Associate Credentialing Specialist

Sanford Health•Sioux Falls, SD
•$18 - $28

About The Position

The Associate Credentialing Specialist facilitates credentialing for initial and reappointment applications and maintains a current, accurate system-wide repository of provider information. The role establishes and updates provider files through online and paper applications, obtains and evaluates primary-source verification of provider credentials, and maintains verifications as they expire. It also communicates significant findings and process milestones to customers throughout the Sanford system. The specialist handles multiple daily tasks and internal and external customer communications efficiently and accurately, provides excellent customer service, and communicates diplomatically with providers. The role plans work to meet regulatory and customer-defined deadlines and coordinates work to minimize duplication when multiple organizations share providers. Other duties may be assigned by department leadership according to business needs.

Requirements

  • Associate's degree required; leadership may consider two years of applicable experience in lieu of education.
  • Ability to complete multiple tasks efficiently and accurately while handling internal and external customer communications.
  • Ability to plan work to meet regulatory and customer-defined deadlines.
  • Excellent customer service and effective, diplomatic communication skills.

Nice To Haves

  • Experience in credentialing, provider services, administrative support, business, or healthcare.

Responsibilities

  • Establish and update provider files through online and paper credentialing applications and reapplications.
  • Obtain and evaluate primary-source verification of provider credentials.
  • Maintain current verifications, including those that expire.
  • Communicate significant findings and process milestones to customers throughout the Sanford system.
  • Complete multiple daily tasks and customer communications efficiently and accurately.
  • Provide excellent customer service and communicate diplomatically with providers.
  • Plan work to meet regulatory and customer-defined deadlines.
  • Coordinate work to minimize redundancy when multiple organizations share providers.
  • Perform other duties as assigned by department leadership according to business need.
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