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Provider Operations Intake Support Rep

Sun Life
sick time, 401(k)
United States, Wisconsin, Milwaukee
Jan 08, 2025

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 flexible working arrangements in the contiguous 48 states.

At Sun Life, we look for optimistic people who want to make life brighter for ourClients.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 challengedbyworking withdynamic colleaguesto find new and innovative ways to make Sun Life the best benefits company in America.

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.

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.

If you are a California resident, the salary range for this position is:

  • Southern California region: $41,100 - $55,500 annually
  • Northern California region: $43,900 - $59,300 annually

If you are a Colorado or Nevada resident, the salary range for this position is $37,200 - $50,200 annually.
If you are a Connecticut or Maryland resident, the salary range for this position is $39,000 - $52,700 annually.
If you are a Washington or Rhode Island resident, the salary range for this position is $41,100 - $55,500 annually
If you are a New York resident, the salary range for this position is 43,900 - $59,300 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.

Our Affirmative Action Program affirms our commitment to make reasonable accommodation to the known physical or mental limitation 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.

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.

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

Job Category:

Administrative Services

Posting End Date:

23/01/2025

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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