Medical Staff Credentialing Specialist, Sr. processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Being a Medical Staff Credentialing Specialist, Sr. loads and maintains provider information in an online credentialing database system. Tracks license and certification expirations for medical staff to ensure timely renewals. Additionally, Medical Staff Credentialing Specialist, Sr. handles and resolves inquiries regarding credentialing information, process, or status. May provide guidance or expertise to less experienced specialists. Requires a high school diploma. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor. The Medical Staff Credentialing Specialist, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Medical Staff Credentialing Specialist, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)
Job ID: 26857
Agency: Department of Social Services / Finance
Location: Pierre
Salary: $18.25 per hour
Pay Grade: GE
Closing Date: Open Until Filled
This is a Full-Time 40 Hours Weekly position with the Department of Social Services. For more information on the DSS, please visit http://dss.sd.gov.
The Division of Finance, Office of Electronic Benefits Transfer (EBT) is seeking a Medical Travel Specialist who will assist Non-emergency Medicaid Travel (NEMT) providers and recipients with their travel claims. Duties include responding to calls from providers and recipients to identify and resolve issues related to the submission and processing of travel claims and billings.
Our Team: Dependable. Committed. Compassionate. As a member of the Department of Social Services you will be part of a team of professionals who are dependable, committed, and compassionate. We believe collaborative communication, teamwork, partnerships, and trust are foundational to the delivery of essential family services. We are looking for an articulate professional who is organized, energetic, motivated, and dependable. This individual must be driving by our vision to build Strong Families, South Dakota's Foundation and Our Future.
The Ideal Candidate Will Have:
Knowledge, Skills, and Ability of:
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=PL5
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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