Claims Specialist
Req Id: 421611
At Bell, our purpose is to advance how Canadians connect with each other and the world. We achieve this by providing consumers and businesses with the best network technologies in the world, innovative digital solutions and seamless customer experiences. It's all developed and delivered by the members of #TeamBell and we're always on the lookout for people with great skills and experiences.
We value diversity and provide a supportive, inclusive community where all team members can succeed. And through our commitment to environmental, social and governance initiatives, you will feel good about the greater impact you will have - making every day better for people as they connect, work, learn and play.
Join us. You belong at Bell.
On the Bell Business Markets team, you'll be a vital part of making innovation happen for enterprise-scale customers. You'll deliver advanced solutions in areas such as IoT, Mobility/5G, Cloud, Cyber Security, Voice, Collaboration & Contact Centre and Internet & Private Networks.
At Bell, your skills and expertise will help set us apart as we continue to be the leading provider of digital connections and next generation services to businesses and governments.
Summary
Bell (and predecessors) has won and maintained the contract to support the Newfoundland and Labrador Prescription Drug Program (NLPDP) since 1994 for the Government of Newfoundland and Labrador. the Department of Health and Community Services—specifically its Pharmaceutical Services Division (PSD) — must assess citizens' needs in a timely, accurate and cost-effective manner. The Division strives to serve citizens fairly and efficiently while controlling operational costs and providing pharmacies with the assurance that beneficiaries' coverage information is correct when drugs are dispensed.
Bell is seeking a Claims Specialist to join the team involved in the processing of provider and beneficiary claims and other duties to help fulfil the prescription drug need for those who qualify under NLPDP.
Key Responsibilities
- Process beneficiary (resident) receipts, issuing letters when necessary for various programs including out of province claims
- Update the Medigent system daily or as required with current information relating to prescribers, e.g. doctors; nurses; dentists; optometrists; pharmacists and new pharmacy openings as per direction from the various boards
- Respond to telephone inquiries from residents, pharmacists, PSD, etc. providing responses or redirection as required
- Complete Price and Audit Adjustments
- Maintain and reconcile cheques and bank statements
May Also Require
- Prepare and post bulletins
- Maintain the monthly DIN load process
- Complete payment
- Analyze, coordinate and follow up on short stocks
- Analyze and update DINs/PINs
- Execute the formulary and supplement activities
- Liaise with team members, technical team, PSD, and other stakeholders to ensure commitments are met and results are accurate
Critical Qualifications
- Minimum 1 year program in Business Administration Program or 1-2 years experience in an administrative environment
- Experience with Word; Excel; MS Office Products
- Experience dealing with the public on requests and issues
- Experience processing insurance claims would be an asset
- Knowledge of medical terminology would be an asset
#EmployeeReferralProgram
Adequate knowledge of French is required for positions in Quebec.
Additional Information:
Position Type: Management
Job Status: Regular Term - Full Time
Job Location: Canada : Newfoundland : Mount Pearl
Work Arrangement: Hybrid
Application Deadline: 01/05/2025
For work arrangements that are 'Hybrid', successful candidates must be based in Canada and report to a set Bell office for a minimum of 3 days a week. Recognizing the importance of work-life balance, Bell offers flexibility in work hours based on the business needs.
Please apply directly online to be considered for this role. Applications through email will not be accepted.
We know that caring for our team members is at the heart of a healthy, positive and thriving workplace. As part of our team, you'll enjoy a comprehensive compensation package that includes a competitive salary and a wide range of benefits to support the well-being of you and your family. As soon as you join us, you'll be eligible for medical, dental, vision and mental health benefits that you can tailor to your specific needs. Plus, as a Bell team member, you'll enjoy a 35% discount on our services and access exclusive offers from our partners.
We value the experiences that have shaped who you are, and we know the diversity of your talent will bring even greater strength to our team. At Bell, everyone belongs and you'll feel valued, respected and supported as you grow and reach your full potential.
We also want to make sure that everyone has an equal opportunity to join our team. We encourage individuals who may require accommodations during the hiring process to let us know. For a confidential inquiry, email your recruiter or recruitment@bell.ca to make arrangements. If you have questions or feedback regarding accessibility at Bell, we invite you to complete the Accessibility feedback form or visit our Accessibility page for other ways to contact us.
Artificial intelligence may be used to assess parts of your application. Please review our privacy policy (see Phenom for details) to learn more about how we collect, use, and disclose your personal information.
Created: Canada, NL, Mount Pearl
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