Digital Services Support Representative, DentalQuest
Sun Life

Job Info

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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: Milwaukee WI

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 Digital Services Support Representative I is responsible for a significant variety of critical functions necessary to aid day-to-day claims intake operations. This position ensures that the company meets all guidelines and turnaround times set by state and federal regulations and/or plan contracts specific to Intake.

How you will contribute:

• Accountable for robust comprehension of Commercial and Vision as well as State & Health Plan business clients, client requirements, claim & UM policies, and procedures that relate to Intake
• Accept, sort and log mail deliveries from USPS, FedEx and other couriers
• Open and sort incoming mail accurately into appropriate categories for further mail preparation
• Prepare paper claims, authorizations, and x-rays by ensuring correct procedures are followed
• Accurately identify specific document types and ensure they are appropriately identified and organized
• Basic document scanning for business docs such as Cred, Appeals & Fraud
• Evaluate prepared mail and accurately assign barcode identification labels for document image scanning for x-rays and ortho model claims
• Digitize all x-rays received simultaneously with paper claims to assure complete and diagnostic images are available to guarantee proper determinations
• Digitize ortho models using ShapeGrabber software
• Adhere to the document retention policy for paper claims, x-rays, and ortho models as well as the timely and appropriate recycling of those items
• Prepare provider returns for missing and incomplete documents
• Aid developed accuracy standards and metrics and maintain all required logs for daily production reporting
• Ensure Protected Health Information (PHI) is secure when handling and processing documents
• Maintain safe and clean working environment by complying with procedures, rules, and regulations
• Participate in peer to peer training as requested to assist new team members and/or increase personal knowledge of functions
• Adhere to business processes

What you will bring with you:

• High School Diploma or equivalent
• 2+ years of office work experience
• Strong attention to detail and high degree of accuracy
• Excellent conversation skills
• Acceptable written and oral communication skills
• Knowledge of general computer software
• Ability to prioritize and organize multiple tasks
• Ability to work in excess of 40 hours in a week when necessary, as needed or required to meet business needs
• Interacts in a professional and effective manner with all internal and external personnel
• Ability to handle repetitive work

Physical Demands

• Incumbent must be able to communicate effectively.
• Requires overall light physical effort (up to 25lbs.)
  

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.

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 recruitingUS@sunlife.com to 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:

Office Administration

Posting End Date:

02/06/2024

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 vetera n

This job has expired.