Sanford Health Credentialing Specialist, Network - Provider Services in Sioux Falls, South Dakota

Job Title: Credentialing Specialist, Network | Provider Services | Sioux Falls

City: Sioux Falls

State: SD

Department : Provider Services - Sioux Falls

Job Schedule: Full Time

Shift: Varies

Hours Per Shift: 8 hr

JOB SUMMARY

The Credentialing Specialist is responsible and accountable for oversight of tasks and processes developed to facilitate the credentialing process for initial and reappointment applications to medical staff, professional health staff and allied health staff.

Responsibilities to include: overseeing the timelines and workflow processing of the reappointment cycles; prioritizing work to meet anticipated start dates and reappointment expiration; Accountable for the completeness and identifying issues requiring additional information or investigation on applications; overseeing the accuracy of application data entry and verification requests; performing the final review of processed verifications for quality and content; developing correspondence to obtain additional information as needed; facilitating Committees in preparation of agenda materials and follow-up of recommendations; coordinating communication of final credentialing recommendations to all parties; generating audits and reports to support/document the verifications and credentialing process; facilitating projects; and initiation of the provider application process.

POSITION RESPONSIBILITIES

Actively participates in team meetings. Demonstrates an ability to adapt to continuous change in work demands. Identifies and documents specific problems and resolution alternatives. Uses varying problem-solving approaches and techniques as appropriate. Manages conflicting priorities effectively. Creates processes with provisions to accommodate change. Communicates well downward, upward, and outward.

DEPARTMENT DETAILS

QUALIFICATIONS

Bachelor's Degree in Business, Healthcare, Human Resources or related field required or minimum six years of related work experience.

NAMS or equivalent certification preferred.

About Sanford Health:

At Sanford Health, we are dedicated to the work of health and healing.

Every day, we show that commitment by delivering the highest quality of care to the communities we serve.

We are leaders in health care and strive to provide patients across the region with convenient access to expert medical care, leading-edge technologies and world-class facilities.

In addition to strong clinical care, we are also committed to research, education and community growth.

We engage in medical research to not only discover innovative ways to provide care, but also cures for common diseases.

We continuously seek new ways to achieve our vision of improving the human condition here in your community, across the region and around the world.

The entire team at Sanford Health recognizes the value of healthy families and communities.

We continue to gain momentum and expand our reach. Together, we can make a positive difference now, and in the future.

Sanford is an EEO/AA Employer M/F/Disability/Vet.

If you are an individual with a disability and would like to request an accommodation for help with your online application,

please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .

City: Sioux Falls

State: SD

Job Function: General Administration

Job Schedule: Full Time

Shift: Varies

Req Number: WD03239