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Dental Special Authorization Analyst- Medical Authorization Centre

Posting Date: Dec 30, 2021

Location: Moncton, New Brunswick, CA, E1C 0M3 CA CA Dartmouth, Nova Scotia, CA, B3J 3C6 CA St. John's, NL, CA, A1B 3K3 Charlottetown, Prince Edward Island, CA, C1A 9S2 CA

Company: Medavie Blue Cross

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’s 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’re 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 — a national health organization with over 6,400 employees. Together, our mission is to improve the wellbeing of Canadians. 

 

Job Title: MAC Dental Special Authorization Analyst
Department:  MAC Dental, Federal Administered Programs
Competition:  69294
Internal/External:  Internal/External
Employment Type:  Full-Time, Permanent
Location:  NB, NS, PEI, NL (Remote/Onsite)
Salary: Competitive Compensation
Reports To:  Team Leader
   
   

If you are looking for an opportunity in a challenging, fast-paced and team-oriented work environment with a leading local organization, the career you’ve been looking for may be waiting for you at Medavie Blue Cross.

 

The Federal Administered Programs (FAP) Medical Authorization Centre- Dental specializes in the authorization and reimbursement of dental benefits. 

 

As a MAC Dental, Special Authorization Analyst, you will develop a high level of knowledge in the programs we administer. In this role you will respond to requests from clients and providers in both official languages.

 

This opportunity can be located within a home based office, within Atlantic Canada or at one of our office locations.

 

Shifts may vary during the hours of operations of the Medical Authorization Centre-Dental, between 8:00AM – 6:00PM, Monday to Friday.

 

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.

 

The successful candidate will demonstrate the ability to:

  • Have the ability to work quickly and accurately under pressure of time restraints;
  • Have the ability to work on your own and as a team member;
  • 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.
  • Other Qualifications: 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 is required, English and French.

 

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

 

Medavie Blue Cross is an equal opportunity employer.

 

In order to keep our employees, candidates, and community safe during the COVID-19 pandemic, the majority of our employees are working from home within Canada. All interviewing, onboarding and most work takes place remotely at this time. For those employees who must work in our offices, we have taken every precaution to ensure the health and safety of our people by providing strict protocols/practices to meet legislated client and company needs, as well as modifications to the worksites to mitigate the risks for everyone's protection.   

 

At Medavie, everything we do is to improve the wellbeing of Canadians.  We have implemented a COVID-19 Vaccination Policy as part of our ongoing efforts to protect the health and safety of our employees, partners, plan members and the communities where we live and work.  Proof of full vaccination is required for any Medavie Blue Cross positions. 

 


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