Physician Credentialing Specialist - Impact & Enrollments

Real Radiology, LLC; Omaha (NE); On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

Retirement plan

Profit sharing

Paid time off

Lunches & snacks

Job summary

Real Radiology, LLC is seeking a Physician Privileging Specialist (PPS) to manage privileging processes for our physician radiologists. This full-time, in-office role reports to the Physician Services Manager and coordinates hospital privileges and payor enrollment across assigned facilities.

The PPS will gather documentation, verify licenses and certifications, and maintain records while communicating with physicians and internal teams.

Qualifications

• Understanding of medical credentialing processes.
• Knowledge of healthcare terminology.
• Awareness of HIPAA regulations.
• Strong communication skills, written and verbal.
• Effective problem solving and decision making.
• Attention to detail and organized.
• Proficient in computer literacy and Microsoft Suite.
• Experience using office equipment (phone, fax, mail).
• Strong team mentality.

Responsibilities

• Process initial privileging and payor enrollment applications for new physicians.
• Gather and verify required documentation, such as education, work history, licenses, certifications, malpractice insurance, and references.
• Assist physicians in obtaining hospital privileges and provider enrollments.
• Maintain clear and consistent communication with physicians and internal departments regarding the status of privileges and payor enrollment.
• Identify and escalate issues or delays in the credentialing process.
• Manage and process application requirements for all physicians.
• Track and monitor physician reappointment dates to ensure compliance.
• Maintain and update physician records, databases, and spreadsheets.
• Ensure proper documentation and record-keeping of all activities.
• Act as a liaison between physicians, hospitals, and other credentialing bodies to obtain verifications and resolve issues.
• Provide timely updates to relevant internal departments regarding physician credentialing status.
• Utilize multiple communication methods, including phone, email, fax, and mail.
• Support physician inquiries related to privileging and payor status.
• Identify opportunities for improving privileging and payor processes and recommend best practices.
• Remain current on industry regulations, requirements, and compliance standards.
• Support the Physician Services department with projects and assigned tasks.

Skills

Communication

HIPAA compliance

Credentialing knowledge

Attention to detail

Microsoft Office

Team player

Education

High school diploma

Job description

Real Radiology, LLC is seeking a Physician Privileging Specialist (PPS) to manage privileging processes for our physician radiologists. This full-time, in-office role reports to the Physician Services Manager and coordinates hospital privileges and payor enrollment across assigned facilities.

The PPS will gather documentation, verify licenses and certifications, and maintain records while communicating with physicians and internal teams.