Eligibility Analyst (On Site) Job at Medavie Blue Cross
3 Month Term- On Site (Dartmouth) Positions Starting Feb 2023!
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 7,200 employees. Our mission is to improve the wellbeing of Canadians.
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 7,200 employees. Our mission is to improve the wellbeing of Canadians.
Job Title:
Eligibility Analyst
Department:
Pharmacare
Competition:
85381
Internal/External:
Internal/External
Employment Type:
Term Position
Location:
Nova Scotia
Salary:
$19.10/hr
Reports To:
Team Leader
The Role:
Working in a team environment, the Eligibility Analyst, will thrive in a fast-past environment where accuracy and attention to detail are second nature. As an Eligibility Analyst, you access, analyze, and determine program eligibility following policy guidelines and procedures, you will be required to remain current with respect to policy and procedure changes and will liaise closely with colleagues and the Leadership team. The main goal of the Eligibility Analyst is to process requests for MSI and Pharmacare coverage and provide consistent, reliable customer service experiences. Documentation processing is a key component of this position with turnaround expectations. Hours of operation are 8:00 am to 5:00 pm (Monday-Friday)
Key Responsibilities
Working in a team environment, the Eligibility Analyst, will thrive in a fast-past environment where accuracy and attention to detail are second nature. As an Eligibility Analyst, you access, analyze, and determine program eligibility following policy guidelines and procedures, you will be required to remain current with respect to policy and procedure changes and will liaise closely with colleagues and the Leadership team. The main goal of the Eligibility Analyst is to process requests for MSI and Pharmacare coverage and provide consistent, reliable customer service experiences. Documentation processing is a key component of this position with turnaround expectations. Hours of operation are 8:00 am to 5:00 pm (Monday-Friday)
Key Responsibilities
- Determine eligibility following established policy and guidelines defined by the Nova Scotia Department of Health & Wellness.
- Process applications, renewals, payments and other changes related to the various provincial programs’ requirements.
- Handling incoming documentation/correspondence from residents/colleagues in a timely and professional manner.
- Maintain tracking records.
- Review various routine QA reports pertaining to enrolment and eligibility information and make necessary changes.
- Correspond with applicants, residents or providers by fax, telephone, or letters.
- Produce clear and effective written materials.
- Adhere to privacy guidelines following proper procedures.
- Adhere to the performance measures under the Service Level Agreement contract (KPIs)
- Provide input for the maintenance and upkeep of the procedural documentation.
- Access customer needs and address issues in a timely manner (including appropriate customer follow-up) meeting quality objective.
- Provide operational support to the Provincial Programs as needed.
Required Qualifications
- Strong organizational and multitasking skills.
- High degree of attention to detail and accuracy when processing documentation and updating resident files.
- Highly effective listening skills to ascertain customer’s needs, and determine appropriate action required for solution.
- Excellent written and verbal communication skills to explain complex issues to customers and colleagues
- Excellent time management skills
Education: High school diploma; Enrollment in post secondary education
Work Experience: Customer service and data entry Experience would be considered an asset
Computer Skills: Experience working in a PC setting with multiple software applications including experience navigating between applications and the internet. Strong keyboarding skills and the ability to enter data with speed and precision.
Computer Skills: Experience working in a PC setting with multiple software applications including experience navigating between applications and the internet. Strong keyboarding skills and the ability to enter data with speed and precision.
Language Skills: Bilingualism in English and French considered an asset.
Core Competencies
Knowledge: Demonstrates knowledge of customer needs and various processes and procedures in own work area as well as a general understanding of processes in related work areas.
Analytical Thinking: Uses business knowledge and experience to solve routine problems. Asks questions to determine the sources of the problem; discusses possible solutions and makes suggestions.
Communication Skills: Communicates clearly and confidently verbally and in writing to a variety of audiences. Demonstrates the ability to tailor information and delivery to suit the nature of the material, audience, and situation.
Customer Orientation: Is customer focused and dedicated to meeting the expectations of service delivery with a commitment to excellence and quality.
Execution and Organizational Skills: Organizes work and information in a well thought out manner to deliver on specific tasks and milestones to meet deadlines. Exhibits high levels of energy and perseverance on the pursuit of established goals.
Teamwork: Demonstrates an understanding of how the job contributes to the overall work unit and is proactive to help others resolve complex inquiries
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 and you will be asked to take part in a short video interview.
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