Provider Enrollment Rep II

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.