Associate Provider Enrollment Representative
Sanford Bemidji, Sioux Falls, SD, United States
Associate Provider Enrollment Representative page is loaded## Associate Provider Enrollment Representativelocations:
SD, Sioux Fallstime type:
Full timeposted on:
Posted Yesterdayjob requisition id:
R-0250130**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.**Work Shift:8 Hours - Day Shifts (United States of America)Scheduled Weekly Hours:40Salary Range: $17.50 - $28.00**Union Position:**No**Department Details****Summary**The Associate Provider Enrollment Representative will handle a variety of lifecycle data management transactions. Responsible for supporting the Provider Enrollment staff in ensuring all supporting documentation for enrollments is up to date and available for the staff at all times. Responsible in assisting with on-going maintenance of system data as well as review of provider directories for accuracy.**Job Description**Ensure the timely and accurate processing of transactions to enable and support processing activities in alignment with enterprise standards, processes and Provider Enrollment policies. Follow appropriate escalation process for complex transactions requiring representative and leadership support.Monitor and maintain the process of gathering current, accurate, and complete information for Provider Enrollment including but not limited to: State License, Clinical Laboratory Improvement Amendments (CLIA), Drug Enforcement Administration (DEA), Mammography Certs, Radiology Certs, etc.Provide support to representatives in related areas as needed. Maintain a standard report library and prepare ad hoc and scheduled reports as required. Respond to internal and external inquiries regarding supporting documentation. Runs reports in Credential Stream to monitor expirable reports and act when needed. Assist Application Support team with various projects. Responsible for in-house communications, and delivery of documents needing signatures and ensure returned to the appropriate individual in a timely manner.May work on Payer Directory verifications and assist with other various provider enrollment support duties. Priority will be to support documentation manager, location demographic maintenance and verification for Good Samaritan Society and Sanford Health managing and medical director listening.Complete work within authorized time to assure compliance with strict departmental and compliance standards as well as payor time limits. Attend team meetings. Ensure compliance with corporate data administration rules, security standards, as well as all policies and procedures. Support activities related to the definition and classification of data in accordance with Sanford policy.Prioritize tasks and issues to ensure these are addressed and in alignment with their urgency. Identify, classify, maintain, and protect files, documentation, and sensitive information consistent with record handling and retention requirements.**Qualifications**High school diploma or equivalent preferred.
One year of experience in providing customer service, as well as experience entering data into EMR systems. General computer skills, including the ability to use the range of Microsoft products General computer skills, including the ability to use the range of Microsoft products.
**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, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. Headquartered in Sioux Falls, South Dakota, the organization has 53,000 employees and serves over 2 million patients and nearly 425,000 health plan members across the upper Midwest including South Dakota, North Dakota, Minnesota, Wyoming, Iowa, Wisconsin and the Upper Peninsula of Michigan. The integrated nonprofit health system includes a network of 56 hospitals, 288 clinic locations, 147 senior care communities, 4,000 physicians and advanced practice providers and nearly 1,500 active clinical trials and studies. The organization’s transformational virtual care initiative brings patients closer to care with access to 78 specialties. Learn more about Sanford Health’s commitment to shaping the future of rural health care across the lifespan at
or . Good Samaritan, one of the nation’s largest nonprofit providers of senior care and services, is committed to transforming the aging experience through innovation, compassion and personalized care. As part of , an integrated nonprofit health system headquartered in Sioux Falls, South Dakota, Good Samaritan serves 10,000 seniors and offers access to a full continuum of care, including 94 rehabilitation and skilled nursing centers, 56 assisted living and memory care facilities, 44 independent living locations and 37 home health and hospice agencies. The senior care provider delivers services across the upper Midwest, with 70% of residents living in rural communities. Learn more about Good Samaritan’s mission and commitment to delivering high quality senior care in rural America at good-sam.com. #J-18808-Ljbffr
SD, Sioux Fallstime type:
Full timeposted on:
Posted Yesterdayjob requisition id:
R-0250130**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.**Work Shift:8 Hours - Day Shifts (United States of America)Scheduled Weekly Hours:40Salary Range: $17.50 - $28.00**Union Position:**No**Department Details****Summary**The Associate Provider Enrollment Representative will handle a variety of lifecycle data management transactions. Responsible for supporting the Provider Enrollment staff in ensuring all supporting documentation for enrollments is up to date and available for the staff at all times. Responsible in assisting with on-going maintenance of system data as well as review of provider directories for accuracy.**Job Description**Ensure the timely and accurate processing of transactions to enable and support processing activities in alignment with enterprise standards, processes and Provider Enrollment policies. Follow appropriate escalation process for complex transactions requiring representative and leadership support.Monitor and maintain the process of gathering current, accurate, and complete information for Provider Enrollment including but not limited to: State License, Clinical Laboratory Improvement Amendments (CLIA), Drug Enforcement Administration (DEA), Mammography Certs, Radiology Certs, etc.Provide support to representatives in related areas as needed. Maintain a standard report library and prepare ad hoc and scheduled reports as required. Respond to internal and external inquiries regarding supporting documentation. Runs reports in Credential Stream to monitor expirable reports and act when needed. Assist Application Support team with various projects. Responsible for in-house communications, and delivery of documents needing signatures and ensure returned to the appropriate individual in a timely manner.May work on Payer Directory verifications and assist with other various provider enrollment support duties. Priority will be to support documentation manager, location demographic maintenance and verification for Good Samaritan Society and Sanford Health managing and medical director listening.Complete work within authorized time to assure compliance with strict departmental and compliance standards as well as payor time limits. Attend team meetings. Ensure compliance with corporate data administration rules, security standards, as well as all policies and procedures. Support activities related to the definition and classification of data in accordance with Sanford policy.Prioritize tasks and issues to ensure these are addressed and in alignment with their urgency. Identify, classify, maintain, and protect files, documentation, and sensitive information consistent with record handling and retention requirements.**Qualifications**High school diploma or equivalent preferred.
One year of experience in providing customer service, as well as experience entering data into EMR systems. General computer skills, including the ability to use the range of Microsoft products General computer skills, including the ability to use the range of Microsoft products.
**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, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. Headquartered in Sioux Falls, South Dakota, the organization has 53,000 employees and serves over 2 million patients and nearly 425,000 health plan members across the upper Midwest including South Dakota, North Dakota, Minnesota, Wyoming, Iowa, Wisconsin and the Upper Peninsula of Michigan. The integrated nonprofit health system includes a network of 56 hospitals, 288 clinic locations, 147 senior care communities, 4,000 physicians and advanced practice providers and nearly 1,500 active clinical trials and studies. The organization’s transformational virtual care initiative brings patients closer to care with access to 78 specialties. Learn more about Sanford Health’s commitment to shaping the future of rural health care across the lifespan at
or . Good Samaritan, one of the nation’s largest nonprofit providers of senior care and services, is committed to transforming the aging experience through innovation, compassion and personalized care. As part of , an integrated nonprofit health system headquartered in Sioux Falls, South Dakota, Good Samaritan serves 10,000 seniors and offers access to a full continuum of care, including 94 rehabilitation and skilled nursing centers, 56 assisted living and memory care facilities, 44 independent living locations and 37 home health and hospice agencies. The senior care provider delivers services across the upper Midwest, with 70% of residents living in rural communities. Learn more about Good Samaritan’s mission and commitment to delivering high quality senior care in rural America at good-sam.com. #J-18808-Ljbffr