Credentialing Specialist Careers at Sanford Health - Sioux Falls, South Dakota | Apply Now!
Sanford Health
Credentialing Specialist Careers at Sanford Health - Sioux Falls, South Dakota | Apply Now!
Job Description
Credentialing Specialist at Sanford Health: Join Our Team in Sioux Falls, SD
Are you a detail-oriented professional with a passion for healthcare administration? Sanford Health in Sioux Falls, South Dakota, is seeking a dedicated Credentialing Specialist to join our dynamic team. In this role, you will play a crucial part in ensuring the qualifications and competence of our medical staff, professional health staff, and allied health staff. This is a fantastic opportunity to contribute to a leading healthcare system and advance your career in a growing field.
A Day in the Life of a Credentialing Specialist
As a Credentialing Specialist, your day will be filled with diverse responsibilities that require strong organizational and communication skills. Here’s a glimpse of what you can expect:
- Managing Reappointment Cycles: Overseeing the timelines and workflow processing of reappointment cycles to ensure timely completion.
- Prioritizing Work: Balancing multiple tasks and prioritizing work to meet anticipated start dates and reappointment expiration deadlines.
- Application Review: Ensuring the completeness of initial and reappointment applications, identifying any issues that require additional information or investigation.
- Data Accuracy: Overseeing the accuracy of application data entry and verification requests, performing final reviews for quality and content.
- Communication: Developing correspondence to obtain additional information from providers and other relevant sources, facilitating committee meetings, and communicating final credentialing recommendations.
- Reporting: Generating audits and reports to support and document the verifications and credentialing process.
- Project Management: Facilitating projects related to credentialing process improvement, contributing to the efficiency and effectiveness of the department.
Why Sioux Falls, South Dakota?
Sioux Falls offers a high quality of life with a low cost of living, making it an attractive place to live and work. The city boasts a thriving job market, excellent schools, and a friendly community. Outdoor enthusiasts will appreciate the numerous parks, bike trails, and recreational opportunities. Sioux Falls also offers a vibrant arts and culture scene, with museums, theaters, and music venues. Living in Sioux Falls provides a perfect balance of career opportunities and personal fulfillment.
Career Path for a Credentialing Specialist at Sanford Health
Sanford Health is committed to providing opportunities for professional growth and development. As a Credentialing Specialist, you can advance your career through various avenues:
- Senior Credentialing Specialist: With experience and proven performance, you can advance to a senior role, taking on more complex responsibilities and mentoring other team members.
- Credentialing Supervisor/Manager: You can move into a supervisory or management role, overseeing the credentialing team and ensuring efficient operations.
- Compliance Officer: Your expertise in credentialing can lead to a role in compliance, ensuring adherence to regulatory requirements and standards.
- Project Manager: With project management experience, you can lead initiatives to improve credentialing processes and systems.
Salary and Benefits at Sanford Health
Sanford Health offers a competitive salary and benefits package that includes:
- Competitive Salary: The estimated salary range for a Credentialing Specialist in Sioux Falls, SD, is $45,000 to $65,000 per year, depending on experience and qualifications.
- Health Insurance: Comprehensive health insurance including medical, dental, and vision coverage.
- Paid Time Off: Generous paid time off for vacation, sick leave, and holidays.
- Retirement Plan: 401(k) retirement plan with employer matching contributions.
- Tuition Reimbursement: Opportunities for tuition reimbursement and professional development.
- Employee Discounts: Employee discounts on Sanford Health services and products.
Sanford Health Culture
Sanford Health is known for its commitment to innovation, quality, and patient-centered care. As a member of the Sanford Family, you will be part of a supportive and collaborative team that values teamwork and excellence. Sanford Health also prioritizes employee well-being, offering wellness programs and resources to help you maintain a healthy work-life balance.
How to Apply
If you are ready to join our team as a Credentialing Specialist, we encourage you to apply online through the Sanford Health careers website. Please submit your resume and cover letter, highlighting your relevant experience and qualifications.
Frequently Asked Questions
- What qualifications are required for this position?
A Bachelor's degree is required, or an Associate’s degree with 3+ years of applicable experience may be considered. A minimum of two years of experience in credentialing, provider services, administrative support, business, or healthcare is preferred.
