Associate Credentialing Specialist at Sanford Health - Sioux Falls, South Dakota

Join Sanford Health, a leading healthcare system dedicated to providing exceptional patient care. We are seeking a detail-oriented and motivated Associate Credentialing Specialist to join our team in Sioux Falls, South Dakota. In this role, you will play a vital part in ensuring the qualifications and credentials of our healthcare providers meet the highest standards.

Role Overview

As an Associate Credentialing Specialist, you will be responsible for managing the credentialing process for initial appointments, reappointments, and ongoing maintenance of provider information. Your tasks will involve establishing and updating provider files, verifying credentials through primary sources, and maintaining accurate data in our system-wide repository. You will also communicate significant findings and process milestones to stakeholders throughout the Sanford Health system.

A Day in the Life of an Associate Credentialing Specialist

Each day as an Associate Credentialing Specialist will bring new challenges and opportunities. Here’s a glimpse into what your daily routine might involve:

• Morning: Begin by reviewing new applications and reapplication requests. Create new provider files in the online system and prepare necessary documentation.
• Mid-day: Focus on primary source verification of provider credentials, contacting educational institutions, licensing boards, and previous employers. Document all verification efforts and findings.
• Afternoon: Update provider files with current information, track expiring verifications, and communicate with providers regarding any outstanding requirements. Address inquiries from internal and external customers.
• End of Day: Prepare reports on credentialing progress, identify any potential issues, and collaborate with team members to resolve them. Ensure all tasks are completed in compliance with regulatory requirements and internal policies.

Why Sioux Falls, South Dakota?

Sioux Falls is a vibrant and growing city that offers a high quality of life. With a strong economy, excellent schools, and a welcoming community, it’s a great place to live and work. The city boasts a variety of recreational opportunities, including parks, bike trails, and cultural attractions. Enjoy a low cost of living, affordable housing, and a relaxed pace of life. Sioux Falls offers a perfect balance of urban amenities and small-town charm.

Career Path for Credentialing Professionals at Sanford Health

Sanford Health is committed to providing opportunities for career growth and development. As an Associate Credentialing Specialist, you can advance your career by demonstrating proficiency in your role and pursuing professional certifications. Potential career paths include:

• Credentialing Specialist: With experience and expertise, you can advance to a Credentialing Specialist role, taking on more complex cases and projects.
• Senior Credentialing Specialist: In this role, you will mentor and train new team members, lead process improvement initiatives, and serve as a subject matter expert.
• Credentialing Supervisor/Manager: With leadership skills and experience, you can move into a supervisory or management role, overseeing the credentialing team and ensuring compliance with regulatory standards.
• Credentialing Director: At the director level, you will be responsible for strategic planning, policy development, and overall management of the credentialing department.

Salary and Benefits

Sanford Health offers a competitive salary and benefits package to attract and retain top talent. The estimated salary range for the Associate Credentialing Specialist position is $38,000 to $55,000 per year, depending on experience and qualifications. Our benefits package includes:

• Comprehensive health insurance (medical, dental, vision)
• Prescription drug coverage
• Health savings account (HSA) or flexible spending account (FSA)
• Paid time off (PTO) for vacation, sick leave, and holidays
• Paid parental leave
• Short-term and long-term disability insurance
• Life insurance
• Accidental death and dismemberment (AD&D) insurance
• Employee assistance program (EAP)
• Retirement savings plan (401(k) or 403(b)) with employer match
• Tuition reimbursement or assistance
• Employee discounts on Sanford Health services and products
• Wellness programs and resources

Sanford Health Culture

At Sanford Health, we are committed to creating a culture of teamwork, respect, and excellence. We value our employees and provide opportunities for growth and development. Our mission is to improve the human condition through health, science, and innovation. We strive to provide exceptional patient care and make a positive impact on the communities we serve. Our core values include:

• Integrity
• Excellence
• Innovation
• Respect
• Compassion

How to Apply

If you are interested in joining our team as an Associate Credentialing Specialist, we encourage you to apply online through the Sanford Health careers website. Please submit your resume and cover letter, highlighting your qualifications and experience. We look forward to reviewing your application!

Frequently Asked Questions (FAQ)

1. What are the required qualifications for this position?

   An Associate's Degree is required. In lieu of education, leadership may consider 2 years of applicable experience.

2. Is prior credentialing experience required?

   Credentialing, provider services, administrative support, business or healthcare experience is preferred.

3. What are the key responsibilities of this role?

   Key responsibilities include managing the credentialing process, verifying provider credentials, maintaining accurate data, and communicating with stakeholders.

4. What skills are important for success in this role?

   Important skills include attention to detail, organizational skills, communication skills, and customer service skills.

5. What is the typical career path for this position?

   The career path includes opportunities to advance to Credentialing Specialist, Senior Credentialing Specialist, and leadership roles.

6. What benefits does Sanford Health offer?

   Sanford Health offers a comprehensive benefits package, including health insurance, paid time off, retirement savings plan, and tuition reimbursement.

7. What is the culture like at Sanford Health?

   Sanford Health fosters a culture of teamwork, respect, and excellence, with a focus on providing exceptional patient care.

8. How can I apply for this position?

   You can apply online through the Sanford Health careers website by submitting your resume and cover letter.

9. What is the salary range for this position?

   The estimated salary range for the Associate Credentialing Specialist position is $38,000 to $55,000 per year.

10. What is the work environment like?

    The work environment is fast-paced and collaborative, with opportunities to learn and grow.