Provider Credentialing & Data Quality 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 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.