Provider Relations Contact Centre Representative - Work from Home positions

Details

Openings 1
Location Name
Alberta Blue Cross - Edmonton
Edmonton, Alberta, CA
Date Posted Nov 22, 2018
Profession Customer Service
Career Level(s) Experienced (Non Manager)
Job Type(s) Permanent, Full Time
Education Level(s) Certificate, Diploma
Job ID job-9433

Position Summary

FUNCTION:

Alberta Blue Cross is currently seeking an enthusiastic individual to join our growing Provider Relations Call Centre.  The representative position responds to telephone inquiries from health care providers such as pharmacies, and medical offices, as well as all aspects of claims management for Alberta Blue Cross pharmacy program in accordance with the required standards, policies, rules and regulations. The ability to work nights, weekends, and statutory holidays on a rotation basis is required. There is future opportunity for this to become a work from home position.

DUTIES AND 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 pharmacy provider feedback to the appropriate Team Manager and/or Manager.
  • Supports various projects and analyses using Excel, Word, Access, and other computer software.
  • Logs details of calls for statistical purposes.
  • Assists with other duties as required.

COMPETENCIES:

  • Handles complex inquiries independently, utilizing strong listening and problem solving skills.
  • Works effectively with people, maintaining pleasant telephone manner.
  • Thrives in a busy environment.
  • Conducts research and analysis to determine the root of problems.
  • Adjusts procedures to fit specific circumstances within contract guidelines.
  • Strong attention to detail, organizational skills, and the desire for continuous learning is needed to meet the expectations of this role.
  • Assumes ownership of the position and accountability for information relayed to providers.
  • Demonstrates advanced customer service skills on a daily basis.

SKILLS AND KNOWLEDGE:

  • Computer proficiency, particularly with Microsoft Office (i.e. Word and Excel, and preferably Access) is required.
  • A medical or pharmacy background and familiarity with 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. A true commitment to a career as a call centre representative is an absolute must.

Alberta Blue Cross offers a competitive salary and benefits package and the opportunity to work in a challenging team-oriented environment. This position will remain open until a suitable candidate is selected. If you have the qualifications we are looking for, apply online at www.ab.bluecross.ca.


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