CLIENT & PROVIDER RELATIONS SPECIALIST

Bigstone Group; Edmonton; On-site; CAD 52,000 - 64,000; Full time

Benefits offered by this job

Competitive Salary

Paid Time Off

Extended Health, Dental & Vision Plan

Employee Pension Plan

Job summary

Bigstone Health Commission in Edmonton, AB, seeks a Client & Provider Relations Specialist to support registration, access to benefits, and records management. The role works with a multidisciplinary team to ensure smooth health benefit delivery and client satisfaction.

The position emphasizes accurate data entry, proactive client advocacy, and collaboration with providers, finance, and benefit adjudicators.

Qualifications

• Experience in an office setting, preferably in healthcare or benefits programs.
• Strong data entry and documentation skills with attention to client identifiers and invoices.
• Knowledge of health benefits policies and relevant guidelines is an asset.

Responsibilities

• Provide administrative support to managers and benefit areas; manage mail flow.
• Assist clients with registration and advocate access to benefits and healthcare.
• Respond to inquiries about eligibility, coverage, and appeals; refer as needed.
• Maintain client records in the NIHB Direct system and ensure accurate data entry.
• Create and manage electronic and paper client files; notify adjudicators of changes.
• Maintain provider accounts and records; coordinate updates with Finance.
• Assist with invoicing and file invoices and payment records.
• Attend meetings, record minutes, and support process improvements.
• Order supplies and coordinate office equipment maintenance.

Skills

Excellent customer service

Strong organizational skills

Accurate data entry

Teamwork & independence

Education

Certificate/Diploma/Degree or equivalent

2+ years office experience

Tools

Microsoft Office

NIHB Direct system

Bigstone Health Information System

Bigstone Status Verification System

Job description

CLIENT & PROVIDER RELATIONS SPECIALIST

Full Time Permanent

Monday to Friday – 7 Hours/day Edmonton, Alberta

Bigstone Health Commission in Edmonton, AB, is seeking an experienced, highly motivated, and dependable Client & Provider Relations Specialist to join our talented Health Team. This position assists Bigstone Cree Nation clients with registration and access to health benefits, maintains client and provider records, and supports daily office operations. This is a rewarding opportunity if you have an appreciation for First Nation culture and enjoy the support and collaboration from our multidisciplinary team and various other professionals and agencies.

Duties and Responsibilities:

• Provide administrative support to the Manager, Team Lead, and benefit areas; process incoming and outgoing mail.
• Assist clients with registration, advocate for access to benefits and healthcare, and maintain positive relationships with clients and service providers.
• Respond to inquiries about eligibility, reimbursement, benefit coverage, service access, and appeals; refer clients to other resources as needed.
• Obtain and update consent forms, scan documentation, and maintain accurate client information in the NIHB Direct system.
• Create, maintain, and archive electronic and paper client files; notify Benefit Adjudicators of client changes and maintain filing procedures.
• Maintain provider accounts, agreements, lists, and Mapline records; coordinate provider updates with Finance and archive annual records.
• Assist with invoicing, distribute cheques and remittance advices promptly, and file invoices and payment records.
• Attend meetings and training, record meeting minutes, follow up on action items, and contribute to improvements in administrative processes.
• Order office supplies and equipment, coordinate office equipment maintenance, and perform other duties as assigned.

Knowledge, Skills, and Abilities:

• Excellent customer service, communication, and conflict resolution skills.
• Strong organizational and time management skills, with the ability to manage competing priorities and respond to urgent requests.
• Ability to work independently and as part of a multidisciplinary team.
• Accurate data entry and recordkeeping skills, including attention to client identifiers, names, invoices, and payment discrepancies.
• Proficiency with Microsoft Office and knowledge of data entry and retrieval in automated systems, including the Bigstone Health Information System and Bigstone Status Verification System.
• Knowledge of Bigstone Health Benefits policies, procedures, coverage criteria, contracts, national guidelines, and applicable federal and provincial fee guides.

Education and Experience:

• Certificate, diploma, and/or degree, and/or equivalent training and experience combined
• Minimum 2 years’ work experience in an office setting is a requirement
• Previous experience working in a medical setting is an asset
• Knowledge of the Non-Insured Health Benefits programs is an asset

Benefits:

• Competitive Salary Competitive Salary
• Paid Time Off
• Extended Health, Dental & Vision Plan
• Employee Matching Registered Pension Plan

Salary is dependent on qualifications.

*Applicants are thanked in advance for their interest in our organization, however only those selected for an interview will be contacted.

Bigstone Health Commission

The strong commitment from Band leadership and Health Commission staff has resulted in a first class health organization that makes a difference in these communities. Dedication to program objectives has meant improved health status, reduction in disease rates, and a healthier and happier community.

CLOSING DATE: Wednesday October 28, 2026 at 4:30 p.m.