Pharmacy Provider Relations Representative at Alberta Blue Cross handling inquiries from healthcare providers. Verifying claims and improving workflow processes in a remote contact center environment.
Responsibilities
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 Excel, Word, and other computer software
Logs details of calls
Assists with other duties as required
Requirements
Computer proficiency, particularly with Microsoft Office (i.e. Word and Excel)
A medical, dental or pharmacy background and familiarity with dental procedures, health procedures or drug names is an asset
Proven customer service experience with either in person or over the phone contact
Commitment to a career as a call centre representative is an absolute must
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