Alberta Blue Cross®
DentalClaimsCoordinator–ProviderServices
“Dental Claims Coordinator – Provider Services at Alberta Blue Cross®. Skills: Claims management, Stakeholder management, Process improvement. Ensure that the dental claims we receive are appropriately managed. Accurate and efficient entry and adjudication of claims and treatment plans”
What You'll Achieve.
Ensure timely payment for our providers and members; Claim turnaround expectations are met
Industry & Context.
Problem-solving abilities
Expectation of on-site attendance a minimum of four times per month, The ability to occasionally work flexible hours, A criminal record check satisfactory to Alberta Blue Cross will be required as a condition of employment, following a conditional offer
What They're Looking For.
Must Have
Proficiency with Microsoft Office Suite is required
Nice to Have
Knowledge of dental terminology and nomenclature is a definite asset, Knowledge of Teams and SharePoint is an asset
What You'll Do.
Ensure that the dental claims we receive are appropriately managed
Accurate and efficient entry and adjudication of claims and treatment plans
Enter and manage dental claims and treatment plans to ensure timely payment for our providers and members
Research and compile information from various sources to resolve inquiries and claim discrepancies
Contact providers to obtain necessary information to assess claims
Adjudicate claims in accordance with Dental Provider Services policies and standards with a high degree of accuracy and efficiency
Monitor individual production to ensure that claim turnaround expectations are met
Review current documentation and complete any required updates or enhancements as needed
How You'll Work.
Team & Collaboration
Consulting with senior staff if assistance is required; Establishing and maintaining effective working relationships with internal and external stakeholders; Promotes teamwork
Process & Methodology
Prioritize tasks, Manage a heavy workload, Meet tight timelines
Applying for this Dental Claims Coordinator – Provider Services role?
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