Medical Staff Credentialing Specialist jobs in South Dakota

Medical Staff Credentialing Specialist processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Being a Medical Staff Credentialing Specialist loads and maintains provider information in an online credentialing database system. Tracks license and certification expirations for medical staff to ensure timely renewals. Additionally, Medical Staff Credentialing Specialist handles and resolves inquiries regarding credentialing information, process, or status. Requires a high school diploma. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor. The Medical Staff Credentialing Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Medical Staff Credentialing Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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Associate Credentialing Specialist - Professional Practice - Sioux Falls
  • Sanford Health
  • Sioux Falls, SD FULL_TIME
  • Careers With Purpose

    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

    Facility: GSS National Campus

    Location: Sioux Falls, SD

    Address: 4800 W 57th St, Sioux Falls, SD 57108, USA

    Shift: 8 Hours - Day Shifts

    Job Schedule: Full time

    Weekly Hours: 40. 00

    Salary Range: $17.50 - $28.00

    Pay Info: Pay starts at $17.50 and increases according to years of applicable experience.

    Job 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. 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.

    Qualifications

    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.

    Benefits

    Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

    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 .

    Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

    Req Number: R-0184974

    Job Function: General Administration

    Featured: No

  • 27 Days Ago

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Associate Credentialing Specialist - Professional Practice - Sioux Falls
  • Sanford Health
  • Sioux Falls, SD FULL_TIME
  • Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to...
  • 28 Days Ago

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Laboratory Staff
  • Faulkton Area Medical Center
  • Faulkton, SD FULL_TIME
  • *OFFER PENDING*Faulkton Area Medical Center is seeking applicants for a FULL TIME MT, MLS, or MLT position; new graduates are encouraged to apply but certification is required.This position is offerin...
  • 8 Days Ago

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Clinic Staff RN/LPN/MA (PRN)
  • Huron Regional Medical Center
  • Huron, SD FULL_TIME
  • DescriptionJOIN OUR TEAM! Spanish and Karen bilingual applicants encouraged to apply for any open positions in which you are qualified. Reports To: Director of Physicians Clinic, Clinic Nurse Coordina...
  • 2 Months Ago

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Insurance Specialist
  • Rapid City Medical Center
  • Rapid, SD FULL_TIME
  • Rapid City Medical Center is seeking a full-time Insurance Specialist who will be responsible for all aspects of healthcare claim denials and accounts receivable. The ideal candidate will ensure all c...
  • Just Posted

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Referral Specialist
  • Rapid City Medical Center
  • Rapid, SD FULL_TIME
  • Rapid City Medical Center is seeking a full-time Referral Specialist for our GI Department at Rapid City Medical Center. Duties will include, but not limited to, scheduling of incoming referrals, send...
  • 2 Months Ago

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Credentialing Specialist
  • Sycamore Independent Physicians
  • Huntsville, AL
  • Job Summary: Obtain and process internal RRPA provider applications and supporting documentation for purposes of insuran...
  • 6/2/2024 12:00:00 AM

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Credentialing Specialist
  • Addison Group
  • St Louis, MO
  • The actual job duties of a certification/credentialing specialist are many, and each is equally as important in ensuring...
  • 6/2/2024 12:00:00 AM

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Credentialing Specialist
  • TAG - The Aspen Group
  • Syracuse, NY
  • The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U. ...
  • 5/31/2024 12:00:00 AM

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Credentialing Specialist
  • MedPro Healthcare Staffing
  • Sunrise, FL
  • Credentialing Specialist About Us Welcome to MedPro Healthcare Staffing, an award-winning agency based in sunny South Fl...
  • 5/31/2024 12:00:00 AM

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Credentialing Specialist
  • NorthLakes Community Clinic
  • Hayward, WI
  • NorthLakes is currently looking for a full-time, Credentialing Specialist - Insurance, to work at our Hayward, Wisconsin...
  • 5/31/2024 12:00:00 AM

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Credentialing Specialist
  • Elite Medical Staffing
  • Lake Mary, FL
  • The Credentialing Specialist is a full-time, (temporary role that may be subject to become permanent) salaried position....
  • 5/30/2024 12:00:00 AM

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Credentialing Specialist
  • Coda Staffing
  • Wayne, NJ
  • Job Description Job Description Qualifications: · Credentialing Experience and process preferred for managed care compan...
  • 5/29/2024 12:00:00 AM

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Credentialing Specialist
  • Petra Management Consultants LLC
  • Kernersville, NC
  • Job Description Job Description WHO ARE WE? Petra Management Consultants, LLC is a trusted partner for healthcare provid...
  • 5/29/2024 12:00:00 AM

South Dakota (/- dəˈkoʊtə/ (listen)) is a U.S. state in the Midwestern region of the United States. It is named after the Lakota and Dakota Sioux Native American tribes, who compose a large portion of the population and historically dominated the territory. South Dakota is the seventeenth largest by area, but the fifth smallest by population and the 5th least densely populated of the 50 United States. As the southern part of the former Dakota Territory, South Dakota became a state on November 2, 1889, simultaneously with North Dakota. Pierre is the state capital and Sioux Falls, with a populat...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist jobs
$40,205 to $50,576

Medical Staff Credentialing Specialist in Lawton, OK
Under the direction of the Medical Staff Affairs Manager, this position will work independently but also collaborate and work with other team members of the Medical Staff Office.
January 03, 2020
Medical Staff Credentialing Specialist in Passaic, NJ
Knowledge of TJC, NCQA and CMS credentialing standards preferred.
January 10, 2020
Medical Staff Credentialing Specialist in Saint Cloud, MN
The Medical Staff Services Facility Specialist is also responsible for the accuracy and integrity of the credentialing and clinical privileging database system.
November 28, 2019