Provider Relations Representative (12 Month Contract) - Express Scripts Canada

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.

This is a 12 month contract position, on-site at our Mississauga Office.

Key Responsibilities

• 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

Qualifications

• Post-Secondary school diploma

• Bilingual is 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