Pharmacy Provider Relations Representative – Contact Centre

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

📋 Description

• Handles telephone inquiries from providers regarding subscriber verification, benefit eligibility, plan maximums, prior approval requirements, and claim inquiries.

• Confirms claims using online adjudication systems.

• Proposes methods to enhance workflows and processes.

• Records and transmits provider feedback to the relevant Team Manager and/or Manager.

• Assists with various projects and analyses utilizing Excel, Word, and other software applications.

• Logs the details of calls.

• Supports additional duties as needed.

⛳️ Requirements

• Proficient in computer applications, especially Microsoft Office (i.e., Word and Excel).

• A background in medical, dental, or pharmacy fields and knowledge of dental procedures, health procedures, or drug names is advantageous.

• Demonstrated customer service experience, whether in person or via phone.

• A strong commitment to a career as a call centre representative is essential.

🏝️ Benefits

• Outstanding customer experience.

• Leadership within the community.

• A diverse and inclusive work environment.

• Opportunities for professional advancement.