Credentialing Specialist

Idaho Falls, ID Full Time
POSTED ON 5/6/2024

Description & Requirements

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Position Description & Requirements

practice OVERVIEW

Radiology Partners, through its owned and affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare. Radiology is a team sport, and Radiology Partners is building a community of physicians and support teammates who embody our practice values and believe in our bold mission to transform radiology. Our support team is a vital force within the practice, using their gifts and talents to improve the overall healthcare experience. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.

Candidates must be located within Idaho Falls or Pocatello, ID area.

Position Summary

Radiology Partners is currently seeking an experienced Credentialing Specialist to join our team of practice management professionals in the Eastern Idaho area. This teammate will work with Medical Imaging Associates of Idaho Falls, a 30-physician practice serving many hospital and outpatient imaging clients.  This position will be responsible for obtaining and sustaining hospital privileges, state licenses, DEA certificates, and Continuing Medical Education (CME) credits for the MIA physicians.  They will partner with the national CL&P teams on physician onboarding, Joint Commission (TJC) delegated credentialing, and payor enrollment. 


POSITION DUTIES AND RESPONSIBILITIES 

·         Perform verification of provider education, training, experience, and certifications

·         Complete initial provider enrollment and re-credentialing applications with contracted hospitals

·         Review all applications to ensure accuracy prior to submission

·         Monitor provider application statuses; conduct follow-up and problem resolution as needed

·         Coordinate with practice leadership, hospitals, and providers to complete credentialing process, including any additional documentation, information, or applications

·         Communicate and build relationships with contracted facilities for credentialing needs

·         Notify facilities of changes to practice providers and credentialing related matters

·         Obtain and maintain copies of current state licenses, DEA certificates, and any other required credentialing documents for all providers

·         Track license and certification expirations for all providers to ensure timely renewals

·         Maintain information on any physician claims for new enrollments or re-appointment applications; send required letters to ID, WY, and MT state boards to notify of any settlements

·         Maintain physician files; review and update doctor CVs annually

  • Enter physician CMEs and modality reads into database, perform audits and notify physicians of deficiencies in order to maintain compliance with ACR accreditation

·         Work with RP MedMal to provide malpractice insurance for credentialing needs

·         Maintain accuracy of provider data in credentialing databases and systems 

·         Ensure strict confidentiality of credentialing files and databases

·         Facilitate internal and external record audits as needed

·         Oversee 3rd party credentialing service provided to critical access hospitals; assure service provided fulfills needs and expectations

·         Keep management informed of progress and escalate issues as needed 

·         Uphold all credentialing and practice specific policies and procedures 

·         Fulfill other duties as deemed necessary

 

DESIRED PROFESSIONAL SKILLS AND EXPERIENCE 

·         2 years of healthcare credentialing experience

·         Ability to meet strict deadlines, anticipate possible problems, manage multiple priorities, and organize details efficiently

·         Excellent verbal and written communication skills including letters, memos, and emails 

·         Excellent attention to detail 

·         Ability to perform research and provide recommendations as needed

·         Ability to work independently with minimal supervision 

·         Ability to establish and maintain effective working relationships with providers, management, and hospital contacts

·         Knowledge and understanding of the credentialing process

·         Proficient use of Microsoft Office, email encryption, and other software

Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences.

The hourly range for this position is $19.00 - 22.00. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. In addition to this range, Radiology Partners offers competitive total rewards packages, which include possible incentive and productivity programs, health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).

CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History.

Radiology Partners participates in E-verify.

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