Dental Claims Coordinator – Provider Services

Posted 2 weeks ago

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About the role

  • Claims Coordinator managing dental claims for Alberta Blue Cross. Ensures payments are timely, maintains strong customer relationships, and suggests process improvements in a remote setting.

Responsibilities

  • Enter and manage dental claims and treatment plans to ensure timely payment for our providers and members.
  • Research and compile information from various sources to resolve inquiries and claim discrepancies.
  • Contact providers to obtain necessary information to assess claims.
  • Adjudicate claims in accordance with Dental Provider Services policies and standards with a high degree of accuracy and efficiency.
  • Monitor individual production to ensure that claim turnaround expectations are met.
  • Make suggestions to improve workflows, increase efficiency and be innovative.
  • Review current documentation and complete any required updates or enhancements as needed.

Requirements

  • Knowledge of dental terminology and nomenclature is a definite asset.
  • Demonstrated commitment in delivering superior customer service, including establishing and maintaining effective working relationships with internal and external stakeholders.
  • The ability to work with minimal supervision, with a strong sense of accountability.
  • Strong problem-solving abilities and attention to detail are critical.
  • Excellent organizational and time management skills with the ability to prioritize tasks, manage a heavy workload, and meet tight timelines.
  • Proficiency with Microsoft Office Suite is required, and knowledge of Teams and SharePoint is an asset.

Benefits

  • Flexible remote work style
  • Opportunities for career growth
  • Commitment to diversity and inclusion

Job type

Full Time

Experience level

Mid levelSenior

Salary

Not specified

Degree requirement

No Education Requirement

Location requirements

HybridCanada

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