Sun Life Financial logo
Sun Life Financial

Headquartered in Toronto, Ontario, Canada, Sun Life Financial provides a global clientele with financial and wealth management services. Sun Life's history date

Provider Partner

Affiliate ManagerAffiliate MarketingFull TimeRemoteSeniorCompany Site

Location

Massachusetts

Posted

40 days ago

Salary

$71K - $106K / year

Seniority

Senior

Bachelor Degree3 yrs expExperience acceptedEnglish

Job Description

• The Provider Partner is the primary on site point person for providers to improve their comprehension of our benefit programs, policies and procedures. • Analyze and monitor provider cost reports on an ongoing basis in order to educate and improve providers’ cost and quality performance. • Maintain network participation by providing aid to dentists and dental office managers to improve their awareness of all available benefit programs. • Educate providers by instructing and advising of the comprehensive policies and procedures involving all phases of the corporation’s benefits and contracts through office visits and communication over the phone and email. • Promote dentist adoption of technology solutions by promoting Web applications and increasing the volume of electronic claims. • Negotiate special deals to maintain compliance and increase access in weak networks. • Facilitate Oral Health presentations to various educational institutions and organizations. • Assist provider offices in filing their claims electronically. • Serve as a partner with dental offices by answering remittance, payment, benefit, claims, and eligibility questions when necessary. • Represent clients and company at trade shows, health fairs, audits, dental summits, etc. throughout the designated market. • Maintain and submit all required reports. • Assist in resolving elevated complaints and issues for clients, members and providers.

Job Requirements

  • Bachelor’s Degree in Business, Healthcare Administration or related field (or relevant work experience)
  • 3 years’ related work experience in healthcare environment
  • Dental knowledge with five (5) or more years of office experience, preferred
  • Strong presentation skills
  • Excellent verbal and written communication skills
  • Ability to work alone and as part of a team
  • Knowledge of Microsoft Office
  • Proven problem-solving skills
  • Up to 50% local travel required
  • Problem solving and training experience
  • Ability to make good judgment conclusions based on data available with minimal supervision.

Benefits

  • Health insurance
  • 401(k) employer match
  • Flexible work hours
  • Generous vacation and sick time
  • Paid family, parental and adoption leave
  • Company paid life and AD&D insurance
  • Disability programs
  • Partially paid sabbatical program

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