Provider Relations Specialist - Pharmacy & Benefits

ABC Benefits Corporation; Alberta; Hybrid; CAD 52,000 - 72,000; Full time

Job summary

Alberta Blue Cross® in Alberta invites applicants for a Provider Relations Representative to handle telephone inquiries from health care providers regarding benefit eligibility and claims.

You will verify claims through online systems, support projects with Excel and Word, and help improve workflows while maintaining accurate records.

A background in medical, dental or pharmacy is an asset; commitment to customer service and professional communication is essential.

Qualifications

• Respond to provider inquiries with accuracy and courtesy.
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Responsibilities

• Responds to telephone inquiries from providers on eligibility and claims.
• Verifies information using online adjudication tools and records details.

Skills

Customer service

Problem solving

Communication skills

Active listening

Data entry

Teamwork

Education

Healthcare background preferred (medical, dental or pharmacy)

Tools

Microsoft Excel

Microsoft Word

Job description

Alberta Blue Cross® in Alberta invites applicants for a Provider Relations Representative to handle telephone inquiries from health care providers regarding benefit eligibility and claims.

You will verify claims through online systems, support projects with Excel and Word, and help improve workflows while maintaining accurate records.

A background in medical, dental or pharmacy is an asset; commitment to customer service and professional communication is essential.