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Bilingual MAC Dental- Special Authorization Analyst

MEDAVIE

,

Bilingual MAC Dental- Special Authorization Analyst

MEDAVIE

,
 
Number Of Vacancies: 1
 
locations
Nouveau-Brunswick – Télétravail
Île-du-Prince-Édouard
Nova Scotia
Ontario

time type
Temps plein

posted on
Publié hier

job requisition id
R-255968

Type de poste:

Permanent




À la recherche d’une carrière épanouissante qui changera réellement votre vie et celle des autres? Vous êtes au bon endroit.


À titre de partenaire national en solutions de santé, nous plaçons les gens au cœur de tout ce que nous faisons – en commençant par notre équipe de plus de 8 000 employés et employées qui mettent à profit leurs expériences personnelles et professionnelles diversifiées dans le cadre de leur travail à Medavie. Par l’entremise de la collaboration et de l’innovation, notre équipe crée des solutions d’assurance, de soins primaires et de services médicaux d’urgence à l’avant-garde de l’industrie qui viennent en aide à des millions de Canadiens et Canadiennes chaque année.


Notre mission est d’améliorer le bien-être de la population canadienne afin que chaque personne puisse profiter pleinement de la vie, et cela se reflète dans notre culture d’entreprise primée. Nous célébrons l’individualité des membres de notre personnel et accordons de la valeur à la diversité de leurs points de vue et de leurs compétences. C’est pourquoi en plus de vous offrir une rémunération concurrentielle et une gamme complète d’avantages sociaux, nous vous donnons accès à des possibilités de croissance professionnelle et personnelle, à des modalités de travail flexibles, à des expériences enrichissantes, ainsi qu’à un leadership bienveillant. À Medavie, chaque personne peut donner le meilleur d’elle-même, se sentir à sa place et atteindre son plein potentiel. Joignez-vous à nous en postulant un poste dès aujourd’hui.



The Opportunity


If you are looking for an opportunity in a challenging, fast-paced and team-oriented work environment with a leading local organization, the career you’ve been looking for may be waiting for you at Medavie Blue Cross. The Federal Administered Programs (FAP) Medical Authorization Centre- Dental specializes in the authorization and reimbursement of dental benefits. 


As a MAC Dental, Special Authorization Analyst you will develop a high level of knowledge in the programs we administer. In this role you will respond to requests from clients and providers in both official languages. At this time, the work environment may be at home or in the office depending on the current situation. 


Shifts may vary during the hours of operations of the Medical Authorization Centre-Dental, between 8:00AM – 6:00PM, Monday to Friday.


Key Responsibilities


•    Receive, pend, and process requests for dental services that require special authorization consideration, and prepare packages that require review from dental consultant;
•    Administer processes for special authorization decisions through the interactive use of telecommunications and applied on-line technology;
• Call and or draft requests for additional information from dentist and/or dental specialists for more information/diagnostics when necessary, or requested by the dental consultant;
•    Update requests according to decisions rendered to allow for real time adjudication when the dental treatment authorized is rendered;
•    Create and send the appropriate decision letter to the client and/or provider to notify them of the outcome of their request;
•    Utilizes dental background, knowledge, and experience to assess requests;
•    Liaison with the customers and other health care professionals to ensure treatment requests are appropriately administered;
•    Provides a positive and efficient customer service experience for providers and clients.


The successful candidate will demonstrate the ability to:


•    Have the ability to work quickly and accurately under pressure of time restraints;
•    Have the ability to work on your own and as a team member;
•    Be well organized, with excellent time management skills;
•    Have excellent oral and written communication skills;
•    Demonstrate mature and professional judgment and decision making ability.


As the ideal candidate, you possess the following qualifications:


Education: Successful completion of a recognized post-secondary Dental Assisting or Dental Hygiene program.


Work Experience: The ideal candidate will have a minimum of 2 years experience in a dental environment.  Experience working in an office and or customer service experience would be considered an asset.


Other Qualifications: Experience with quick and accurate data entry and knowledge of claims processing, eligibility and claims systems would be considered an asset


Computer Skills: Experience working with the Microsoft Office Suite


Language Skills: Must be fluently Bilingual (English and French) both written and verbal in-order to provide services to our customers and communicate with internal stakeholders in both official languages.



