Provider Support Representative

• Full-time, permanent position
• Hybrid working environment, easily accessible downtown Toronto location
• Competitive salary package with benefits package that includes DB Pension Plan and Health Care Expense Account
  
  

Most organizations lack a social purpose that would make their work meaningful. However, when you find an organization that combines purpose with the level of impact and commitment to see it through, that’s something special.

We’re Raise, and we’ve joined forces with our client Accerta Services Inc., who are looking to hire a full-time, permanent Provider Support Representative.

They are a B Corp certified social enterprise enabling healthcare equality for all. As a social enterprise, they manage dental, vision, drug, and healthcare benefits programs exclusively for government and social services agencies in Canada. Their targeted experience and innovative technology provide cost savings, reliable service, process continuity, and accurate, insightful data that enables governments to make informed strategic decisions, reducing stress on the healthcare system through streamlined administration.

As the new Provider Support Representative, you’ll manage stakeholder databases, oversee provider enrollment and credential validation, and assist providers with the Provider Portal. This role includes processing claims, verifying licensing, and ensuring excellent customer service while maintaining confidentiality and collaborating across teams.

Accountabilities

• Maintain stakeholder databases across Accerta Services Inc. (ASI)
• Responsible for Provider enrollment, following up with Providers for discrepancies and validating Provider credentials with respective colleges or associations
• Support with registration and validation of organizational accounts in the Provider Portal
• Maintain and support Provider accounts in the Provider Portal
• Engage with service providers to offer support on using the provider portal, addressing outstanding claims, and verifying the accuracy of expense submissions linked to their registration number
• Prepare reports where required
• Enter and adjudicate claims when needed
• Process claims payment adjustments as needed
• Liaise with colleges and associations to verify practitioner licensing is in good standing and active
• Laise across ASI teams to support successful remediation of inquiries and provider escalations, as appropriate
• Participate in Provider investigations, where necessary
• Maintain and protect the confidentiality and privacy of all information
• Provide high-quality customer service to internal and external clients
• Internal Clients include the ASI team as well as members of the AccessOAP Consortium
• External Clients include Providers, Colleges, and Professional Associations
  
  

Details

This is a full-time, permanent position offering a hybrid work model that blends remote work with planned in-office days. You will be required to visit the Toronto office about twice a month. Schedules will be determined in partnership between individuals, managers, and the team. The work schedule is Monday through Friday, from either 8:30 am to 4:30 pm or 9:00 am to 5:00 pm.

The position offers a competitive base salary ranging from $50,000 to $55,000 per year, depending on experience. Additionally, you will receive a comprehensive benefits package and a Defined Benefit Pension Plan starting from your first day. Other perks include vacation time, a performance-based bonus, and a one-time home office allowance.

Qualifications

• Completion of post-secondary education
• At least 2 years’ related work experience in a similar position
• Preference will be given to candidates with experience in claims processing and/or liaising with service providers
• Excellent oral and written communication skills
• Attention to detail and ability to deliver high-quality work
• Ability to work independently, in a team and collaborate with others
• Knowledge of claims procedures will be considered an asset
• Demonstrated experience using MS Office such as Word, Excel, and Teams
  
  

Note: A Condition of employment is that you must clear a criminal background check.

Your Application



We value diversity and inclusion and encourage all qualified people to apply; however, only those selected for an interview will be contacted.

Looking for meaningful work? We can help

Raise is an established hiring firm with over 65 years of experience. We believe strongly in making the world a better place through work, which is why we’re a certified B Corporation and donate 10% of our profits to charity.

We strive to build teams that reflect the diversity of the communities we work in. We encourage all qualified applicants to apply, including people from traditionally underrepresented groups such as women, visible minorities, Indigenous peoples, people identifying as LGBTQ2SI, veterans, and people with visible/nonvisible disabilities.

We have a dedicated webpage for accommodations where you can learn more about what we offer, and request accommodation: https://raise.jobs/accommodations/

In order to submit candidates for roles, our clients will sometimes require personal information to confirm the identity of applicants and their legal status to work. Raise will never ask you for personal or banking information unless you have been selected for a job. If you are ever unsure about the legitimacy of this or another job posting by Raise (or have any other questions), please contact us at +1 800-567-9675 or [email protected]

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