Pharmacy Provider Relations Representative – Contact Centre

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Alberta Blue Cross

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1940

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Alberta Blue Cross is a non-profit organization dedicated to providing comprehensive health benefits and wellness programs to the residents of Alberta. As a leader in preventative health care, Alberta Blue Cross serves over 1. 8 million people through group, government, and individual plans. The company is committed to promoting wellness, offering modern work environments, and supporting community health initiatives. It aims to empower Albertans to live healthy and fulfilling lives by addressing physical, mental, social, and financial well-being.

📋 Description

• Respond to telephone inquiries from health care providers regarding subscriber verification, benefit eligibility, plan maximums, prior approvals, and claims • Verify claims through online adjudication systems • Suggest improvements to workflows and processes • Record and forward provider feedback to the appropriate Team Manager and/or Manager • Support projects and analyses using Excel, Word, and other computer software • Log call details • Assist with other duties as required

🎯 Requirements

• Computer proficiency, particularly with Microsoft Office, including Word and Excel • Medical, dental, or pharmacy background is an asset • Familiarity with dental procedures, health procedures, or drug names is an asset • Proven customer service experience in person or over the phone is preferred • Commitment to a career as a call centre representative • Strong listening and problem-solving skills • Pleasant telephone manner • Ability to thrive in a busy environment • Research and analysis skills to determine root causes of problems • Strong attention to detail and organizational skills • Desire for continuous learning • Advanced customer service skills • Criminal record check satisfactory to Alberta Blue Cross required as a condition of employment following a conditional offer

🏖️ Benefits

• Healthy work-life balance • Opportunities for career growth • Innovative, high-energy team-focused environment • Inclusive workplace that values diversity and unique perspectives, backgrounds, and experiences