Provider Enrollment Representative

Sanford Health

Provider Enrollment Representative managing provider and facility payor enrollment for Sanford Health, the largest rural U.S. health system.

Posted 8/4/2026full-timeRemote • Iowa, Minnesota, Missouri, North Dakota, South Dakota • 🇺🇸 United StatesMid-LevelSenior💰 $19 - $31 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in provider enrollment processes, including managing documentation and compliance with federal and state regulations. Proficient in using billing software and maintaining accurate provider databases to ensure timely enrollment and effective communication with payors.

Highest-signal resume keywords

Provider Enrollment ManagementEpic Software ProficiencyFederal And State Regulations KnowledgeBilling Software UtilizationCredentialing Experience

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Provider EnrollmentDocumentation ManagementClaims ReviewData MaintenanceNPI Application Assistance

Soft Skills

CommunicationProblem-SolvingAttention To Detail

Tools & Technologies

EpicBilling SoftwareMicrosoft Products

Industry Keywords

Payor ComplianceCredentialingProvider DirectoryEnrollment Denials ResolutionManaged Care Requirements

About the role

Key responsibilities & impact

Ensure timely enrollment of new providers and facility sites with payors
Maintain existing provider and facility-site enrollment, including re-enrollment and terminations
Gather and maintain accurate provider directory and payor database information
Follow up with payors to obtain effective dates, status updates, and billing identification numbers
Update provider numbers and related data in internal and external billing software and production programs
Maintain supporting documentation, including W-9, CLIA certificates, bank, IRS, and CMS letters
Apply for or assist with individual practitioner and facility NPI applications through NPPES
Notify payors and internal contacts about practitioner practice changes, terminations, malpractice cases, and legal matters
Notify payors about new sites, site terminations, and site changes
Follow up on enrollment-related denials and resolve accounts in accordance with federal and state regulations
Respond to internal and external inquiries regarding research issues
Review charges, claims-pending reports, and claim-edit work queues in Epic
Work Epic follow-up queues to resolve enrollment-related issues
Monitor changes in managed care and payor provider-enrollment requirements
Complete work within departmental, compliance, and payor time limits
Initiate enrollment for electronic claims submission
Attend site-planning meetings, provide input, gather setup information, and provide updates

Requirements

What you’ll need

High school diploma or equivalent preferred
Previous experience as a Billing Representative, in Credentialing, or in Provider Enrollment preferred
General computer skills required
Ability to use Microsoft products required
Ability to manage provider enrollment information, documentation, and payor requirements
Knowledge of federal and state regulations and payor compliance requirements
Ability to use Epic work queues and billing-related software

Benefits

Comp & perks

Full-time employment
Day shift schedule
40 scheduled hours per week
Equal employment opportunity for minorities, women, people with disabilities, and veterans
Accommodation support for individuals with disabilities during the application process