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Provider Enrollment Specialist

4 weeks ago


Pierre, South Dakota, United States State of South Dakota Full time
Job Summary:

The State of South Dakota is seeking a highly detail-oriented individual to join their provider enrollment team. As a Provider Enrollment Specialist, you will be responsible for enrolling providers and maintaining provider data to ensure access to medical services for the department's customers.

Key Responsibilities:
  • Ensure provider eligibility through the application of administrative rules and federal regulations
  • Review and approve provider enrollment applications and record modifications
  • Compare and validate data, coordinate record updates, and answer provider questions
  • Educate providers on the online enrollment processes and assist with testing various provider enrollment systems

Requirements:
  • Passion for serving the public and high level of effort and commitment towards completing assignments and goals
  • Ability to listen attentively to others and clearly convey information and ideas
  • Dependable and organized individual who effectively plans and organizes work activities
  • Dedication to representing the Department of Social Services with integrity and enthusiasm
  • Experience in healthcare administration and public relations 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 systems

What We Offer:
  • $0 premium employee health insurance option
  • Eleven paid holidays
  • Generous vacation and sick leave accrual
  • Dental, vision, and other insurance options
  • Retirement benefits

How to Apply:

You must apply online. Emailed resumes or submissions will not be accepted.