Provider Relations Representative (9.5 month contract, part-time)

at  The Cigna Group

The role of Provider Relations is to accurately register healthcare providers and maintain a current database in order to support providers by delivering effective and timely communications to ensure seamless claims adjudication and claims payment.
Express Scripts Canada seeks to hire a Provider Relations Representative to work from our Mississauga office. The successful incumbent will review network agreements from pharmacy, medical supplies & equipment, mental health care, vision care, and dental providers for accuracy and completeness and ensure that all providers’ pertinent information is correctly entered into the Express Scripts Canada system.
Note: This is a part-time (21 hours per week) on-site contract opportunity. The duration is 9.75 months, at our Mississauga location.

QUALIFICATIONS

• Post-Secondary school diploma
• Bilingual an asset (French & English)
• Excellent written, and verbal communication skills
• Knowledge of healthcare/pharmacy, medical supplies & equipment or dental benefit administration and claims processing is an advantage
• Strong customer service focus - understanding the Express Way Values
• Computer literate, possessing intermediate skills in MS Office (Word, Excel, Outlook), and Adobe Reader and Writer
• Strong interpersonal skills with ability to work independently with minimal supervision; and as a team player willing to take direction
• Flexible to new situations and adaptable to change
• A thorough understanding of quality assurance and delivery of service excellence
• Excellent organizational skills, effective time management, and the ability to shift priorities working within established timelines
• Demonstrates initiative (learn processes and procedures, various benefits) and displays self-motivation to grasp new concepts quickly
• Ability to analyze, problem-solve and mediate difficult situations
• Results-oriented paying attention to detail.

• Validates completed provider agreements and returns to providers for further review and modifications if information is missing
• Ensures that all pharmacy, medical supplies & equipment and dental providers’ required agreement information is entered into the Express Scripts Canada System in a timely manner
• Ensures that all pharmacy, medical supplies & equipment, mental health care, visions care, and dental providers’ modifications and terminations are updated in a timely manner
• Handles provider, association and software vendor inquiries in a supportive and professional manner
• Collaborates with teammates and assists in other team deliverables as required