Provider Enrollment Specialist

South Dakota State Government; Pierre (SD); On-site; USD 22,000 - 31,000; Full time

Job summary

The Department of Social Services, Division of Medical Services, is seeking a detail-oriented provider enrollment specialist to enroll providers and maintain provider data, ensuring access to medical services for clients. You will apply rules and regulations, review applications, and coordinate record updates.

This position is located in Pierre or Sioux Falls and is not eligible for remote work. If located in Sioux Falls, occasional travel to Pierre is required.

Qualifications

• Strong customer service and communication skills.
• Ability to understand and apply departmental rules and regulations.
• Experience with data entry and provider enrollment processes.
• Attention to detail and ability to analyze data.
• Ability to work with multiple systems and prioritize tasks.

Responsibilities

• Enroll providers and maintain provider data for access to medical services.
• Apply administrative rules and federal regulations to determine eligibility.
• Review and approve enrollment applications and record modifications.
• Coordinate record updates and answer provider questions.
• Educate providers on online enrollment processes and assist with system testing.

Skills

Business English

MS Word

MS Excel

Clear communication

Regulatory interpretation

Data gathering

Data analysis

Discretion and tact

Time management

Tools

Word

Excel

Internet navigation

Job description

Job ID: 38210

Agency: Department of Social Services

Location: This position can be located in Sioux Falls or Pierre. If the selected individual resides outside of the Pierre area, there will be an expectation to travel to Pierre 4 days per month.

Salary: $19.02 Hourly, depending on qualifications

Pay Grade: E

Closing Date: 11.11.2026

This is a Full-Time 40 Hours Weekly position with the Department of Social Services. For more information on DSS, please visit https://dss.sd.gov .

Summary

The Department of Social Services, Division of Medical Services is seeking a detail-oriented individual with strong customer service and communication skills to join their provider enrollment team. This position works to enroll providers and maintain provider data which assists to ensure that access to medical services is available to the department's customers. Duties include ensuring provider eligibility through the application of administrative rules and federal regulations; reviewing and approving provider enrollment applications and record modifications; comparing and validating data; coordinating record updates; answering provider questions; and educating providers on the online enrollment processes. This position will also assist with testing various provider enrollment systems.

This position is located in Pierre or Sioux Falls and is not eligible for remote work. If located in Sioux Falls, occasional travel to Pierre is required.

The Ideal Candidate Will Have

• a passion for serving the public and displays a high level of effort and commitment towards completing assignments and goals;
• the ability to listen attentively to others and clearly conveys information and ideas;
• be a dependable and organized individual who effectively plans and organizes work activities;
• be dedicated to the ability to represent the Department of Social Service with integrity and enthusiasm;
• work cooperatively with others and promotes a friendly work climate in order to achieve shared goals;
• experience in healthcare administration and public relations are preferred.

Knowledge, Skills, and Abilities

• business English including grammar, spelling, and punctuation;
• basic computer use of Word, Excel and internet navigation;
• communicate information clearly and concisely;
• comprehend, properly apply, interpret, and explain departmental rules and regulations to others;
• compare information and recognize discrepancies;
• effectively plan and organize work activities, adjust to multiple demands, and prioritize tasks to complete assignments and meet deadlines;
• exercise tact and discretion in dealing with others;
• gather and analyze data;
• utilize computerized data system.

Additional Requirements: To be considered, please attach your resume.

This position is eligible for Veterans' Preference per ARSD 55:10:02:08.

NCRC: If you possess a National Career Readiness Certificate, please submit the certificate with your application. For more information on how to acquire a National Career Readiness Certificate contact a South Dakota Department of Labor and Regulation Job Service Office. A certificate is not necessary to be considered.

The State of South Dakota does not sponsor work visas for new or existing employees. All persons hired will be required to verify identity and eligibility to work in the United States and complete an Employment Eligibility Verification, Form I-9. The State of South Dakota as an employer will be using E-Verify to complete employment eligibility verification upon hire.

The State of South Dakota offers $0 premium employee health insurance option plus eleven paid holidays, generous vacation and sick leave accrual, dental, vision, and other insurance options, and retirement benefits. You can view our benefits information here . This position is a member of Class A retirement under SDRS.

'An Equal Opportunity Employer'