 4950 Yonge Street, Suite 1600, with limited flex-work opportunity- While we appreciate the interest of all applicants, only those selected for an interview will be contacted._