Pharmacy Provider Relations Representative – Contact Centre

Job Description:

  • Respond to telephone inquiries from health care providers regarding subscriber verification, benefit eligibility, plan maximums, prior approvals, and claims
  • Verify claims through online adjudication systems
  • Suggest improvements to workflows and processes
  • Record and forward provider feedback to the appropriate Team Manager and/or Manager
  • Support projects and analyses using Excel, Word, and other computer software
  • Log call details
  • Assist with other duties as required

Requirements:

  • Computer proficiency, particularly with Microsoft Office, including Word and Excel
  • Medical, dental, or pharmacy background is an asset
  • Familiarity with dental procedures, health procedures, or drug names is an asset
  • Proven customer service experience in person or over the phone is preferred
  • Commitment to a career as a call centre representative
  • Strong listening and problem-solving skills
  • Pleasant telephone manner
  • Ability to thrive in a busy environment
  • Research and analysis skills to determine root causes of problems
  • Strong attention to detail and organizational skills
  • Desire for continuous learning
  • Advanced customer service skills
  • Criminal record check satisfactory to Alberta Blue Cross required as a condition of employment following a conditional offer

Benefits:

  • Healthy work-life balance
  • Opportunities for career growth
  • Innovative, high-energy team-focused environment
  • Inclusive workplace that values diversity and unique perspectives, backgrounds, and experiences
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