Pharmacy Provider Relations Representative – Contact Centre
About The Position
Alberta Blue Cross® is an Alberta based organization dedicated to delivering exceptional customer experience and community leadership. We’re committed to providing the best health coverage to over 1.8 million members and take an active role in promoting wellness. We believe in what we do—and place trust in our employees to deliver our vision. Working at Alberta Blue Cross® means having a career where you’ll be recognized for your contributions. We value diversity, encourage our team members to maintain a healthy work-life balance and provide opportunities for career growth. We are continuing to grow our team and are looking for a Provider Relations Representative 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.
- 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 value diversity, encourage our team members to maintain a healthy work-life balance and provide opportunities for career growth.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
