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Alternate Funding Program, Claims Analyst - Part-Time Permanent

Medavie Blue Cross - 21 Jobs
Dartmouth, NS | Nova Scotia
In-person
Full-time
Experienced
Company Benefits
Flexible Work
Posted 3 days ago

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 areas

    Required 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 computer skills and experience working with the Microsoft Office Suite; strong key boarding skills and the ability to enter data with speed and precision.
    Language Skills: Bilingualism is considered an asset, English required.

    We are an Equal Opportunity Employer.

    Medavie Blue Cross strives to foster a culture where everyone is enabled to achieve their full potential -a culture of diversity, equity and inclusion (DEI) where we live our values every day in the way we treat each other, our members and the communities we serve. Accessibility is a top priority.

    For applicants with disabilities, we provide accommodations throughout the recruitment, selection and/or assessment process. If selected to participate in the recruitment, selection and/or assessment process, please inform Medavie Blue Cross Human Resources staff of the nature of any accommodation(s) that you may require in respect of any materials or processes used to ensure your equal participation. All personal information is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act.

    We would like to thank all candidates for expressing interest. Please note only those selected for interviews will be contacted.

    Job Segment: Payroll, Data Entry, Claims, Medicare, Equity, Finance, Administrative, Insurance, Healthcare

  • Competition Number: 582326617
    Company Website: http://www.medaviebc.ca
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    About Medavie Blue Cross

    About Medavie Blue Cross

    Join an exceptional organization!

    Medavie Blue Cross is proud to be one of Canada's Most Admired Corporate Cultures. The insurance business is about more than just claims - it's about relationships too. As a not-for-profit health care provider, caring for our employees, our clients and our communities is core to who we are.

    Why Work with Us?

    Medavie Blue Cross is a leading member of the Canadian Association of Blue Cross plans that collectively provide coverage to over seven million Canadians. As a not-for-profit organization, we provide health, dental, travel, life and disability benefits to individuals and organizations, and administer various government-sponsored health programs. Our shareholders are the employees, clients and communities we serve. We channel an annual social dividend to the Medavie Health Foundation as part of our commitment to helping Canadians live their best lives, both mentally and physically.

    Engaging Culture

    We've been recognized as one of Canada's Top 10 Most Admired Corporate Cultures, and embrace this honour every day. We are big enough to make a difference but small enough that everyone can have a voice, influence outcomes and see the impact of their work. You'll join a team of talented individuals who have passion, experience and motivation to make a difference in the lives of customers. People stay because of the relationships they form with coworkers and customers.

    Total Rewards Package

    We offer competitive compensation and great benefits like a comprehensive health and dental plan that is 100% paid by us, pensions with contribution matching, RRSPs, and short and long-term disability and life insurance. We strive to provide a stable work environment dedicated to long-term, healthy employment relationships so you can excel in what you do.

    Healthy Work Environment

    Our work environment enables employees to be respected and fulfilled both professionally and personally through healthy relationships, work-life balance and meaningful work. We are committed to our employees' health and wellbeing, but we know improving health outcomes starts with us. That's why we believe employees who are given flexibility and are able to balance their career and lives will contribute more.

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