Bilingual Dental Special Authorization Analyst - Jobs in Moncton, NB

Job Description

For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. We are proud to be a not-for-profit organization dedicated to giving back to the communities where we live and work, and to ensuring our employees thrive in our award-winning, collaborative culture. We are one of Canada’s Most Admired Corporate Cultures and are recognized as a Caring Company, a designation for national leaders in community investment and social responsibility.Our team of 2,100 professionals work across six provinces. We excel by living our shared values of being caring, accountable, responsible, innovative and community-minded. We’re committed to ensuring the health and wellness of our employees and their families, along with personal and professional growth, through a variety of programs and support at all levels of our organization.Along with Medavie Health Services, we are part of Medavie — a national health organization with over 6,400 employees. Together, our mission is to improve the wellbeing of Canadians.Job Title: MAC Dental Special Authorization AnalystDepartment: MAC Dental, Federal Administered ProgramsCompetition: 12784Internal/External: Internal/ExternalEmployment Type: Full Time, PermanentLocation: MonctonSalary: $36,519Reports To: Team Leader, MAC DentalClosing Date: July 4, 2021The OpportunityIf 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 in our 12 Millennium Drive, Moncton office, 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, due to the Pandemic, 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 ResponsibilitiesReceive, 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 1 year 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 assetComputer Skills: Experience working with the Microsoft Office SuiteLanguage Skills: Bilingualism would be considered an asset.We would like to thank all candidates for expressing interest. Please note only those selected for interviews will be contacted.Medavie Blue Cross is an equal opportunity employer.Job Segment: Telecom, Telecommunications, Medical, Claims, Dental, Technology, Healthcare, Insurance