Credentialing Coordinator

Responsibilities

Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are Leading Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its people with the commitment to a better healthcare experience. When you join us as a Credentialing Coordinator, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes.

You Will

• Assist with the gathering of information required to complete credentialing and re-credentialing activities for our contracted/employed radiologist.
• Research and obtain verifications of radiologist credentials.
• Coordinate with hospital/internal medical centers and radiologists to complete credentialing process, including any additional documentation, verifications, references, and applications necessary.
• Manage radiologist credentialing according to department policy and procedures.
• Will complete and review all applications to ensure accuracy prior to submission.
• Proficient and efficient use of Microsoft Office Suite tools and credentialing software to accurately enter and maintain physician information and track incoming and outgoing requests.
• Monitor applications and credentialing files for completion; notifies appropriate department leads, management, and/or appropriate member of changes in a radiologist’s status.
• File, maintain and update pertinent documents in credentialing files.
• Maintain and ensure that all files contain all up-to-date licenses for corresponding Radiologist. Follow-up and obtain updated radiologist license when necessary.
• Conduct verification of credentialing through the use of system resources and approved departmental tools and document status within credentialing database(s).
• Protects organization's principles by retaining strict confidentiality.
• Files all information promptly in corresponding credentialing files/software/database.
• Works directly with Radiologists to complete and obtain documentation for credentialing during onboarding, licensing, payer enrollment and other assigned duties.
• Will initiate and maintain payor enrollment.
• Will perform facility credentialling/re-credentialling for current medical facilities. Will initiate support facility credentialing of new medical facilities and acquisition of new
  
  

You Are

• Genuinely passionate about customer service and exercise sound judgement and an ability to remain professional in all situations
• Able to demonstrate effective and professional communication, interpersonal skills and respect with patients, vendors & referring physicians
• Able to thrive in a fast-paced environment, have a knack for prioritizing work with a structured approach, and possess strong organizational skills
  
  

To Ensure Success In This Role, You Must Have

• High School graduate or equivalent
• One year or more of experience with credentialing.
• Some health care industry knowledge is required.
• Must demonstrate proficient computer skills to include proficiency with Microsoft Office (Outlook, Word & Excel).
• Must have outstanding oral/written communication.
• Demonstrates the ability to work independently and make sound independent judgment and have strong decision-making abilities.
• Must be knowledgeable and have a core understanding of credentialing and completing and reviewing credentialing and re-credentialing applications.
• Knowledge of data management and documentation
  
  

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