Provider Operations Representative, DentaQuest
location
U.S. Employees (Remote)
Full time
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.
DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all.
Job Description:
Location: We support US virtual working arrangements in the contiguous 48 states.
At Sun Life, we look for optimistic people who want to make life brighter for our Clients. We understand the value of diverse cultures, perspectives, and identities, and want you to bring your full and authentic self to work. Every day, you’ll be empowered and challenged by working with dynamic colleagues to find new and innovative ways to make Sun Life the best benefits company in America.
The opportunity:
The Provider Operations Representative responsibilities include taking a new provider application from receipt to inclusion on directory along with ongoing updates.
How you will contribute:
Accurate and timely entry of provider data including provider applications and contract information, status changes, and payee changes
Verifying all the credentialing criteria for practitioners that have applied to the network
Initial and re-credentialing and follow up with practitioners as needed to obtain information for the credentialing process
What you will bring with you:
High School Diploma or equivalent.
1 year job related experience
Good interpersonal skills.
Ability to work independently.
Excellent oral and written communication skills.
Efficient PC skills (Word, Excel, Outlook, Work Flow Software, Time Tracking Systems).
Ability to learn new software programs quickly.
Ability to prioritize and organize multiple tasks.
Ability to remain organized with multiple interruptions.
Good customer service and problem resolution skills.
Ability to navigate websites needed for credentialing purposes.
Ability to adapt to a constantly changing environment.
Ability to work in excess of 40 hours in a week.
Required to attend additional training as requested/deemed necessary.
Previous experience working with files or the collection and coordination of data preferred.
Knowledge of Dental terminology preferred.
Do you see yourself in this role even if you haven’t checked all the boxes above? We welcome all talented candidates and are committed to a culture that represents diversity in all forms. If you think you might thrive in this setting, we would love to hear from you.
Life is brighter when you work at Sun Life
Excellent benefits and wellness programs to support the three pillars of your well-being – mental, physical and financial – including generous vacation and sick time, market-leading paid family, parental and adoption leave, a partially-paid sabbatical program, medical plans, company paid life and AD&D insurance as well as disability programs and more
Retirement and Stock Purchase programs to help build and enhance your future financial security including a 401(k) plan with an employer-paid match as well as an employer-funded retirement account
A flexible work environment with a friendly, caring, collaborative and inclusive culture
Great Place to Work® Certified in Canada and the U.S.
Named as a “Top 10” employer by the Boston Globe's “Top Places to Work” two years running
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
If you are a California resident, the salary range for this position is:
Southern region: $45,600 - 59,300 annually
Northern region: $48,800 - 63,500 annually
If you are a Colorado or Nevada resident, the salary range for this position is $41,300 - 53,600 annually.
If you are a Connecticut or Maryland resident, the salary range for this position is $43,200 - 56,300 annually
If you are a Washington or Rhode Island resident, the salary range for this position is $45,600 - 59,300 annually
If you are a New York resident, the salary range for this position is $48,800 - 63,500 annually
We consider various factors in determining actual pay including your skills, qualifications, and experience. In addition to salary, this position is eligible for incentive awards based on individual and business performance as well as a broad range of competitive benefits.
Sun Life Financial is a leading provider of group insurance benefits in the U.S., helping people protect what they love about their lives. More than just a name, Sun Life symbolizes our brand promise of making life brighter -for our customers, partners, and communities. Join our talented, diverse workforce and launch a rewarding career. Visit us at www.sunlife.com/us to learn more.
At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.
