Drive superior customer service and efficient pharmacy claim processing at Alberta Blue Cross. This flexible role is perfect for detail-oriented professionals striving for excellence in claims administration.

As a member of the Provider Services & Claims Administration team, you will process manual and complex drug claims while enhancing relationships with pharmacy providers. Your problem-solving skills and ability to manage heavy workloads will be key to achieving departmental objectives. Under the guidance of a supportive manager, ensure timely and accurate claim adjudication, contributing to a leading health coverage organization.

Key Responsibilities:
• Process and adjust high-cost pharmacy claims accurately
• Conduct quality assurance checks on claims adjudication




• Educate pharmacy providers on submissions and reversals
• Provide research support for complex inquiries
• Monitor production output to meet deadlines

Requirements:
• Commitment to excellent customer service
• Robust judgment and problem-solving abilities
• Demonstrated organizational skills and accountability
• Computer proficiency with Microsoft tools
• Knowledge of pharmacy claim adjudication standards

Utilize your analytical skills and passion for customer service in the dynamic environment of Alberta Blue Cross.
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📌 Claims Administration Analyst Alberta Blue Cross
🏢 Abc Benefits
📍 Alberta