Dental Claims Coordinator – Provider Services

Job summary

The Claims Coordinator is responsible for the accurate and efficient entry and adjudication of dental claims and treatment plans. They will also research claim discrepancies and communicate with providers to ensure timely payment and resolution of inquiries.

Job details

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® is currently seeking a Temporary (18 month), Full Time Claims Coordinator to join our Dental Provider Services team. The overall responsibility of this position is to ensure that the dental claims we receive are appropriately managed. This involves accurate and efficient entry and adjudication of claims and treatment plans. This position provides a flexible remote work style, with the expectation of on-site attendance a minimum of four times per month. WHAT YOU WILL DO: 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, consulting with senior staff if assistance is required. 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. Make suggestions to improve workflows, increase efficiency and be innovative. Review current documentation and complete any required updates or enhancements as needed. WHAT YOU WILL HAVE: Knowledge of dental terminology and nomenclature is a definite asset. Demonstrated commitment in delivering superior customer service, including establishing and maintaining effective working relationships with internal and external stakeholders. The ability to work with minimal supervision, with a strong sense of accountability, in a flexible remote work style arrangement that still promotes teamwork. Strong problem-solving abilities and attention to detail are critical, demonstrating the ability to use good judgment in evaluating and decision-making, and completing work with a high degree of accuracy. Excellent organizational and time management skills with the ability to prioritize tasks, manage a heavy workload, and meet tight timelines. The ability to occasionally work flexible hours. Proficiency with Microsoft Office Suite is required, and knowledge of Teams and SharePoint is 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 A criminal record check satisfactory to Alberta Blue Cross will be required as a condition of employment, following a conditional offer.

What you’ll do

The Claims Coordinator is responsible for the accurate and efficient entry and adjudication of dental claims and treatment plans. They will also research claim discrepancies and communicate with providers to ensure timely payment and resolution of inquiries.

Requirements

Candidates should possess strong problem-solving skills, attention to detail, and the ability to work with minimal supervision. Proficiency in Microsoft Office Suite is required, and knowledge of dental terminology is considered a definite asset.

Benefits

• Work-life balance
• Career growth opportunities
• Flexible remote work style

Listed skills

• Time management · Preferred
• Customer service · Preferred
• Problem solving · Preferred
• Attention to detail · Preferred
• Teams · Preferred
• SharePoint · Preferred
• Communication · Preferred
• Data entry · Preferred
• Microsoft Office Suite · Preferred

Other relevant skills

Identified from the job description. Confirm important requirements above.

• Dental terminology
• Customer service
• Problem-solving
• Attention to detail
• Organizational skills
• Time management
• Microsoft Office Suite
• Teams
• SharePoint
• Claims adjudication
• Data entry
• Communication
• Community Leadership
• Energetic
• Accountability
• Workflow Management
• Advocacy
• Treatment Planning
• Research
• Adjudication
• Decision Making
• Customer Service
• Consulting
• Innovation
• Problem Solving
• Microsoft Office
• Microsoft SharePoint
• Time Management
• Prioritization
• Teamwork
• Detail Oriented

Job areas

• Healthcare
• Customer Service & Support
• Administrative
• Finance & Accounting
• Provider Services Coordinator
• Claims Processor
• Statistical, Finance and Insurance Clerks
• Insurance Claims and Policy Processing Clerks

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