Call Centre Representative – Provider Relations Contact Centre


Location Name
Alberta Blue Cross - Edmonton
Edmonton, Alberta, CA
Date Posted Oct 02, 2019
Profession Pharmacy
Career Level(s) Entry Level
Job Type(s) Full Time, Temporary/Fixed Term
Education Level(s) Not Specified
Job ID job-9647

Position Summary

Temporary Full Time


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.


  • 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.


  • 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.
  • 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.


  • 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

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