Associate Credentialing Specialist
Sanford Health
Summary
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.
Job description
Summary
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.
Job Description
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
- Credentialing, provider services, administrative support, business or healthcare experience preferred
Company overview
Sanford Health is one of the largest integrated healthcare delivery systems in the United States, operating as a nonprofit organization headquartered in Sioux Falls, South Dakota. Founded in 1894, the organization has grown into a comprehensive health system with 44 medical centers, 482 clinics, and more than 200 senior living facilities across 26 states and nine countries. Sanford Health provides a full spectrum of healthcare services including acute care hospitals, specialty clinics, senior care through the Good Samaritan Society, genomic medicine, global clinics, and the Sanford Health Plan insurance program. The system employs over 48,000 healthcare professionals including 1,400 physicians and delivers care through five Centers of Excellence: Cancer, Children's, Heart, Orthopedics/Sports Medicine, and Women's Health. Annually, Sanford Health handles approximately 5.3 million outpatient visits, 84,000 admissions, and 136,000 surgeries. The organization is also actively involved in medical research and education through partnerships with academic institutions, positioning itself as a regional healthcare leader in the Midwest with expanding international presence.