What are the responsibilities and job description for the Radiology Credentialing Specialist position at RadNet?
Radiology Credentialing Specialist
We are seeking a highly organized and detail-oriented Radiology Credentialing Specialist to join our team at RadNet. As a key member of our credentialing team, you will be responsible for ensuring that our radiologists are properly credentialed and compliant with regulatory requirements.
- Assist with the gathering of information required to complete credentialing and re-credentialing activities for our contracted/employed radiologists.
- 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
Requirements:
- 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.
Qualifications:
- 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.
