Associate Credentialing Specialist

Sanford HealthSioux Falls, SD
Onsite

About The Position

The Associate Credentialing Specialist is responsible for tasks and processes developed to facilitate the credentialing process for initial and reappointment applications and maintain a current and accurate, system-wide data repository for provider information. Tasks include establishing and updating provider files through both an online and paper credentialing application and reapplication process, obtaining and evaluating primary source verification of provider credentials, maintaining current verifications that expire, and facilitating the communication of significant findings and process milestones to customers throughout the Sanford system. Must be able to work on daily tasks with efficiency and high quality accuracy. Other duties as assigned by department leadership per business need. Demonstrates excellent customer service skills and take initiative to meet the needs of all to ensure customer focus and a positive experience. Communicates effectively and with a high level of diplomacy with providers. Must be able to work on multiple daily tasks with efficiency and high-quality accuracy while handling multiple internal and external customer communications. Responsible for planning work to meet regulatory and customer defined deadlines, which requires coordination to minimize redundancy of work when multiple organizations share common providers.

Requirements

  • Associate's Degree required. In lieu of education, leadership may consider 2 years of applicable experience.
  • Must be able to work on daily tasks with efficiency and high quality accuracy.
  • Must be able to work on multiple daily tasks with efficiency and high-quality accuracy while handling multiple internal and external customer communications.

Nice To Haves

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

Responsibilities

  • Establish and update provider files through both an online and paper credentialing application and reapplication process.
  • Obtain and evaluate primary source verification of provider credentials.
  • Maintain current verifications that expire.
  • Facilitate the communication of significant findings and process milestones to customers throughout the Sanford system.
  • Work on daily tasks with efficiency and high quality accuracy.
  • Demonstrate excellent customer service skills and take initiative to meet the needs of all to ensure customer focus and a positive experience.
  • Communicate effectively and with a high level of diplomacy with providers.
  • Work on multiple daily tasks with efficiency and high-quality accuracy while handling multiple internal and external customer communications.
  • Plan work to meet regulatory and customer defined deadlines, which requires coordination to minimize redundancy of work when multiple organizations share common providers.
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