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Title posted on CareerBeacon - Alternate Funding Program, Claims Analyst - Part-Time Permanent
Posted on June 29, 2024 by Employer details Medavie Blue Cross
Job details
For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. As a not-for-profit organization, we proudly invest in communities to help address some of Canada's most pressing health care challenges. We are one of Canada's Most Admired Corporate Cultures, one of Canada's Top 100 Employers, Canada's Life & Health Insurer of the Year for 2021 and an Imagine Canada Caring Company.Our 2,400 professionals work across six provinces, united by our shared values of being caring, accountable, responsible, innovative and community-minded. We're committed to ensuring our employees thrive in our award-winning, collaborative culture focused on ensuring health, wellness, and personal and professional growth through a variety of programs and support across our organization.Together with Medavie Health Services, we are part of Medavie - a national health solutions partner with over 7,700 employees. Our mission is to improve the wellbeing of Canadians.Job Title: Alternate Funding Program, Claims Analyst - Part-Time Permanent Department: Government Programs: Nova Scotia Provincial Programs Competition: 87189 Internal/External: Both Employment Type: Part Time Permanent Location: Nova Scotia, Remote/Office/Hybrid - Flexible Salary: Competitive Compensation and Benefits Reports To: Team Leader, Medicare Programs NSPP Apply By: July 14, 2024 Position Summary Reporting to the Team Leader and working in a team environment, the Alternate Funding Claims Analyst is responsible for a wide variety of claim types under the Alternate Funding Program. Each claim type has a varying degree of eligibility and policy requirements. The Claims Analyst will analyze, investigate and pay claims which include the payment of locum, sessional, psychiatry and various other claims on an ad hoc basis. The claims analyst is required to maintain current knowledge with respect to policy and procedure changes. The claims analyst will liaise closely with the Department of Health and Wellness, physicians, colleagues, the Team Leader and the Manager on claims as they pertain to the Alternate Funding Program.This position is permanent, part-time 25 hours per week, which will be 5 hours per day, Monday - Friday. Flexible within our core business hours of 8am-5pm Atlantic Time. Remote work ( from home) within the province of Nova Scotia, or the option to work in-office in Dartmouth, or a hybrid of from home and office.Key Responsibilities Review, analyse and set up payment data based on contracts forwarded from the Department of Health & Wellness. Maintain and reconcile contract payments to physicians using standard procedures. Adjudicate and apply data entry functions for all alternate funding programs and billings from physicians with a strong emphasis on accuracy and efficiency. Review applications from the Boarding, Transportation and Ostomy Program as well as the Locum Program to determine eligibility Respond to customer enquiries in a prompt, courteous and professional manner. Meet payment deadlines as determined by the business area Liaise with the Department of Health and Wellness and physicians in a professional manner with respect to claims submissions and payment reconciliations. Establish and maintain effective working relationships with other internal operational areasRequired Qualifications Education: Post-secondary education in Business Administration, Accounting, Finance or other related field.Work Experience: Minimum2 - 3 years of relevant experience paying complex claims relating to healthcare, OR Payroll / Finance experience is a strong asset Other Qualifications: Able to adapt in a changing and fast paced environment with the ability to accept and implement changes; able to work independently. Possess a high attention to detail and a high level of accuracy; analytical in nature and have proven problem solving skills with an aptitude for mathematics.Computer Skills: Strong c- LocationDartmouth, NS
- SalaryNot available
- Terms of employment Permanent employmentFull time
- Start date Starts as soon as possible
- vacancies 1 vacancy
- Source CareerBeacon #2091291
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