Job Description
Member Outreach Support Representative, DentaQuest
locations: U.S. Telecommuters; U.S. Employees (Remote)
time type: Full time
job requisition id: JR00082921
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 welcome applicants from anywhere in the U.S.
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 Member Outreach Representative (MOR) for telephone outreach to designated member populations to ensure retention, utilization of services, and satisfaction as well as meeting compliance regulations with reporting on these topics.
How you will contribute:
- Initiate member outreach utilizing the company’s Enterprise Resource & Planning software (ERP) through its automated call distribution system (ACD) to include the following special populations:
- Diabetic Members
- New Members to the Dental Plan
- Pregnant Members
- Members between the ages of 1-14 years old
- Assist in improving the region’s health by considering each community member’s unique health, cultural and social needs
- Other duties as needed or required
What you will bring with you:
Required:
- High school diploma or equivalent
- 1+ years of experience working with Medicaid populations by phone or in person, or equivalent
- Computer proficiency in a variety of Windows applications
- Attends additional training as requested/deemed necessary
Preferred:
- 2+ years of experience working in a call center environment.
- Experience in a dental/medical insurance setting.
PHYSICAL DEMANDS:
- Incumbent must be able to communicate effectively.
- Requires overall light physical effort (up to 25lbs.)
- Manual dexterity and sitting is required in carrying out position own position responsibilities (i.e. use of personal compute).
- Ability to travel or move about within and outside serviced facilities required.
- Incumbent works primarily in either a private or shared office environment.