Pharmacy Provider Relations Representative – Contact Centre

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

📋 Description

• Respond to phone inquiries from healthcare providers concerning subscriber verification, benefit eligibility, plan limits, prior approvals, and claims.

• Verify claims utilizing online adjudication systems.

• Propose enhancements to workflows and processes.

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

• Assist with projects and analyses using Excel, Word, and other software tools.

• Record details of calls.

• Support additional tasks as necessary.

⛳️ Requirements

• Proficiency in computer applications, particularly Microsoft Office, including Word and Excel.

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

• Knowledge of dental procedures, health practices, or pharmaceuticals is beneficial.

• Prior customer service experience in person or via phone is preferred.

• Dedication to a career as a call center representative.

• Excellent listening and problem-solving abilities.

• Friendly telephone demeanor.

• Capability to perform well in a fast-paced environment.

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

• Strong attention to detail and organizational capabilities.

• Passion for continuous learning.

• Advanced customer service skills.

• A criminal record check satisfactory to Alberta Blue Cross is required as a condition of employment after a conditional offer.

🏝️ Benefits

• Healthy work-life balance.

• Opportunities for professional development.

• Innovative, energetic, team-oriented environment.

• Inclusive workplace that appreciates diversity and distinct perspectives, backgrounds, and experiences.