Provider Credentialing Associate | Data-Driven Support

Sanford

Sioux Falls (SD)

On-site

USD 24,000 - 39,000

Full time

5 days ago
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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

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.

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