- What are the key responsibilities of a Credentialing Specialist?
Key responsibilities include managing reappointment cycles, prioritizing work, ensuring application completeness, overseeing data accuracy, communicating with providers, and generating reports.
- What skills are important for success in this role?
Important skills include strong organizational and time-management skills, attention to detail, excellent communication and interpersonal skills, and knowledge of healthcare regulations and standards.
- What is the career path for a Credentialing Specialist at Sanford Health?
The career path includes opportunities to advance to Senior Credentialing Specialist, Credentialing Supervisor/Manager, Compliance Officer, or Project Manager.
- What is the salary range for this position?
The estimated salary range is $45,000 to $65,000 per year, depending on experience and qualifications.
- What benefits does Sanford Health offer?
Sanford Health offers a comprehensive benefits package including health insurance, paid time off, retirement plan, tuition reimbursement, and employee discounts.
- What is the culture like at Sanford Health?
Sanford Health is known for its commitment to innovation, quality, and patient-centered care, with a supportive and collaborative team environment.
- Where is this position located?
This position is located in Sioux Falls, South Dakota.
- How can I apply for this position?
You can apply online through the Sanford Health careers website.
- Is certification required for this role?
CPCS or CPMSM certification is a plus, but not required.
Join Sanford Health and make a difference in the lives of our patients and community! Apply today to become a Credentialing Specialist in Sioux Falls, SD.
Locations
- Sioux Falls, South Dakota, United States
Salary
49,500 - 71,500 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- Credentialingintermediate
- Provider Enrollmentintermediate
- Medical Staff Servicesintermediate
- Healthcare Administrationintermediate
- Complianceintermediate
- Regulatory Requirementsintermediate
- Data Entryintermediate
- Verification Processesintermediate
- Auditingintermediate
- Report Generationintermediate
- Customer Serviceintermediate
- Communication Skillsintermediate
- Diplomacyintermediate
- Time Managementintermediate
- Project Managementintermediate
- Prioritizationintermediate
- Workflow Managementintermediate
- Problem Solvingintermediate
- Critical Thinkingintermediate
- Attention to Detailintermediate
- Organizational Skillsintermediate
- Microsoft Office Suiteintermediate
- Database Managementintermediate
- HIPAA Complianceintermediate
- NCQA Standardsintermediate
- URAC Standardsintermediate
- CPCS Certification (Preferred)intermediate
- CPMSM Certification (Preferred)intermediate
Required Qualifications
- Bachelor's degree required, or Associate’s degree with 3+ years applicable experience considered. (experience)
- Minimum two years of experience in credentialing, provider services, administrative support, business, or healthcare preferred. (experience)
- Experience with credentialing software and databases. (experience)
- Knowledge of healthcare regulations and compliance standards related to credentialing. (experience)
- Understanding of medical terminology and healthcare systems. (experience)
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint). (experience)
- Ability to interpret and apply policies and procedures. (experience)
- Excellent written and verbal communication skills. (experience)
- Strong organizational and time-management skills. (experience)
- Ability to work independently and as part of a team. (experience)
- Detail-oriented with a focus on accuracy. (experience)
- Ability to maintain confidentiality and handle sensitive information. (experience)
- Strong problem-solving and analytical skills. (experience)
- Customer service oriented with excellent interpersonal skills. (experience)
- CPCS or CPMSM certification is a plus. (experience)
Responsibilities
- Oversee the timelines and workflow processing of reappointment cycles.
- Prioritize work to meet anticipated start dates and reappointment expiration deadlines.
- Ensure the completeness of initial and reappointment applications.
- Identify issues requiring additional information or investigation on applications.
- Oversee the accuracy of application data entry and verification requests.
- Perform the final review of processed verifications for quality and content.
- Develop correspondence to obtain additional information as needed from providers and other sources.
- Facilitate Committees in preparation of agenda materials and follow-up of recommendations.
- Coordinate communication of final credentialing recommendations to all relevant parties.
- Generate audits and reports to support and document the verifications and credentialing process.
- Facilitate projects related to credentialing process improvement.
- Initiate the provider application process for new providers joining the organization.
- Maintain provider database and ensure data integrity.
- Monitor and update provider licenses, certifications, and other credentials.
