Job Description

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.

Job Title: Dental Special Authorization Analyst
Department: Federal Programs
Competition: 85097
Internal/External: External
Employment Type: Permanent, Full-Time
Location: Remote within Canada
Salary: Competitive Compensation
Reports To: Team Leader
Closing Date: October 3, 2022

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.

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: Bilingualism (English and French) is a strong asset

This role can be remote (working from home) anywhere within Canada.

Working hours: No evenings, no weekends:

British Columbia: 8:00am-4:30pm PST

Alberta: 9:00am-5:30pm MST

Ontario/Quebec: 11:00am-7:30pm EST

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.

Working Conditions and Work from Home requirements:

• Employee may be subject to internal physical site inspections
• Private working area that has a locked door, secure locked perimeter doors (patio doors require a locking bar or pin), an approved locking file cabinet and a locked office space in a controllable environment
• Employees must connect to an approved home network (we would either provide or specify the acceptable routers/connectivity equipment)
• No default passwords if using a home router etc. and the password must be compliant with our security policies
• Work area must be private and free of household noise
• Location of the work area mitigates risks to privacy; for example, that information on the monitor can only be viewed by the employee. The use of privacy screens is required if the home is shared with others.
• E-work space must be secured before walking away
• Headset is mandatory i.e. no speaker phone so family or roommates cannot hear others on the call

#CBM1

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.