About this role
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.
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