- Respond to inquiries from providers, staff, and external organizations regarding credentialing matters.
- Stay current on changes in healthcare regulations and credentialing standards.
- Ensure compliance with all applicable federal, state, and local regulations.
- Participate in internal and external audits related to credentialing.
- Maintain confidentiality of provider information.
- Develop and maintain strong working relationships with providers and other healthcare professionals.
- Identify and implement process improvements to enhance efficiency and accuracy.
- Provide training and support to other staff members on credentialing processes.
- Assist with the development and implementation of credentialing policies and procedures.
- Manage and resolve any credentialing-related issues or discrepancies.
- Participate in professional development activities to maintain knowledge and skills.
Benefits
- general: Comprehensive health insurance (medical, dental, vision).
- general: Prescription drug coverage.
- general: Health savings account (HSA) with employer contributions.
- general: Flexible spending accounts (FSA) for healthcare and dependent care.
- general: Paid time off (PTO) for vacation, sick leave, and holidays.
- general: Paid parental leave.
- general: Short-term and long-term disability insurance.
- general: Life insurance and accidental death & dismemberment (AD&D) insurance.
- general: Employee assistance program (EAP) for confidential counseling and support.
- general: 401(k) retirement plan with employer matching contributions.
- general: Pension plan.
- general: Tuition reimbursement and professional development opportunities.
- general: Employee discounts on Sanford Health services and products.
- general: Wellness programs and resources.
- general: On-site fitness center or gym membership discounts.
- general: Employee recognition programs.
- general: Opportunities for advancement and career growth within Sanford Health.
- general: Relocation assistance (if applicable).
- general: Sign-on bonus (if applicable).
- general: Childcare assistance or discounts.
- general: Adoption assistance.
- general: Legal and financial counseling services.
- general: Volunteering opportunities.
- general: Employee resource groups.
- general: Sanford Health Foundation support.
Tags & Categories
Answer 10 quick questions to check your fit for Credentialing Specialist Careers at Sanford Health - Sioux Falls, South Dakota | Apply Now! @ Sanford Health.
Related Books and Jobs
Credentialing Specialist Careers at Sanford Health - Sioux Falls, South Dakota | Apply Now!
Sanford Health
Credentialing Specialist Careers at Sanford Health - Sioux Falls, South Dakota | Apply Now!
Job Description
Credentialing Specialist at Sanford Health: Join Our Team in Sioux Falls, SD
Are you a detail-oriented professional with a passion for healthcare administration? Sanford Health in Sioux Falls, South Dakota, is seeking a dedicated Credentialing Specialist to join our dynamic team. In this role, you will play a crucial part in ensuring the qualifications and competence of our medical staff, professional health staff, and allied health staff. This is a fantastic opportunity to contribute to a leading healthcare system and advance your career in a growing field.
A Day in the Life of a Credentialing Specialist
As a Credentialing Specialist, your day will be filled with diverse responsibilities that require strong organizational and communication skills. Here’s a glimpse of what you can expect:
- Managing Reappointment Cycles: Overseeing the timelines and workflow processing of reappointment cycles to ensure timely completion.
- Prioritizing Work: Balancing multiple tasks and prioritizing work to meet anticipated start dates and reappointment expiration deadlines.
- Application Review: Ensuring the completeness of initial and reappointment applications, identifying any issues that require additional information or investigation.
- Data Accuracy: Overseeing the accuracy of application data entry and verification requests, performing final reviews for quality and content.
- Communication: Developing correspondence to obtain additional information from providers and other relevant sources, facilitating committee meetings, and communicating final credentialing recommendations.
- Reporting: Generating audits and reports to support and document the verifications and credentialing process.
- Project Management: Facilitating projects related to credentialing process improvement, contributing to the efficiency and effectiveness of the department.
Why Sioux Falls, South Dakota?
Sioux Falls offers a high quality of life with a low cost of living, making it an attractive place to live and work. The city boasts a thriving job market, excellent schools, and a friendly community. Outdoor enthusiasts will appreciate the numerous parks, bike trails, and recreational opportunities. Sioux Falls also offers a vibrant arts and culture scene, with museums, theaters, and music venues. Living in Sioux Falls provides a perfect balance of career opportunities and personal fulfillment.
