Pharmacy Claims Analyst at Alberta Blue Cross

Join Alberta Blue Cross as a Pharmacy Claims Analyst in a flexible work environment. Be integral to the team by processing claims accurately while enhancing customer relations.

As part of the Provider Services & Claims Administration team, you will focus on manual pharmacy claims and manage complex inquiries. The role emphasizes precision, problem-solving, and the development of effective stakeholder relationships to uphold our reputation for exceptional service.

Key Responsibilities:

• Process manual pharmacy claims, ensuring timely adjudication

• Perform quality assurance and adjust claims when needed

• Educate pharmacy providers on claims submissions

• Conduct system testing for accurate performance

• Research complex inquiries for effective resolution

Requirements:

• Strong commitment to superior customer service

• Excellent problem-solving abilities and attention to detail

• Proficient in Microsoft Word, Excel, and Outlook

• Familiarity with pharmacy industry standards

• Ability to adapt to changing priorities and work independently

Deliver high-quality customer service while managing pharmacy claims at Alberta Blue Cross.
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