Security Clearance Requirement: In conjunction with our contract with the Federal Government, you will be required to have Reliability Status Clearance (Enhanced Level B). This includes Fingerprinting, Criminal Record Check, Credit Check and you must have resided in Canada for at least 5 years and hold Permanent Resident or Citizenship Status. 



#CBM1


Nous croyons que les membres de notre personnel doivent représenter les collectivités que nous servons et nous encourageons les personnes de tous les horizons à poser leur candidature. Pour vous offrir la meilleure expérience qui soit, nous vous proposons des mesures d’adaptation pour chacune des étapes du processus de recrutement. Il vous suffit d’en faire la demande à l’équipe de recrutement. Nous nous engageons à veiller à ce que le recrutement, la fidélisation et le perfectionnement des employés et employées, de même que leur rémunération, demeurent équitables, tiennent compte des besoins en matière d’accessibilité et respectent l’ensemble des droits de la personne et des lois sur la protection de la vie privée qui s’appliquent. Nous remercions toutes les personnes qui ont manifesté de l’intérêt pour ce poste. Veuillez noter que nous communiquerons seulement avec les personnes retenues pour une entrevue.


Si vous rencontrez des problèmes techniques au cours de votre procédure d'application, veuillez envoyer un courriel à : Medavie.Recruitment@medavie.ca.


English version


locations
New Brunswick, Remote
Prince Edward Island
Nova Scotia
Ontario

time type
Full time

posted on
Posted Yesterday

job requisition id
R-255968

Position Type:

Permanent



If you’re looking for a fulfilling career that can make a real difference in your life, and the lives of others, you’ve come to the right place.


As a national health solutions partner, we put people first in everything we do — and that begins with our team of 8,000+ professionals who bring a cross-section of diverse life experiences and career expertise to Medavie. By collaborating and innovating together, our employees are creating industry-leading solutions in insurance, primary care and emergency medical services that impact millions of lives in Canada each year.


Our mission is to improve the wellbeing of Canadians so that every life can be lived to the fullest — and it’s reflected in our award-winning culture. We celebrate individuality and value the diverse perspectives and skills our employees contribute. We go beyond providing competitive pay and comprehensive benefits to offer opportunities for personal and professional growth, flexible work options, meaningful experiences, and supportive leadership. Medavie is where employees can be their best selves, feel they belong, and achieve their full potential. Be part of it by applying for a position with us today.



The Opportunity


If you are looking for an opportunity in a challenging, fast-paced and team-oriented work environment with a leading local organization, the career you’ve been looking for may be waiting for you at Medavie Blue Cross. The Federal Administered Programs (FAP) Medical Authorization Centre- Dental specializes in the authorization and reimbursement of dental benefits. 


As a MAC Dental, Special Authorization Analyst you will develop a high level of knowledge in the programs we administer. In this role you will respond to requests from clients and providers in both official languages. At this time, the work environment may be at home or in the office depending on the current situation. 


Shifts may vary during the hours of operations of the Medical Authorization Centre-Dental, between 8:00AM – 6:00PM, Monday to Friday.


Key Responsibilities


•    Receive, pend, and process requests for dental services that require special authorization consideration, and prepare packages that require review from dental consultant;
•    Administer processes for special authorization decisions through the interactive use of telecommunications and applied on-line technology;
• Call and or draft requests for additional information from dentist and/or dental specialists for more information/diagnostics when necessary, or requested by the dental consultant;
•    Update requests according to decisions rendered to allow for real time adjudication when the dental treatment authorized is rendered;
•    Create and send the appropriate decision letter to the client and/or provider to notify them of the outcome of their request;
•    Utilizes dental background, knowledge, and experience to assess requests;
•    Liaison with the customers and other health care professionals to ensure treatment requests are appropriately administered;
•    Provides a positive and efficient customer service experience for providers and clients.


The successful candidate will demonstrate the ability to:


•    Have the ability to work quickly and accurately under pressure of time restraints;
•    Have the ability to work on your own and as a team member;
•    Be well organized, with excellent time management skills;
•    Have excellent oral and written communication skills;
•    Demonstrate mature and professional judgment and decision making ability.


About MEDAVIE

Medavie est un partenaire national en solutions de santé et un leader innovant dans les domaines de la gestion des prestations, de la gestion de la santé, des soins primaires et de la prestation de services de santé. Avec une équipe dévouée de plus de 8 500 professionnels à travers le Canada, notre mission est d’améliorer le bien-être des Canadiens.