Bilingual Dental Special Authorization Analyst - Medical Authorization Centre

Medavie; New Brunswick; Hybrid; CAD 50,000 - 70,000; Full time

Job summary

A national health solutions partner in Canada is seeking a Special Authorization Analyst to handle requests for dental services. The ideal candidate must complete a recognized dental program and be bilingual in English and French. Responsibilities include processing authorization requests and providing excellent customer service. This position requires accurate data entry and experience in a dental or customer service environment. Join the team and make a difference in the lives of many.

Benefits

Competitive pay

Comprehensive benefits

Opportunities for personal and professional growth

Qualifications

• Completion of a recognized post-secondary Dental Assisting or Dental Hygiene program.
• Minimum of 2 years experience in a dental environment.
• Experience with claims processing and eligibility considered an asset.

Responsibilities

• Process requests for dental services requiring special authorization.
• Update requests according to decisions for real-time adjudication.
• Provide customer service to clients and providers.

Skills

Bilingual (English and French)

Excellent communication skills

Time management

Customer service experience

Data entry proficiency

Education

Post-secondary Dental Assisting or Dental Hygiene program

Tools

Microsoft Office Suite

Job description

Position Type: Permanent

If you're looking for a fulfilling career that can make a real difference in your life, and the lives of others, you've come to the right place.

As a national health solutions partner, we put people first in everything we do - and that begins with our team of 8,000+ professionals who bring a cross-section of diverse life experiences and career expertise to Medavie. By collaborating and innovating together, our employees are creating industry-leading solutions in insurance, primary care and emergency medical services that impact millions of lives in Canada each year.

Our mission is to improve the wellbeing of Canadians so that every life can be lived to the fullest - and it's reflected in our award-winning culture. We celebrate individuality and value the diverse perspectives and skills our employees contribute. We go beyond providing competitive pay and comprehensive benefits to offer opportunities for personal and professional growth, flexible work options, meaningful experiences, and supportive leadership. Medavie is where employees can be their best selves, feel they belong, and achieve their full potential. Be part of it by applying for a position with us today.

The Opportunity

If you are looking for an opportunity in a challenging, fast-paced and team-oriented work environment with a leading local organization, the career you've been looking for may be waiting for you at Medavie Blue Cross. The Federal Administered Programs (FAP) Medical Authorization Centre- Dental specializes in the authorization and reimbursement of dental benefits.

As a MAC Dental, Special Authorization Analyst you will develop a high level of knowledge in the programs we administer. In this role you will respond to requests from clients and providers in both official languages. At this time, the work environment may be at home or in the office depending on the current situation.

Shifts may vary during the hours of operations of the Medical Authorization Centre-Dental, between 8:00AM - 6:00PM, Monday to Friday.

Key Responsibilities

• Receive, pend, and process requests for dental services that require special authorization consideration, and prepare packages that require review from dental consultant;
• Administer processes for special authorization decisions through the interactive use of telecommunications and applied on-line technology;
• Call and or draft requests for additional information from dentist and/or dental specialists for more information/diagnostics when necessary, or requested by the dental consultant;
• Update requests according to decisions rendered to allow for real time adjudication when the dental treatment authorized is rendered;
• Create and send the appropriate decision letter to the client and/or provider to notify them of the outcome of their request;
• Utilizes dental background, knowledge, and experience to assess requests;
• Liaison with the customers and other health care professionals to ensure treatment requests are appropriately administered;
• Provides a positive and efficient customer service experience for providers and clients.

The Successful Candidate Will Demonstrate the Ability to:

• Have the ability to work quickly and accurately under pressure of time restraints;
• Have the ability to work on your own and as a team member;
• Be well organized, with excellent time management skills;
• Have excellent oral and written communication skills;
• Demonstrate mature and professional judgment and decision making ability.

Ideal Candidate Qualifications

Education

Successful completion of a recognized post-secondary Dental Assisting or Dental Hygiene program.

Work Experience

The ideal candidate will have a minimum of 2 years experience in a dental environment. Experience working in an office and/or customer service experience would be considered an asset.

Other Qualifications

Experience with quick and accurate data entry and knowledge of claims processing, eligibility, and claims systems would be considered an asset.

Computer Skills

Experience working with the Microsoft Office Suite.

Language Skills

Must be fluently bilingual (English and French) both written and verbal in order to provide services to our customers and communicate with internal stakeholders in both official languages.

Security Clearance Requirement

In conjunction with our contract with the Federal Government, you will be required to have Reliability Status Clearance (Enhanced Level B). This includes fingerprinting, criminal record check, credit check and you must have resided in Canada for at least 5 years and hold Permanent Resident or Citizenship Status.

We believe our employees should reflect the communities we serve and welcome applications from candidates of all backgrounds. To provide the best experience possible, we will support you with accommodations or adjustments at any stage of the recruitment process. Simply inform our Recruitment team of your needs. We are committed to making sure recruitment, retention, advancement, and compensation are fair and accessible while following all relevant human rights and privacy laws. We appreciate everyone who has shown interest in this position. Only those selected for an interview will be contacted.

If you experience any technical issues throughout the application process, please email: [e-mail].