Credentialing Coordinator for Teleradiology
2 weeks ago
About Experity: Experity is a premier provider of software and services tailored for on-demand healthcare in the United States. We deliver innovative software solutions that streamline operations for over 5,700 urgent care clinics nationwide. Our mission is to enhance the healthcare experience by simplifying processes, from patient appointment scheduling to clinical documentation and billing. We are dedicated to transforming healthcare for millions of patients through our innovative approach.
What We Offer:
- Comprehensive Benefits: Our benefits package includes Medical, Dental, and Vision coverage starting from your first day of employment.
- Ownership Opportunities: All team members are eligible for synthetic ownership after one year, allowing them to share in the company's success.
- Employee Assistance Program: This program provides various support services, including counseling, legal assistance, financial education, and more.
- Flexible Work Arrangements: We support our team members in achieving a healthy work-life balance through flexible scheduling options.
- Generous Paid Time Off: Our PTO plan is designed to help team members recharge and spend quality time with family and friends.
- Career Growth: We invest in our team members' professional development through a robust learning program.
- Team Building Activities: We organize events to foster team spirit and camaraderie, including family picnics and holiday celebrations.
- Competitive Compensation: We offer attractive pay, quarterly bonuses, and a 401(k) plan with employer matching to secure your financial future.
Position Overview: This is a full-time role with an hourly wage based on experience.
Key Responsibilities:
- Manage the shared Credentialing inbox and incoming faxes, directing them to the appropriate personnel or responding as necessary.
- Ensure compliance of Radiologists with New York Primary Diagnostic Monitor regulations through remote quality reviews.
- Maintain the MD-Staff database and physician files, ensuring all credentials are up to date.
- Update Salesforce with any changes to physician demographic information.
- Facilitate the onboarding process by sending initial physician applications and supporting them throughout.
- Handle reappointment applications and ensure all required documentation is collected.
- Gather necessary credentialing documents and perform verifications in line with Joint Commission standards.
- Submit provisioning and setup requests via the ServiceNow portal, coordinating IT setup appointments for physicians.
- Collaborate with team members and leadership to review applications for privileges, addressing any concerns.
- Complete state license and facility credentialing applications, ensuring all verifications and documentation are included.
- Communicate with physicians and medical boards throughout the licensing process.
- Document and process medical records requests and subpoenas securely and in compliance with HIPAA.
- Participate in training sessions and webinars to enhance departmental knowledge.
- Assist the Director of Professional Services with various projects as needed.
- Perform other related duties as assigned.
- Bachelor's degree or equivalent experience.
- A minimum of two years in healthcare credentialing.
- Proficiency in Microsoft Office applications.
- Experience with medical credentialing software, preferably MD-Staff.
- Certification in Medical Staff Services (Credentialing 101 and/or CPCS from NAMSS) is preferred.
- Team First
- Lift Others Up
- Share Openly
- Set and Crush Goals
- Delight the Client
- Electronic Medical Records (EMR): Software for healthcare providers to manage patient data.
- Patient Engagement (PE): Tools for patients to view wait times and book appointments.
- Practice Management (PM): Software for clinic staff to manage patient registration.
- Billing and Revenue Cycle Management (RCM): Solutions for coding, billing, and payer contracts.
- Teleradiology: Providing timely and accurate radiology reads for urgent care clients.
- Consulting: Services to assist urgent care clinics in growth and enhancement.
Experity is an Equal Opportunity Employer, committed to diversity and inclusion in the workplace.
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