Provider Configuration Enrollment Representative

Sanford HealthSioux Falls, SD
$18 - $28

About The Position

The Provider Configuration Enrollment Representative is responsible for obtaining provider profile information. This includes verifying provider demographic information, billing, credentialing, and other information from providers in a timely manner. Entering provider enrollment and disenrollment data and maintaining the provider database. Receive information from provider office and make appropriate changes if necessary to information such as profiles, changes to demographics etc. Ensure credentials and employees and update information when necessary. Must possess skills in use of basic office equipment, computers, printers and email.

Requirements

  • Must possess skills in use of basic office equipment, computers, printers and email.

Nice To Haves

  • High school diploma or equivalent preferred; Associate degree or graduate of an accredited Medical Assistant Program is preferred.
  • Previous experience in health care field organization preferred.
  • Prior insurance billing or credentialing experience is preferred.
  • Experience in Microsoft Office.

Responsibilities

  • Obtaining provider profile information
  • Verifying provider demographic information, billing, credentialing, and other information from providers in a timely manner.
  • Entering provider enrollment and disenrollment data
  • Maintaining the provider database
  • Receive information from provider office and make appropriate changes if necessary to information such as profiles, changes to demographics etc.
  • Ensure credentials and employees and update information when necessary.
  • Must possess skills in use of basic office equipment, computers, printers and email.
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