Provider Relations Enrollment Representative | Health Plan

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.
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Facility: Cherapa Place Building

Location: Sioux Falls, SD

Shift: 8 Hours - Day Shifts

Job Schedule: Full time

Weekly Hours: 40.00

Job Summary

The Provider Relations Enrollment Representative is responsible for obtaining provider profile information. 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 graduation or GED required; 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.
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 .

Job Function: General Administration

Req Number: R-28451

Featured: No