Associate Credentialing Specialist

Sanford Health • Sioux Falls, SD

13d

About The Position

The Associate Credentialing Specialist facilitates initial and reappointment credentialing applications and maintains a current, accurate, system-wide data repository for provider information. The role establishes and updates provider files using online and paper applications, obtains and evaluates primary-source verification of provider credentials, maintains current verifications as they expire, and communicates significant findings and process milestones to customers throughout the Sanford system.

The specialist completes daily work efficiently and accurately, provides excellent customer service, takes initiative to support a positive customer experience, and communicates effectively and diplomatically with providers. The role requires managing multiple tasks and internal and external customer communications, planning work to meet regulatory and customer-defined deadlines, and coordinating with others to minimize redundant work when organizations share providers. Other duties may be assigned by department leadership according to business needs.

Requirements

• Associate's degree required; in lieu of education, leadership may consider two years of applicable experience.
• Ability to manage multiple daily tasks efficiently and with high-quality accuracy.
• Ability to handle internal and external customer communications and communicate effectively and diplomatically with providers.
• Ability to plan and coordinate work to meet regulatory and customer-defined deadlines.

Nice To Haves

• Credentialing, provider services, administrative support, business, or healthcare experience preferred.

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 that expire.
• Communicate significant findings and process milestones to customers throughout the Sanford system.
• Complete multiple daily tasks efficiently and accurately while handling internal and external customer communications.
• Provide excellent customer service, take initiative to meet customer needs, and communicate effectively and diplomatically with providers.
• Plan and coordinate work to meet regulatory and customer-defined deadlines and minimize redundant work when organizations share providers.
• Perform other duties as assigned by department leadership according to business needs.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree