Provider Services Coordinator @ Alberta Blue Cross
placeHybrid
attach_money CA$60,000
businessHybrid
scheduleFull Time
Posted 24 days ago
Your Application Journey
Interview
Email Hiring Manager
******* @ab.bluecross.ca
Recommended after applying
Job Details
Overview
Alberta Blue Cross® is an Alberta based organization dedicated to delivering exceptional customer experience and community leadership. With over 1.8 million members, we are committed to providing the best health coverage and promoting wellness. Working at Alberta Blue Cross® means being recognized for your contributions in a diverse, supportive, and growth-oriented environment.
Role Overview
The Provider Services Coordinator is responsible for processing health and dental provider online direct billing applications, validating provider eligibility with professional colleges and associations across Canada, and tracking provider agreements. This detailed role demands strong accuracy and efficiency to maintain excellent customer service.
What You Will Do
- Process manual provider applications for Health, Dental, and AADL providers with precision.
- Enter and manage health claims to ensure timely payments for providers and members.
- Validate provider credentials with provincial and national colleges and associations.
- Perform quality assurance checks and resolve complex inquiries when needed.
- Collaborate with Alberta Health Services on direct bill ambulance claims and support billing queries.
- Process Prior-Approvals for GNWT Vision, Travel, and Medical Supply claims.
- Assist and educate providers on agreements, applications, compliance, and best practices.
- Monitor individual production to ensure targets and timelines are met.
- Suggest workflow improvements to drive efficiency and innovation.
What You Will Have
- Commitment to superior customer service and effective stakeholder relationships.
- Strong problem-solving skills, attention to detail, and sound judgment.
- Excellent organizational and time management abilities to handle heavy workloads.
- Ability to adapt to changing priorities and work independently in a work-from-home setting.
- Proficiency in Microsoft Word and Excel; experience with Microsoft Access is a plus.
Key Skills/Competency
- Customer Service
- Application Processing
- Claims Management
- Verification
- Quality Assurance
- Billing
- Workflow Improvement
- Microsoft Office
- Attention to Detail
- Compliance
How to Get Hired at Alberta Blue Cross
🎯 Tips for Getting Hired
- Research Alberta Blue Cross's culture: Understand their mission, values, and team approach.
- Customize your resume: Highlight experience with claims and billing.
- Emphasize detail orientation: Showcase accuracy and problem-solving skills.
- Prepare for technical questions: Review provider eligibility and Microsoft Office skills.
📝 Interview Preparation Advice
Technical Preparation
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Review Microsoft Office advanced functions.
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Practice claims processing scenarios.
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Study provider eligibility verification procedures.
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Brush up on data entry accuracy methods.
Behavioral Questions
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Describe handling high workload challenges.
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Explain remote work time management.
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Provide examples of problem-solving instances.
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Discuss adapting to change effectively.
Frequently Asked Questions
What qualifications does Alberta Blue Cross look for in a Provider Services Coordinator?
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How important is work-from-home experience for this Provider Services Coordinator role at Alberta Blue Cross?
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What technical skills are needed for the Provider Services Coordinator position at Alberta Blue Cross?
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How does Alberta Blue Cross support career growth for a Provider Services Coordinator?
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What role does quality assurance play in the Provider Services Coordinator job at Alberta Blue Cross?
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