Credentialing Specialist

AD; Hackettstown (NJ); Presencial; USD 45.000 - 65.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

Vision insurance

401(k)

Paid time off

Descripción de la vacante

ImageCare Radiology is seeking a Credentialing Liaison for our Mount Olive, NJ office. The role focuses on assisting the credentialing company to maintain active status for all providers through initial and subsequent credentialing packages.

The position requires experience in medical office credentialing, data entry, and on-the-job training, with typical duties including reviewing credentialing applications, onboarding inquiries, and maintaining documentation to prevent lapses in eligibility.

Formación

• Review and process initial credentialing and re-credentialing applications.
• Screen applications and documents for completion and compliance.
• Assist onboarding and existing members with credentialing inquiries.
• Maintain organized documentation of credentialing dates and linking dates.
• Work independently with the credentialing company to ensure all providers are credentialed and linked to The Medical Group of New Jersey.
• Collaborate with the credentialing company and billing manager to resolve denials or authorization issues related to credentialing.
• Perform any other related duties as required.

Responsabilidades

• Review and process initial credentialing and re-credentialing applications as needed.
• Screen applications and supporting documents for completion/compliance.
• Assist onboarding and existing members with credentialing inquiries.
• Maintain organized documentation of credentialing dates/linking dates to mitigate lapses in eligibility.
• Work independently with the credentialing company to ensure providers are credentialed and linked to The Medical Group of New Jersey.
• Work closely with the credentialing company and billing manager to resolve any denials or authorization issues related to provider credentialing.
• Perform any other related duties as required.

Conocimientos

Credentialing experience

Data entry

Medical office experience

Educación

High school diploma

On-the-job training

Descripción del empleo

At ImageCare Radiology, we offer a wide range of diagnostic imaging services across 20+ locations in Northern and Central New Jersey. Our outpatient centers provide affordable, high-quality care in a patient-focused environment. Join our growing team and help us deliver exceptional medical imaging while advancing your career in a supportive, dynamic setting. Be part of a team that values your skills and contributions!

ImageCare Radiology is looking to hire someone with credentialing experience for our Mount Olive office.

Schedule:

Monday - Friday 8:30 AM - 5:00 PM.

GENERAL DESCRIPTION OF POSITION

The Credentialing Liaison will be responsible for assisting the credentialing company with maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Review and processinitialcredentialing and re-credentialing applications as needed.
• Screen applications and supporting documents for completion/compliance.
• Assistonboarding and existing TMGNJ members with credentialing inquiries.
• Maintain organized documentation of credentialing dates/linking dates to mitigate lapses in eligibility.
• Work independently and with the credentialing company to ensure all providers are credentialed and linked to The Medical Group of New Jersey.
• Work closely with thecredentialingcompany and billing manager to resolve any denials or authorization issues related to provider credentialing.
• Perform any other related duties asrequiredor assigned.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty mentioned satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

EDUCATION AND EXPERIENCE

High school diploma, plus specialized schooling and/or on the job education in a specific skill area; E.G. data processing, clerical/administrative, equipment operation, etc., plus 1+ years of related experience and/or training. Or equivalent combination of education and experience.

EXPERIENCE

• Medical Office 1 year (Preferred)
• Data Entry

BENEFITS

• Health insurance
• Vision insurance
• 401(k)
• Paid time off

ABILITY TO COMMUTE/RELOCATE

• Mount Olive, NJ: Reliably commute or planning to relocate before starting work (Required)

Flu Vaccination & Proof of MMR Requirement : It is Image Care's Company Policy that all personnel must be vaccinated with the MMR and the yearly flu shot.

ImageCare Centers provided the following inclusive hiring information:

We are an equal opportunity employer and consider all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.