Provider Enrollment Rep II

Mortenson Dental Partners; Louisville, Northern (KY, KY); Hybrid; USD 42,000 - 54,000; Full time

Job summary

Mortenson Dental Partners in Louisville, KY is seeking a Provider Enrollment Rep II to manage credentialing workflows and maintain provider records. This full-time role supports insurance participation, tracks status, and ensures timely updates across carrier portals.

The position requires attention to detail, familiarity with CAQH, TMHP, credentialing software, and cross-functional collaboration with internal teams. Equal opportunity employer.

Qualifications

• High School Diploma or equivalent.
• Dental or medical administration experience.
• Computer skills with basic Excel.
• Preferred Associate's Degree.
• Familiar with provider credentialing processes and software.
• Proficient in Excel, credentialing software, and Google Suite.

Responsibilities

• Complete and submit credentialing and recredentialing applications for insurance participation accurately and timely.
• Track application status until an effective date and monitor expiring credentials.
• Gather documents and submit rosters to carriers to assist with delegation.
• Enter quarterly data on CAQH, TMHP, and other carrier portals as required.
• Maintain all credentials and submit updates to keep status current.
• Respond to inquiries and update provider files; communicate with stakeholders.
• Perform other administrative duties as needed.

Skills

Proficient in Excel

Google Suite

Credentialing process

Education

High School Diploma or equivalent

Associate's Degree

Tools

Excel

Credentialing software

Google Suite

Job description

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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