Provider Enrollment Specialist

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

Benefits offered by this job

Health insurance option (zero premium)

Eleven paid holidays

Vacation and sick leave accrual

Dental and vision insurance

Retirement benefits (SDRS)

Job summary

The Department of Social Services in South Dakota seeks a detail-oriented provider enrollment specialist to enroll providers and maintain provider data, ensuring access to medical services. The role requires reviewing eligibility, applying rules, and coordinating record updates.

Located in Pierre or Sioux Falls, travel to Pierre may be required; not eligible for remote work. The ideal candidate will have strong communication and public service aptitude, with healthcare administration experience

Qualifications

• Detail-oriented with strong customer service and communication skills.
• Ability to interpret and apply departmental rules and regulations.
• Experience in healthcare administration or public relations is a plus.

Responsibilities

• Enroll providers and maintain provider data to ensure access to medical services.
• Verify provider eligibility and review enrollment applications and record changes.
• Coordinate updates, answer provider questions, and educate on online enrollment processes.
• Assist with testing provider enrollment systems.

Skills

Communication skills

Customer service

Organizational skills

Attention to detail

Public relations

Data analysis

Teamwork

Tools

Word

Excel

Internet navigation

Job description

19.02 - 19.02 US per hour

Posted 3 days ago | Apply before November 11, 2026

Description

Job ID: 38210
Agency: Department ofSocial 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;

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.