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\xe2\x80\x99s 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\xe2\x80\x99re 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 \xe2\x80\x94 a national health organization with over 6,400 employees. Together, our mission is to improve the wellbeing of Canadians.

Job Title: Bilingual Dental Special Authorization Analyst
Department: Medical Authorization Centre (Dental) - Federal Administered Programs
Competition: 69294
Internal/External: Internal/External
Employment Type: Full-Time, Permanent
Location: Remote, Canada
Salary: Competitve Compensation and Benefits
Reports To: Team Leader
Apply By: Sepember 28, 2023

Remote work available!!!!

The Team:

• Take your hands-on clinical experience and come experience an amazing Dental Team in an office environment!
• We\'re a progressive, fast-paced and dynamic team that work together to support our Federal customers
• The Medical Authorization Centre Dental Team specializes in the authorization and reimbursement of dental benefits
• Together with your Dental peers, you will develop a high level of knowledge in the programs we administer and learn everyday!
• You also have the ability to work Remote, Onsite or Hybrid - tell us what works for you!!

Key Responsibilities

• Receive, 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.
• In this role you will respond to requests from clients and providers in both official languages.
• Shifts may vary during the hours of operations of the Medical Authorization Centre-Dental, between 8:00AM \xe2\x80\x93 6:00PM, Monday to Friday.

The successful candidate will demonstrate the ability to:

• Work quickly and accurately under pressure of time restraints
• Work with autonomy and together as a Team
• 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 relative work experience in a dental environment
• Experience working in an office and or customer service experience would be considered an asset
• Experience with quick and accurate data entry and knowledge of claims processing
• Eligibility and claims systems would be considered an asset
• Computer Skills: Experience working with the Microsoft Office Suite

Language Skills: Must be fluently Bilingual (English and French) both written and verbal in order to provide services to our customers and communicate with internal stakeholders in both official languages

Security Clearance: In conjunction with our contract with the Federal Government, you will be required to have Reliability Status Clearance (Enhanced Level B) through the Public Works and Government Services Canada Department prior to your first day. This includes; Fingerprinting, Criminal Record Check and Credit Check.

We are an Equal Opportunity Employer.

Medavie Blue Cross strives to foster a culture where everyone is enabled to achieve their full potential \xe2\x80\x94 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.

Medavie Blue Cross