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Teleradiology Credentialing Coordinator

3 months ago

Machesney Park, United States Experity Defunct Full time

Experity is the leading software and services company for on-demand healthcare in the U.S. We provide software solutions that remove complexities and simplify operations for 5700+ urgent care clinics across the country. We create, maintain, and support products to facilitate the complete on-demand healthcare experience: from patients finding clinics and making appointments, to checking in, to clinical documentation, and to the final bill paid by the patient. Our team is committed to changing healthcare for the better by innovating and revolutionizing on-demand healthcare for millions of patients across the country.

Experity offers the following:

  • Benefits - Comprehensive coverage starts first day of employment and includes Medical, Dental/Orthodontia, and Vision.
  • Ownership - All Team Members are eligible for synthetic ownership in Experity upon one year of employment with real financial rewards when the company is successful
  • Employee Assistance Program - This robust program includes counseling, legal resolution, financial education, pet adoption assistance, identity theft and fraud resolution, and so much more.
  • Flexibility - Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance.
  • Paid Time Off (PTO) - Experity offers a generous PTO plan and increases with milestones to ensure our Team Members have time to recharge, relax, and spend time with loved ones.
  • Career Development - Experity maintains a learning program foundation for the company that allows Team Members to explore their potential and achieve their career goals.
  • Team Building - We bring our Team Members together when we can to strengthen the team, build relationships, and have fun We even have a family company picnic and a holiday party.
  • Total Compensation - Competitive pay, quarterly bonuses and a 401(k) retirement plan with an employer match to help you save for your future and ensure that you can retire with financial security.
Hybrid: Experity offers Team Members the opportunity to work remotely or in an office. While this position allows remote work, we require Team Members to live within a commutable distance from one of our locations to ensure you are available to come into the office as needed.

Job Type: Full time

Compensation: Hourly budgeted between $17.75 - $20.75 dependent upon experience

Responsibilities:
  • Monitor shared Credentialing inbox and incoming faxes and route to the appropriate team member or respond to requests as needed.
  • Ensure initial and ongoing Radiologist compliance with New York Primary Diagnostic Monitor (PDM) regulations for physicians licensed in NY by completing remote quality reviews of New York state Radiologist's monitors in line with state equipment requirements.
  • Assist with maintenance of MD-Staff database and physician files, ensuring expirable credentials are kept current.
  • Update Salesforce with changes to physician demographic information, as needed.
  • Send out initial physician applications in MD-Staff and support the physician throughout the onboarding process.
  • Send out physician reappointment applications and ensure all necessary documentation is received.
  • Collect required credentialing documents and obtain all necessary verifications in accordance with Joint Commission standards for physicians who are onboarding, in reappointment, and/or have an update to credentials.
  • Submit onboarding equipment provisioning and physician setup/configuration tickets via ServiceNow portal. Monitor ticket status, schedule physician for IT setup appointment, and connect physician with IT and Implementation Specialist to facilitate necessary communication and preparation prior to first scheduled shift.
  • Collaborate with team members and Leadership to review applications for temporary, initial, and reappointment privileges once all required verifications and documentation have been received, discussing any red flags or concerns.
  • Complete state license and facility credentialing applications, including required verifications, supporting documentation, and detailed instructions for physician to review and complete.
  • Collaborate with the physician and state medical board or requesting facility throughout the process until license is issued or facility privileges are approved.
  • Communicate any concerns or potential delays to Director of Professional Services for assistance and/or acknowledgement of application status.
  • Receive and file medical records requests and subpoenas, documenting each one on worklist.
  • Process each request by searching for requested records, communicating any concerns to Director of Professional Services for further investigation.
  • Send requested records in a secure, HIPAA compliant manner, and document date and manner of transmission.
  • Attend training sessions and educational webinars, with or at the recommendation of Director of Professional Services, to further knowledge of the department and its responsibilities.
  • Assist Director of Professional Services with projects, as needed.
  • Other duties as assigned.
Education and Experience:
  • Bachelor's degree or equivalent combination of education and experience.
  • At least two years' experience in healthcare credentialing.
  • Proficiency in MS Office applications.
  • Experience with medical credentialing software (MD-Staff preferred).
  • Medical Staff Services related Certification (Credentialing 101 and/or CPCS from NAMSS) preferred
Every Team Member Exhibits Our Core Values:
  • Team First
  • Lift Others Up
  • Share Openly
  • Set and Crush Goals
  • Delight the Client
Our urgent care solutions include:
  • Electronic Medical Records (EMR): Software that healthcare providers use to input patient data, such as medical history, diagnoses, treatment plans, medications, and test results.
  • Patient Engagement (PE): Software that shows patients the wait times at various clinics, allows patients to reserve a spot in line if there's a wait, and book the appointment.
  • Practice Management (PM): Software that the clinic front desk staff uses to register the patient once they arrive for their appointment.
  • Billing and Revenue Cycle Management (RCM): Software that manages coding, billing and payer contracts for clinics so they don't have to.
  • Teleradiology: Board certified radiologist providing accurate and timely reads of results from X-rays, CT scans, MRIs, and ultrasounds, for our urgent care clients.
  • Consulting: Consulting services for urgent care clinics to assist with opening, expanding and enhancing client's businesses


Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)