Provider Relations Specialist (Dental & Health Claims)

ABC Benefits Corporation; Edmonton; Remote; CAD 42,000 - 66,000; Full time

Job summary

Alberta Blue Cross is seeking a temporary (24-month) Provider Relations Representative to join the Provider Relations Contact Centre in Alberta. The role handles telephone inquiries from health care providers regarding eligibility, claim submissions, and plan requirements in line with established standards and policies.

The position requires strong listening, problem-solving, and customer service skills, with proficiency in Microsoft Office.

Qualifications

• Strong listening and problem-solving skills with a patient approach.
• Excellent written and verbal communication.
• Experience in a call center or provider-facing role preferred.

Responsibilities

• Responds to telephone inquiries from providers on subscriber verification, benefit eligibility, plan maximums, prior approvals, and claim inquiries.
• Verifies claims through online adjudication systems.
• Records and forwards provider feedback to the Team Manager or Manager.
• Supports projects and analyses using Excel and Word.
• Logs details of calls and assists with other duties as required.

Skills

Active listening

Problem solving

Customer service

Communication

Teamwork

Education

Medical/dental/pharmacy background

Tools

Microsoft Office

Excel

Word

Job description

Alberta Blue Cross is seeking a temporary (24-month) Provider Relations Representative to join the Provider Relations Contact Centre in Alberta. The role handles telephone inquiries from health care providers regarding eligibility, claim submissions, and plan requirements in line with established standards and policies.

The position requires strong listening, problem-solving, and customer service skills, with proficiency in Microsoft Office.