Credentialing Specialist (Remote)

Vision Radiology; Dallas (TX); Remote; USD 35,000 - 50,000; Full time

Benefits offered by this job

401(k) matching

Medical/Dental/Vision Insurance

FSA or HSA

Paid time off

Parental leave

Health & wellness programs

Job summary

A healthcare organization is looking for a Credentialing Specialist responsible for managing the credentialing process and liaising with applicants. This role involves evaluating compliance, ensuring timely application processing, and maintaining accuracy in the credentialing database. Candidates should be detail-oriented, possess strong communication skills, and have at least a high school diploma. Benefits include 401(k) matching, medical and dental insurance, and paid time off.

Qualifications

• Minimum of 1 year of administrative experience in Healthcare preferred.

Responsibilities

• Evaluate Organization procedures and bylaws for efficiency.
• Manage internal credentialing processes for privileges.
• Ensure timely completion of applications and verifications.
• Present completed files to Management Team for approval.

Skills

Detail-oriented

Effective communication

Organizational skills

Remote work capability

Critical thinking

Adaptability

Education

High School Diploma or equivalent

Job description

Company Description

Vision Radiology was founded in 2003 by several radiology alumni from The Johns Hopkins University who shared the core values of dedication to diagnostic radiology and a commitment to patient welfare. Our mission from day one has been to set the highest standards of quality, timeliness, and client service in the practice of radiology.

Job Summary

The Credentialing Specialist primarily serves as the liaison between Vision Radiology (Organization) and the Organization’s contracted applicants and appointees to perform credentialing verifications and grant initial and reappointment privileges, as applicable. This individual works with applicants and appointees as well as external facilities to obtain verifications and documentation as required by Organization bylaws, processes, and procedures. Special projects pertaining to the Physician Services department may also be assigned as needed.

Role Responsibilities

• Evaluate Organization procedures and bylaws, determine opportunities for efficiencies, and develop action plans
• Initiate and manage workflow for internal credentialing processes to obtain initial and reappointment privileges per the Organization’s Bylaws and compliance requirements
• Ensure assigned applications, verifications, reports, and other supporting documents of Organization Applicants or Appointees are complete and delivered in a timely manner
• Accountable for presentation of completed files to the Organization’s Management Team for recommendation of approval on all assigned initial appointments and reappointments, to include other actions in accordance with the Physician Services Bylaws
• Work proactively to resolve issues before they impact applicants’ and appointees’ ability to provide services

Department Specific

• Accept safety and quality of patient care, treatment, and services as a responsibility and priority
• Establish and maintain positive working relationships between staff members, including physicians, and external contacts
• Maintain a working knowledge of the Organization's procedures and bylaws
• Participate in the implementation of applicable Physician Services processes and procedures
• Maintain credentialing database with a high level of accuracy, detail, and consistency in record-keeping practices
• Accountable for the proper utilization of any computer software program(s) necessary to support the credentialing process and for maintaining the database. This includes, but is not limited to data entry and the saving of appropriate documents directly into the database; maintaining data sufficient to pre-populate applications supported by the database
• Performing and participating in regular audits of the credentialing database to ensure accuracy
• Strictly comply with all Organization and Healthcare Entity Bylaws and policies, accrediting body standards, and laws governing the healthcare industry
• Other related responsibilities as assigned

Qualifications And Education Requirements

• Minimum of High School Diploma or equivalent required
• Minimum of 1 year of administrative experience in Healthcare preferred

Other Skills And Knowledge

• Must be detail-oriented and highly organized
• Must be an effective communicator who consistently demonstrates above-average verbal and written skills
• Must be capable of learning and working effectively in a remote environment with minimal supervision
• Must be an engaged and collaborative employee who can constructively receive and share feedback
• Demonstrated ability to deliver timely and accurate work in a deadline-driven environment
• Demonstrated ability to work in a fully electronic records system with minimal physical paperwork
• Demonstrated ability to use independent judgment and critical thinking skills
• Demonstrated ability to adapt to change
• Demonstrated ability to prioritize workload

Company Benefits

• 401(k) matching
• Medical/Dental/Vision Insurance
• FSA or HSA
• Paid time off
• Parental leave
• Variety of company perk programs (health & wellness, learning & development, etc.)