Provider Operations Specialist

New

Skills

Customer Service Data Entry Microsoft Excel Microsoft Outlook Microsoft Word

Sun Life, a leading global financial services company, is seeking a Provider Operations Representative to support its commitment to delivering comprehensive protection, wealth, and health solutions. In this role, you will be responsible for managing provider applications, credentialing, and maintaining accurate provider data to ensure seamless service for clients and practitioners. Join a diverse and inclusive organization dedicated to financial security, healthier lives, and positive community impact.

Key Responsibilities
  • Process new provider applications from receipt to directory inclusion and manage ongoing updates.
  • Enter provider data, applications, contract information, and status changes accurately and promptly.
  • Verify credentialing criteria for practitioners joining the network.
  • Conduct initial and re-credentialing processes, including follow-ups for required information.
  • Coordinate with practitioners and ensure compliance with credentialing standards.
Required Skills & Qualifications
  • High School Diploma or equivalent.
  • Minimum 1 year of relevant experience in a similar role.
  • Proficient in Microsoft Word, Excel, Outlook, and workflow/time tracking software.
  • Strong oral and written communication abilities.
  • Exceptional organizational and multitasking skills, with the ability to prioritize tasks.
  • Ability to work independently and adapt to changing environments.
  • Excellent customer service and problem resolution skills.
  • Experience managing files or data coordination preferred.
  • Knowledge of dental terminology is a plus.
  • Willingness to attend additional training and work beyond 40 hours/week as needed.

Job Type: Remote

Salary: Not Disclosed

Experience: Entry

Duration: 12 Months

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