Provider Enrollment Specialist

State of South Dakota; Sioux Falls (SD); Sur place; USD 22 000 - 31 000; Plein temps

Avantages offerts par ce poste

Health insurance (0 premium)

11 paid holidays

Vacation and sick leave

Résumé du poste

South Dakota Department of Social Services seeks a detail-oriented provider enrollment specialist to enroll providers and maintain provider data, ensuring access to medical services for customers.

Responsibilities include applying rules to verify eligibility, reviewing enrollment applications, updating records, and assisting with system testing. Some travel to Pierre may be required; remote work is not available.

Qualifications

• Experience in healthcare administration and public relations preferred.
• Strong customer service and communication skills.
• Ability to listen attentively and convey information clearly.

Responsabilités

• Enroll providers and maintain provider data to ensure access to medical services.
• Verify provider eligibility using administrative rules and federal regulations.
• 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.

Connaissances

Public service mindset

Strong communication

Organizational skills

Integrity and professionalism

Teamwork

Healthcare admin experience

Outils

Word

Excel

Internet navigation

Description du poste

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.

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.

South Dakota Bureau of Human Resources

Telephone: [phone] Email: [e-mail]

http://bhr.sd.gov/workforus

"An Equal Opportunity Employer"