Associate Credentialing Specialist

Sanford; Sioux Falls (SD); On-site; USD 24,000 - 39,000; Full time

Benefits offered by this job

Health insurance

Job summary

Sanford Health, based in Sioux Falls, SD, is seeking an Associate Credentialing Specialist to support the credentialing process for initial and reappointment applications. You will manage provider files, verify credentials through primary sources, and maintain a system-wide data repository with accuracy and efficiency.

Daily tasks include updating credentialing applications, coordinating with internal teams, and communicating milestones to customers throughout Sanford Health.

Qualifications

• Associate's Degree required or 2 years related experience.
• Credentialing, provider services, or healthcare admin experience preferred.
• Sanford is an EEO/AA Employer M/F/Disability/Vet.

Responsibilities

• Establish and update provider files via online and paper credentialing applications.
• Obtain and evaluate primary source verification of credentials.
• Maintain current verifications that expire and communicate milestones to customers across Sanford.
• Coordinate work to meet regulatory and customer deadlines and minimize redundant efforts.

Skills

Customer service

Effective communication

Attention to detail

Diplomacy

Education

Associate's Degree

Job description

• Work Shift: 8 Hours - Day Shifts (United States of America)
• Scheduled Weekly Hours: 40
• Compensation: Salary Range: $17.50 - $28.00
• Union Position: No

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland.

Summary

The Associate Credentialing Specialist is responsible for tasks and processes developed to facilitate the credentialing process for initial and reappointment applications and maintain a current and accurate, system-wide data repository for provider information.

Job Description

Tasks include establishing and updating provider files through both an online and paper credentialing application and reapplication process, obtaining and evaluating primary source verification of provider credentials, maintaining current verifications that expire, and facilitating the communication of significant findings and process milestones to customers throughout the Sanford system. Must be able to work on daily tasks with efficiency and high quality accuracy. Other duties as assigned by department leadership per business need.

Demonstrates excellent customer service skills and take initiative to meet the needs of all to ensure customer focus and a positive experience. Communicates effectively and with a high level of diplomacy with providers. Must be able to work on multiple daily tasks with efficiency and high-quality accuracy while handling multiple internal and external customer communications. Responsible for planning work to meet regulatory and customer defined deadlines, which requires coordination to minimize redundancy of work when multiple organizations share common providers.

Qualifications

Associate's Degree required. In lieu of education, leadership may consider 2 years of applicable experience.

Credentialing, provider services, administrative support, business or healthcare experience preferred.

Sanford is an EEO/AA Employer M/F/Disability/Vet.

If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to [e-mail].