Career Path for a Credentialing Specialist at Sanford Health
Sanford Health is committed to providing opportunities for professional growth and development. As a Credentialing Specialist, you can advance your career through various avenues:
- Senior Credentialing Specialist: With experience and proven performance, you can advance to a senior role, taking on more complex responsibilities and mentoring other team members.
- Credentialing Supervisor/Manager: You can move into a supervisory or management role, overseeing the credentialing team and ensuring efficient operations.
- Compliance Officer: Your expertise in credentialing can lead to a role in compliance, ensuring adherence to regulatory requirements and standards.
- Project Manager: With project management experience, you can lead initiatives to improve credentialing processes and systems.
Salary and Benefits at Sanford Health
Sanford Health offers a competitive salary and benefits package that includes:
- Competitive Salary: The estimated salary range for a Credentialing Specialist in Sioux Falls, SD, is $45,000 to $65,000 per year, depending on experience and qualifications.
- Health Insurance: Comprehensive health insurance including medical, dental, and vision coverage.
- Paid Time Off: Generous paid time off for vacation, sick leave, and holidays.
- Retirement Plan: 401(k) retirement plan with employer matching contributions.
- Tuition Reimbursement: Opportunities for tuition reimbursement and professional development.
- Employee Discounts: Employee discounts on Sanford Health services and products.
Sanford Health Culture
Sanford Health is known for its commitment to innovation, quality, and patient-centered care. As a member of the Sanford Family, you will be part of a supportive and collaborative team that values teamwork and excellence. Sanford Health also prioritizes employee well-being, offering wellness programs and resources to help you maintain a healthy work-life balance.
How to Apply
If you are ready to join our team as a Credentialing Specialist, we encourage you to apply online through the Sanford Health careers website. Please submit your resume and cover letter, highlighting your relevant experience and qualifications.
Frequently Asked Questions
- What qualifications are required for this position?
A Bachelor's degree is required, or an Associate’s degree with 3+ years of applicable experience may be considered. A minimum of two years of experience in credentialing, provider services, administrative support, business, or healthcare is preferred.
- What are the key responsibilities of a Credentialing Specialist?
Key responsibilities include managing reappointment cycles, prioritizing work, ensuring application completeness, overseeing data accuracy, communicating with providers, and generating reports.
- What skills are important for success in this role?
Important skills include strong organizational and time-management skills, attention to detail, excellent communication and interpersonal skills, and knowledge of healthcare regulations and standards.
- What is the career path for a Credentialing Specialist at Sanford Health?
The career path includes opportunities to advance to Senior Credentialing Specialist, Credentialing Supervisor/Manager, Compliance Officer, or Project Manager.
- What is the salary range for this position?
The estimated salary range is $45,000 to $65,000 per year, depending on experience and qualifications.
- What benefits does Sanford Health offer?
Sanford Health offers a comprehensive benefits package including health insurance, paid time off, retirement plan, tuition reimbursement, and employee discounts.
- What is the culture like at Sanford Health?
Sanford Health is known for its commitment to innovation, quality, and patient-centered care, with a supportive and collaborative team environment.
- Where is this position located?
This position is located in Sioux Falls, South Dakota.
- How can I apply for this position?
You can apply online through the Sanford Health careers website.
- Is certification required for this role?
CPCS or CPMSM certification is a plus, but not required.
Join Sanford Health and make a difference in the lives of our patients and community! Apply today to become a Credentialing Specialist in Sioux Falls, SD.
