Associate Credentialing Specialist

sanford; Sioux Falls (SD); On-site; USD 36,000 - 58,000; Full time

Job summary

Sanford Health in Sioux Falls is seeking an Associate Credentialing Specialist to manage credentialing for initial and reappointment applications and to maintain a current, system-wide provider data repository.

The role involves establishing and updating provider files, obtaining primary source verifications, maintaining expirations, and communicating milestones to customers with a high level of service and diplomacy.

Qualifications

• Associate's Degree required. In lieu of education, leadership may consider 2 years of applicable experience.
• Credentialing, provider services, business or healthcare experience preferred.
• Sanford is an EEO/AA Employer M/F/Disability/Vet.

Responsibilities

• Establish and update provider files through online and paper credentialing applications and reapplication processes.
• Obtain and evaluate primary source verification of provider credentials.
• Maintain current verifications that expire and communicate milestones to customers across Sanford system.
• Plan daily tasks to meet regulatory and customer deadlines, coordinating to minimize redundant work.

Skills

Customer service

Communication

Multitasking

Attention to detail

Education

Associate's Degree

2 years of applicable experience

Job description

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.

Work Shift

8 Hours - Day Shifts (United States of America)

Scheduled Weekly Hours

40

Compensation

Salary Range: $17.50 - $28.00

Union Position

No

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, 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].