Provider Enrollment Rep II

Job ID: 843

Location: 10300 Linn Station Rd. Louisville, KY 40223

Job Type: Full-time

Weekly hours: 40

What You’ll Love About Us:

A Positive, Team-Oriented Culture: We believe in supporting one another and celebrating successes, big or small.
Opportunities for Growth: We’re committed to helping you advance your skills and reach your career goals.
Work-Life Balance: Flexible scheduling and an environment that respects your personal time.
Your voice matters: We encourage feedback and innovation at every level.

Benefits of being part of the Mortenson Dental Partners Team

Benefits are available after 60 days of employment
Medical, dental, and vision insurance with company contribution
Life Insurance
Flexible spending (health and dependent care) account
Paid Time Off & 6 paid holidays off
Employee Stock Ownership Plan
401K
Daily Pay
Professional development assistance
FREE continuing education opportunities
Employee assistance program

Responsibilities

By following department guidelines, completes and submits credentialing and recredentialing applications for insurance participation in an accurate and timely manner.
Tracks application status until an effective date is given. Tracks expiring provider credentials and communicates necessary updates appropriately and timely.
Gathers required documents and submits rosters to carriers to assist with delegation.
When prompted, enters current quarterly data on the national CAQH database, TMHP website, and other carrier websites as required.
Collects and maintains all credentials and submits new versions when issues arise to keep credentialing status current.
Triage and responds to departmental inquiries. This includes, but is not limited to, provider network status inquiries, updating provider files, and network changes.
Communicates timely updates to stakeholders and performs various other administrative duties as needed.

Requirements

High School Diploma or equivalent
Dental or medical administration
Computer, basic Excel

Preferred

Associate's Degree
Provider credentialing process
Proficient in Excel, credentialing software, Google Suite

Any offer of employment is contingent upon the Company’s determination that the candidate has successfully passed a background check, including a drug screen.

We are an equal-opportunity employer and consider all qualified candidates equally.

Learn more about this Employer on their Career Site