Provider Enrollment Specialist - Public Health

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

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.