Provider Operations Representative, DentaQuest

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. 
  

Not ready to apply yet but want to stay in touch?  Join our talent community (https://pages.beamery.com/sunlifecareers/page/join-us-canada) to stay connected until the time is right for 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. 

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