Pharmacy Provider Relations Representative - Contact Centre
Alberta Blue Cross•Remote, AB
•Onsite
About The Position
Alberta Blue Cross is currently seeking an enthusiastic individual to join our Provider Relations Contact Centre. The representative position responds to telephone inquiries from health care providers such as pharmacies, health care provider, or dental offices, regarding benefit eligibility and claim submission requirements and outcomes for Alberta Blue Cross benefit plan programs in accordance with the required standards, policies, rules and regulations.
Requirements
- Computer proficiency, particularly with Microsoft Office (i.e. Word and Excel) is required.
- A true commitment to a career as a call centre representative is an absolute must.
Nice To Haves
- A medical, dental or pharmacy background and familiarity with dental procedures, health procedures or drug names is an asset.
- Preference will be given to individuals with proven customer service experience with either in person or over the phone contact.
Responsibilities
- Responds to telephone inquiries from providers on subscriber verification, benefit eligibility, plan maximums, requirement of prior approvals and claim inquiries.
- Verifies claims through online adjudication systems.
- Makes suggestions for ways of improving workflows and processes.
- Records and forwards provider feedback to the appropriate Team Manager and/or Manager.
- Supports various projects and analyses using Excel, Word, and other computer software.
- Logs details of calls.
- Assists with other duties as required.
Benefits
- We offer the opportunity to work in an innovative, high-energy team-focused environment.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
