Credentialing Specialist - Credentialing Resource Office

At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000 professionals working together, learning from each other and living out the mission, vision and values that define our organization. 

As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.  

What sets SCA Health apart isn’t just what we do, it’s how we do it. Each decision we make is rooted in seven core values: 

• Clinical quality 
• Integrity 
• Service excellence 
• Teamwork 
• Accountability 
• Continuous improvement 
• Inclusion 

Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America.    

At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Click here to learn more about our benefits.

Your ideas should inspire change. If you join our team, they will. 

• Credentials Facility, Radiologists, and Modalities with participating carriers and regulatory agencies in a timely and efficient manner.  This includes re-credentialing of existing services and initial credentialing of new services or new Payors.
• Maintains credentialing process for Facility, all Modalities, and all Radiologists.
• Informs management of any credentialing process or procedure roadblocks.
• Maintains an accurate database of all Facility, Modality, and Radiologist participation information.
• Responds and manages all credentialing related requests from regulatory agencies, Payors, and outside affiliates.  
• Informs the Center Administrator and/or Radiologists of tasks or information required to maintain licensure and credentialing as appropriate.
• Maintains continuing education credits and informs Radiologists of deficiencies.
• Supports the objectives of the Center Administrator and Radiologists.
• Adheres to all HIPAA, OSHA, regulatory, compliance, privacy and confidentiality standards at all times, maintaining patient confidentiality at all times.
• Demonstrates a willingness and ability to assist others as requested; perform receptionist / clerical responsibilities and other assignments.
• Attends regularly scheduled facility meetings (i.e. in-service, training, staff).
• Keeps work area in a pristine and organized condition; regularly checking equipment, accessories, and supplies; keeping area stocked at all times; cleans and disinfects equipment after each patient use.
• Demonstrates a clear understanding of, consistently adheres to, facility policies and procedures.
• Promotes and supports the company’s Vision / Mission / Values.
• Other duties as assigned.

• High school diploma or equivalent.
• At least 2 years of previous related experience (Physician, Payor, or Hospital).
• Experience working with computers, MS Office, and credentialing systems.

Salary : $52,000 - $54,080