Credentialing Operations Specialist
: Job Details :

Careers With Purpose

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We are proud to provide numerous 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: Bemidji Main Clinic Address: 1233 34th St NW, Bemidji, MN 56601, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: 21.50 - 34.50

Job Summary

The Credentialing Operations Specialist plays a vital role in overseeing the credentialing processes for both initial and reappointment applications for medical and allied health staff. Key responsibilities include:

• Managing timelines and workflow for reappointment cycles
• Ensuring timely completion of applications while identifying any issues requiring further information
• Overseeing data entry accuracy and verification requests
• Conducting final reviews of processed verifications for quality assurance
• Drafting correspondence for additional information requests
• Facilitating committee preparations and follow-ups on credentialing recommendations
• Coordinating communication of final credentialing decisions to all involved parties
• Generating audits and reports to support the credentialing process
• Initiating a smooth provider application process

This role demands exceptional customer service skills and proactive communication with providers. The ability to manage multiple tasks efficiently while ensuring high-quality accuracy is essential. You'll also be responsible for planning your workflow to meet regulatory and customer-defined deadlines, all while minimizing redundancy among different organizations with shared providers.

Qualifications

A Bachelor's degree is required. Alternatively, an Associate's degree with three years of relevant experience may be considered. A minimum of two years of experience in credentialing, provider services, administrative support, business, or healthcare is preferred.

Benefits

Sanford Health offers an attractive benefits package for eligible full-time and part-time employees, which may include health, dental, and vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off policy to ensure a healthy work-life balance.

Sanford is an EEO/AA Employer M/F/Disability/Vet. Candidates requiring accommodations for their online application are encouraged to reach out via email.

Sanford Health adheres to a Drug-Free Workplace Policy. An accepted offer will necessitate a drug screen and pre-employment background screening.

Req Number: R-0227993 Job Function: General Administration