Associate Credentialing Specialist

🔥 3 minutes ago

🗿 South Dakota, Wisconsin – Remote

🗿 South Dakota – Remote 🧀 Wisconsin – Remote

💵 $17 - $28 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🦅 H1B Visa Sponsor

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Sanford Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1894

🛡️ Insurance

🏥 Healthcare

⚕️ Healthcare Insurance

Insurance • Healthcare • Healthcare Insurance

Sanford Health is the largest rural health system in the United States, dedicated to transforming the healthcare experience and providing access to world-class healthcare in America's heartland. Headquartered in Sioux Falls, South Dakota, Sanford Health serves over 1. 4 million patients and nearly 200,000 health plan members across 250,000 square miles. The integrated health system includes 48 medical centers, 211 clinic locations, and more than 160 senior living centers, employing 2,900 physicians and advanced practice providers. Sanford Health is committed to offering compassionate care through its Centers of Excellence, focusing on specialties such as cancer, orthopedics, women’s health, and genetics. Additionally, it provides affordable health insurance, engages in extensive clinical trials, and supports personalized genetic medicine.

📋 Description

• Establish and update provider files through online and paper credentialing application and reapplication processes • Obtain and evaluate primary source verification of provider credentials • Maintain current verifications that expire • Facilitate communication of significant findings and process milestones to customers throughout the Sanford system • Complete daily tasks efficiently and accurately • Plan work to meet regulatory and customer-defined deadlines • Coordinate work to minimize redundancy when multiple organizations share common providers • Perform other duties as assigned by department leadership

🎯 Requirements

• Associate's Degree required • In lieu of education, leadership may consider 2 years of applicable experience • Credentialing, provider services, administrative support, business or healthcare experience preferred • Ability to work on daily tasks with efficiency and high quality accuracy • Excellent customer service skills • Ability to take initiative to meet customer needs • Effective communication and a high level of diplomacy with providers • Ability to handle multiple internal and external customer communications • Ability to plan work to meet regulatory and customer-defined deadlines • Ability to coordinate work when multiple organizations share common providers