Offer summary

Qualifications:

Post-secondary education in health administration or insurance is preferred., Experience with benefits administration and coordination is advantageous., Excellent oral communication and listening skills for customer service., Proficiency with Microsoft Office tools such as Word, Excel, Access, and PowerPoint..

Key responsibilities:

Respond to provider inquiries via phone and written communication.

Ensure claims are processed and paid according to policies.

Assess and determine appropriate system entries and correspondence.

Identify and report system issues and suggest operational improvements.

Job description

Alberta Blue Cross® is an Alberta based organization dedicated to delivering exceptional customer experience and community leadership. We’re committed to providing the best health coverage to over 1.8 million members and take an active role in promoting wellness. We believe in what we do—and place trust in our employees to deliver our vision.

Working at Alberta Blue Cross® means having a career where you’ll be recognized for your contributions. We value diversity, encourage our team members to maintain a healthy work-life balance and provide opportunities for career growth.

OVERVIEW:

Alberta Blue Cross® has an immediate opening for a work-from-home, temporary, full-time AADL Coordinator in our Provider Services department. You will be an ambassador on behalf of Alberta Blue Cross® and will handle incoming provider inquiries from multiple sources along with requests from AADL policy makers. As an AADL coordinator, you will focus on submission troubleshooting and provider education relating to the Alberta Aids to Daily Living program in a contact centre environment. This is an excellent opportunity for individuals to utilize their superior judgment and logical decision-making skills to a set variety of administration tasks. The successful candidate will be highly detail oriented and passionate about providing exceptional customer experience.

In this work-from-home position, you will manage inbound and outbound calls. Our contact centre is open from Monday to Friday, 8:30-5:00 pm.

WHAT YOU WILL DO:

Respond to telephone and written inquiries from providers, utilizing strong listening and problem-solving skills.
Ensures claims are processed and paid in accordance with Alberta Aids to Daily Living policies
Works independently to assess and determine appropriate system entry and correspondence for select requests.
Identifies and reports any adjudication or system problems to the Management Team
Identifies necessary changes to improve overall operation of adjudication.
Reports any discrepancies or suspect claims that are not in line with contractual agreement.
Assists as liaison between other departments within Alberta Blue Cross, or external partners as required.

WHAT YOU WILL HAVE:

Wired internet connection
Experience with benefits administration and coordination would be considered an asset.
Demonstrated excellence in oral communication and listening skills in the delivery of superior service to customers.
Ability to work with minimal supervision and within a team environment.
Demonstrated problem-solving and decision-making capabilities.
Demonstrated excellent organizational skills.
Proficiency with Microsoft Teams, Word, Access, Excel, and PowerPoint.
Familiarity with government and community health programs and services would be beneficial.
Related post-secondary in health administration or insurance would be considered an asset.

This position will remain open until a suitable candidate is selected.

Alberta Blue Cross® is an inclusive employer committed to a workplace that reflects the diversity of the communities we serve. We empower and are advocates for our team members by welcoming, respecting and valuing their unique perspectives, backgrounds, and experiences.

We offer the opportunity to work in an innovative, high-energy team-focused environment. If you have the qualifications we are looking for, apply online at careers.ab.bluecross.ca

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