Credentialing Specialist

Credentialing Specialist

Facility: GSS National Campus

Location: Sioux Falls, SD

Address: 4800 W 57th St, Sioux Falls, SD 57108, USA

Shift: 8 Hours - Day Shifts

Job Schedule: Full time

Weekly

Hours:

40

Salary Range: $21.50 - $34.50 per hour

The Credentialing Specialist is responsible for overseeing tasks and processes that facilitate the credentialing of initial and reappointment applications for medical staff, professional health staff, and allied health staff. The role manages timelines, workflow, data accuracy, final verification reviews, correspondence, committee preparation, communication of recommendations, audit reporting, project facilitation, and initiation of provider applications.

• Oversee timelines and workflow processing for reappointment cycles.
• Prioritize work to meet anticipated start dates and reappointment expiration.
• Ensure application completeness and identify issues requiring additional information or investigation.
• Oversee accuracy of data entry and verification requests.
• Perform final review of processed verifications for quality and content.
• Develop correspondence to obtain additional information as needed.
• Facilitate committees in preparation of agenda materials and follow‑up of recommendations.
• Coordinate communication of final credentialing recommendations to all parties.
• Generate audits and reports to support/document the verification and credentialing process.
• Facilitate projects and initiate the provider application process.
• Model excellent customer service, communicate effectively with diplomacy, and manage multiple tasks efficiently.

• Bachelor’s degree required;
  Associate’s degree and 3 years of applicable experience may be considered.
• Minimum of two years of experience in credentialing, provider services, administrative support, business or healthcare experience preferred.

Sanford Health offers an attractive benefits package for qualifying full‑time and part‑time employees, including health, dental, vision, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time‑off package. For more information, visit Sanford 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 or email talent. Sanford Health has a Drug Free Workplace Policy; a drug screen and pre‑employment background screening are required for all hires.

Req Number: R-0244934