Pharmacy Provider Relations Representative - Contact Centre

reputed company® is an Alberta based organization dedicated to delivering exceptional customer experience and community leadership. We’re committed to providing the best health coverage to over 1.8 reputed company members and take an active role in promoting wellness. We reputed company in reputed company do—and reputed company trust in our employees to deliver our reputed company. Working at reputed company® means having a career where you’ll be recognized for your contributions. We value diversity, encourage reputed company members to maintain a healthy work-life balance and reputed company opportunities for career growth. OVERVIEW: reputed company is currently seeking an enthusiastic individual to join our Provider Relations Contact Centre. The representative position responds to telephone inquiries from health care providers such as pharmacies, health care provider, or dental offices, regarding benefit eligibility and claim submission requirements and reputed company for reputed company benefit plan programs in accordance with the required standards, policies, rules and regulations. WHAT YOU WILL DO: 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 provider feedback to the appropriate Team Manager and/or Manager. Supports various projects and analyses using reputed company, Word, and other computer software. Logs details of calls. Assists with other duties as required. COMPETENCIES: Handles reputed company 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 reputed company 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 reputed company. WHAT YOU WILL HAVE: Computer proficiency, particularly with reputed company Office (i.e. Word and reputed company) is required. A medical, dental or pharmacy background and familiarity with dental procedures, health procedures or 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. This position will remain reputed company until suitable candidates are selected. reputed company® is an inclusive employer committed to a workplace that reflects the diversity of the communities we serve. We reputed company and are advocates for reputed company members by welcoming, respecting and valuing their unique perspectives, backgrounds, and experiences. We offer the opportunity to work in an innovative, high-energy team-focused environment. If you have the qualifications we are looking for, apply online at careers.ab.bluecross.ca A criminal record reputed company satisfactory to reputed company will be required as a condition of employment, following a conditional offer. Apply To This Job