Provider Relations Enrollment Representative
Sanford Health
Summary
The Provider Configuration Enrollment Representative is responsible for obtaining provider profile information.
Job description
Summary
The Provider Configuration Enrollment Representative is responsible for obtaining provider profile information.
Job Description
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.
Qualifications
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.
Requirements
- High school diploma or equivalent preferred
- Associate degree or graduate of an accredited Medical Assistant Program preferred
- Previous experience in health care field organization preferred
- Prior insurance billing or credentialing experience preferred
- Experience in Microsoft Office
- Skills in use of basic office equipment, computers, printers and email
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.