Locations
- Sioux Falls, South Dakota, United States
Salary
49,500 - 71,500 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- Credentialingintermediate
- Provider Enrollmentintermediate
- Medical Staff Servicesintermediate
- Healthcare Administrationintermediate
- Complianceintermediate
- Regulatory Requirementsintermediate
- Data Entryintermediate
- Verification Processesintermediate
- Auditingintermediate
- Report Generationintermediate
- Customer Serviceintermediate
- Communication Skillsintermediate
- Diplomacyintermediate
- Time Managementintermediate
- Project Managementintermediate
- Prioritizationintermediate
- Workflow Managementintermediate
- Problem Solvingintermediate
- Critical Thinkingintermediate
- Attention to Detailintermediate
- Organizational Skillsintermediate
- Microsoft Office Suiteintermediate
- Database Managementintermediate
- HIPAA Complianceintermediate
- NCQA Standardsintermediate
- URAC Standardsintermediate
- CPCS Certification (Preferred)intermediate
- CPMSM Certification (Preferred)intermediate
Required Qualifications
- Bachelor's degree required, or Associate’s degree with 3+ years applicable experience considered. (experience)
- Minimum two years of experience in credentialing, provider services, administrative support, business, or healthcare preferred. (experience)
- Experience with credentialing software and databases. (experience)
- Knowledge of healthcare regulations and compliance standards related to credentialing. (experience)
- Understanding of medical terminology and healthcare systems. (experience)
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint). (experience)
- Ability to interpret and apply policies and procedures. (experience)
- Excellent written and verbal communication skills. (experience)
- Strong organizational and time-management skills. (experience)
- Ability to work independently and as part of a team. (experience)
- Detail-oriented with a focus on accuracy. (experience)
- Ability to maintain confidentiality and handle sensitive information. (experience)
- Strong problem-solving and analytical skills. (experience)
- Customer service oriented with excellent interpersonal skills. (experience)
- CPCS or CPMSM certification is a plus. (experience)
Responsibilities
- Oversee the timelines and workflow processing of reappointment cycles.
- Prioritize work to meet anticipated start dates and reappointment expiration deadlines.
- Ensure the completeness of initial and reappointment applications.
- Identify issues requiring additional information or investigation on applications.
- Oversee the accuracy of application data entry and verification requests.
- Perform the final review of processed verifications for quality and content.
- Develop correspondence to obtain additional information as needed from providers and other sources.
- Facilitate Committees in preparation of agenda materials and follow-up of recommendations.
- Coordinate communication of final credentialing recommendations to all relevant parties.
- Generate audits and reports to support and document the verifications and credentialing process.
- Facilitate projects related to credentialing process improvement.
- Initiate the provider application process for new providers joining the organization.
- Maintain provider database and ensure data integrity.
- Monitor and update provider licenses, certifications, and other credentials.
- Respond to inquiries from providers, staff, and external organizations regarding credentialing matters.
- Stay current on changes in healthcare regulations and credentialing standards.
- Ensure compliance with all applicable federal, state, and local regulations.
- Participate in internal and external audits related to credentialing.
- Maintain confidentiality of provider information.
- Develop and maintain strong working relationships with providers and other healthcare professionals.
- Identify and implement process improvements to enhance efficiency and accuracy.
- Provide training and support to other staff members on credentialing processes.
- Assist with the development and implementation of credentialing policies and procedures.
- Manage and resolve any credentialing-related issues or discrepancies.
- Participate in professional development activities to maintain knowledge and skills.
Benefits
- general: Comprehensive health insurance (medical, dental, vision).
- general: Prescription drug coverage.
- general: Health savings account (HSA) with employer contributions.
- general: Flexible spending accounts (FSA) for healthcare and dependent care.
- general: Paid time off (PTO) for vacation, sick leave, and holidays.
- general: Paid parental leave.
- general: Short-term and long-term disability insurance.
- general: Life insurance and accidental death & dismemberment (AD&D) insurance.
- general: Employee assistance program (EAP) for confidential counseling and support.
- general: 401(k) retirement plan with employer matching contributions.
- general: Pension plan.
- general: Tuition reimbursement and professional development opportunities.
- general: Employee discounts on Sanford Health services and products.
- general: Wellness programs and resources.
- general: On-site fitness center or gym membership discounts.
- general: Employee recognition programs.
- general: Opportunities for advancement and career growth within Sanford Health.
- general: Relocation assistance (if applicable).
- general: Sign-on bonus (if applicable).
- general: Childcare assistance or discounts.
- general: Adoption assistance.
- general: Legal and financial counseling services.
- general: Volunteering opportunities.
- general: Employee resource groups.
- general: Sanford Health Foundation support.
Tags & Categories
Answer 10 quick questions to check your fit for Credentialing Specialist Careers at Sanford Health - Sioux Falls, South Dakota | Apply Now! @ Sanford Health.
Related Books and Jobs