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. #MDPSJ