Are you a person that likes to resolve problems? Are you interested in working in a multilingual, dynamic and friendly environment that encourages personal and professional development? We would love to meet you!
As a Provider Payment Auditor, you will have to optimize cost containment solutions for bills assigned to First Level Negotiations and help to ensure fair claims payment for our clients.
What does your typical day look like?
Perform initial analysis of medical provider bills received
Determine the best course of action for provider bills based on internal data and tools
Negotiate on small-dollar claims to ensure fair and reasonable payment for our clients using different benchmarking methods
Ensure positive provider relationships are developed and maintained
Propose cost-effective solutions to providers for future payments
What skills and experience are we looking for?
Post-secondary education or equivalent
3-5 years of experience in a customer service role or other relevant work experience
Excellent analytical, mathematical and organizational skills
Excellent verbal and written communication in English (other languages are an asset)
At ease with a broad range of technology platforms (including Microsoft Office)
Competitive vacation package;
An extensive benefit package that includes health (100%), dental, life and travel insurance, as well as a retirement savings plan;
A flexible and supportive work environment offering several benefits such as on-call doctors, on-site Bistro, and much more;
A company wellness program that includes an on-site gym, opportunities to participate in fitness classes, discounts at local businesses as well as “lunch-and-learns” on various topics linked to health and wellness;
Many opportunities for advancement, development and financial assistance to employees who wish to continue their education.
Job ID: 2023-2085
External Company Name: Global Excel Management
External Company URL: http://www.globalexcel.com
Street: 73 Queen Street
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