Dental Provider Relations Representative – Contact Centre

This is a fully remote position, open to applicants in Canada.

📋 Description

• Handle telephone inquiries from healthcare providers about subscriber verification, benefit eligibility, plan maximums, prior approval requirements, and claims issues.

• Validate claims using online adjudication systems.

• Recommend enhancements to workflows and processes.

• Document and relay provider feedback to the relevant Team Manager and/or Manager.

• Assist in projects and analyses utilizing Excel, Word, and various other software applications.

• Record details of calls.

• Support additional duties as needed.

⛳️ Requirements

• Proficient in computer skills, especially with Microsoft Office, including Word and Excel.

• Background in medical, dental, or pharmacy fields is advantageous.

• Knowledge of dental procedures, health procedures, or pharmaceutical names is a plus.

• Experience in customer service, either face-to-face or via phone, is preferred.

• Excellent listening and problem-solving abilities.

• Friendly and professional telephone demeanor.

• Capacity to excel in a fast-paced environment.

• Research and analytical skills to identify root causes of issues.

• Strong attention to detail and organizational capabilities.

• Commitment to continuous learning.

• Advanced customer service skills.

• A criminal record check that meets Alberta Blue Cross standards is required as a condition of employment following a conditional offer.

🏝️ Benefits

• Commitment to diversity and inclusion.

• Healthy work-life balance.

• Opportunities for career advancement.

• Dynamic, innovative, and team-oriented work atmosphere.