Provider Operations Intake Support Representative, DentaQuest

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide.

Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.

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.

Location: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work.

The opportunity:
The Provider Operations Intake Support Representative primary duties include receiving provider credentialing documents, pre-screening for completeness, scanning and re-routing. This permits accurate and timely processing of credentialing documents. This role also includes reviewing, scanning, filing and coordinating the execution of provider agreements. The Provider Operations Intake Support Representative will also enter provider data pertaining to applications, contract information, status changes, and payee changes.

How you will contribute:

• Electronically review assigned faxes and emails daily.
• Receive assigned mail relating to provider enrollment daily and turn electronic.
• Process assigned provider enrollment documents daily.
• Re-direct non-credentialing documents daily.
• Stamp all enrollment documents assigned daily.
• Conduct review of assigned provider enrollment documents daily.
• Research for records in enterprise system.
• Enter or update existing provider records in enterprise system.
• Conduct review of assigned provider enrollment documents daily.
• Work with providers by phone, fax, U.S. mail, and email to ensure that they complete the enrollment process.
• Follow up with providers to ensure that all necessary information is received and that the enrollment process is completed timely.
• Develop relationships with providers and their staff and answer questions they may have about the process.
• Coordinate scanning of documents and store electronically to Cactus credentialing software.
• Track daily intake volumes.
• Audit provider contract effective dates for execution.
• Coordinate contract execution.
• Scan provider contracts.
• Electronically file provider contracts.
• Research and correct data to avoid duplicate provider, locations or payees.
• Other duties as needed or required.

How you will contribute:

• High School diploma or equivalent; Associate's degree preferred.
• 1-3 years of experience in business environment.
• Proficient in the use of Excel.
• Proficient in general computer software (Word, Outlook, Powerpoint).
• Excellent customer service skills.
• Excellent verbal and written communication skills.
• Ability to learn new software programs quickly.
• Ability to create status reports on metrics.
• Ability to investigate data to identify next steps.
• Ability to prioritize and organize multiple tasks.
• Ability to remain organized amid multiple interruptions.
• Ability to work in a fast paced environment.
• Ability to make independent decisions.
• Attention to detail.
• Ability to adapt to constantly changing environment.
  

Salary: $35,400 - 47,800
At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions.

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We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds.

Life is brighter when you work at Sun Life

At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities.

We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email thebrightside@sunlife.comto request an accommodation.

For applicants residing in California, please read our employee California Privacy Policy and Notice.

We do not require or administer lie detector tests as a condition of employment or continued employment.

Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances.

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.