Credentialing Specialist

Bemidji, MN
Commute links off-site

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'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: Bemidji Main Clinic
Location: Bemidji, MN
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 Specialist is responsible and accountable for oversight of tasks and processes developed to facilitate the credentialing process for initial and reappointment applications to medical staff, professional health staff and allied health staff. Responsibilities to include: overseeing the timelines and workflow processing of the reappointment cycles; prioritizing work to meet anticipated start dates and reappointment expiration; Accountable for the completeness and identifying issues requiring additional information or investigation on applications; overseeing the accuracy of application data entry and verification requests; performing the final review of processed verifications for quality and content; developing correspondence to obtain additional information as needed; facilitating Committees in preparation of agenda materials and follow-up of recommendations; coordinating communication of final credentialing recommendations to all parties; generating audits and reports to support/document the verifications and credentialing process; facilitating projects; and initiation of the provider application process.

Models 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

Bachelor's degree required. In lieu of education, leadership may consider an Associate’s degree and 3 years of applicable experience.

Minimum of two years of experience in 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-0227993
Job Function: General Administration
Featured: No

Equal Employment Opportunity

Sanford and its affiliate brands have consistently operated under the principle of equal treatment for all persons; all qualified applicants will receive consideration for employment without regard to race, color, creed, religion, national origin, gender, gender identity, age, sexual orientation, genetic information, marital status, disability, military or veteran status, in regard to public assistance or any other basis prohibited by applicable federal, state or local law.

SAFE: Sanford Accountability for Excellence

As caregivers, we commit to the safety of those we serve and each other by creating a psychologically safe environment where everyone is included and safe to learn, contribute and raise concerns without fear of negative consequences. When people come to us, they rely on us to keep them safe from harm, do all we can to heal them, and treat them with empathy and compassion – all while embracing our connection to each other. Safety is part of our culture and defines the care we provide, and how we deliver on our universal commitment to a higher level of service and exceptional care.

If you are an individual with a disability and would like to request an accommodation for help with your online application, please call (877) 673-0854 or send an email to hrhelp@sanfordhealth.org .

In compliance with federal law requiring employers to verify new employees' U.S. employment eligibility, Sanford participates in E-Verify . To learn more about your right to work: English Version or Spanish Version.

Important Notice

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If you have questions about the legitimacy of an employment offer from Sanford Health, contact hrhelp@sanfordhealth.org.