Alberta Aids Daily Living (AADL) Coordinator - Provider Services & Claims Administration

Alberta Blue Cross is seeking a temporary 12-month, full-time AADL Coordinator in our Provider Services department. You will be an ambassador on behalf of Alberta Blue Cross and will handle incoming provider inquiries from multiple sources along with requests from AADL policy makers.

Requirements

• Respond to telephone and written inquiries from providers, utilizing strong listening and problem-solving skills.
• Ensures claims are processed and paid in accordance with Alberta Aids to Daily Living policies
• Works independently to assess and determine appropriate system entry and correspondence for select requests.
• Identifies and reports any adjudication or system problems to the Management Team
• Identifies necessary changes to improve overall operation of adjudication.
• Reports any discrepancies or suspect claims that are not in line with contractual agreement.
• Assists as liaison between other departments within Alberta Blue Cross, or external partners as required.