PROVIDER ENROLLMENT SPECIALIST

3 weeks ago


SD United States SOUTH DAKOTA STATE GOVERNMENT Full time
Job ID: 26771
Agency: Department of Social Services - Division of Medical Services
Location: Pierre
Salary: $16.72 - $24.38, depending on experience
Pay Grade: GE
Closing Date: Open Until Filled

This is a Full-Time position with the Department of Social Services. For more information on the Department of Social Services, please visit https://dss.sd.gov/ .

The Department of Social Services, Division of Medical Services is seeking a detail-oriented individual with strong customer service and communication skills to join their provider enrollment team. This position works to enroll providers and maintain provider data which assists to ensure that access to medical services is available to the department's customers. Duties include ensuring provider eligibility through the application of administrative rules and federal regulations; reviewing and approving provider enrollment applications and record modifications; comparing and validating data; coordinating record updates; answering provider questions via phone and email; and educating providers on the online enrollment processes. This position may also assist with testing various provider enrollment systems.

The Ideal Candidate Will Have:
  • a passion for serving the public and displays a high level of effort and commitment towards completing assignments and goals;
  • the ability to listen attentively to others and clearly conveys information and ideas;
  • be a dependable and organized individual who effectively plans and organizes work activities;
  • be dedicated to the ability to represent the Department of Social Service with integrity and enthusiasm;
  • work cooperatively with others and promotes a friendly work climate in order to achieve shared goals;
  • experience in healthcare administration and public relations are preferred.

Knowledge, Skills, and Abilities:
  • business English including grammar, spelling, and punctuation;
  • basic computer use of Word, Excel and internet navigation.
  • communicate information clearly and concisely;
  • comprehend, properly apply, interpret, and explain departmental rules and regulations to others;
  • compare information and recognize discrepancies;
  • effectively plan and organize work activities, adjust to multiple demands, and prioritize tasks to complete assignments and meet deadlines.
  • exercise tact and discretion in dealing with others;
  • gather and analyze data;
  • utilize computerized data system.

This position is eligible for Veterans' Preference per ARSD 55:10:02:08.

NCRC: If you possess a National Career Readiness Certificate, please submit the certificate with your application. For more information on how to acquire a National Career Readiness Certificate contact a South Dakota Department of Labor and Regulation Job Service Office. A certificate is not necessary to be considered.

The State of South Dakota does not sponsor work visas for new or existing employees. All persons hired will be required to verify identity and eligibility to work in the United States and complete an Employment Eligibility Verification, Form I-9. The State of South Dakota as an employer will be using E-Verify to complete employment eligibility verification upon hire.

The State of South Dakota offers employer paid health insurance plus eleven paid holidays, generous vacation and sick leave accrual, dental, vision, and other insurance options, and retirement benefits. You can view our benefits information at https://bhr.sd.gov/job-seekers/work-for-state-government/ . This position is a member of Class A retirement under SDRS.

Must apply online: https://sodakprod-lm01.cloud.infor.com:1443/lmghr/xmlhttp/shorturl.do?key=PI3
You must apply online, emailed resumes or submissions will not be accepted.
South Dakota Bureau of Human Resources
Telephone: 605.773.3148 Email: careers@state.sd.us
http://bhr.sd.gov/workforus
An Equal Opportunity Employer

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