Provider Enrollment Rep II

Job

Location: 10300 Linn Station Rd. Louisville, KY 40223

Job Type: Full-time

Weekly hours: 40

• 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 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

• 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.

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

• 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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