Physician Credentialing Specialist — Licensing & Compliance

Evolving Solution Services; Omaha (NE); Vor Ort; USD 42.000 - 65.000; Vollzeit

Benefits dieser Stelle

Retirement plan

Paid time off

Lunches & snacks

Zusammenfassung

Real Radiology in Omaha, NE is seeking a Physician Services Credentialing Specialist to ensure physicians maintain active status with state boards, interstate compact databases, and client credentialing requirements. The role supports initial credentialing, renewals, and provider enrollments, coordinating with physicians and cross-department teams.

This full-time office-based position emphasizes accuracy, compliance, and timely updates, with responsibility for maintaining records, tracking

Qualifikationen

• High school diploma required.
• 1+ year experience in a medical office setting.
• Credentialing, licensing or privileging experience preferred.
• Understanding of medical credentialing processes.
• Knowledge of HIPAA regulations.

Aufgaben

• Process initial credentialing applications for new physicians.
• Gather and verify education, work history, licenses, and certifications.
• Assist physicians with state licenses, hospital privileges, and enrollments.
• Coordinate fingerprinting for medical boards.
• Maintain communication with physicians and internal teams.
• Identify and escalate credentialing delays.
• Track credentialing renewals and reappointments.
• Maintain credentialing records and databases.
• Liaise with boards/hospitals to obtain verifications.
• Provide timely status updates to internal departments.
• Use multiple channels (phone, email, fax, mail).
• Support credentialing inquiries.
• Identify process improvements opportunities.
• Stay current on credentialing regulations and compliance.
• Support Physician Services with projects.

Kenntnisse

Credentialing basics

Healthcare terminology

HIPAA awareness

Strong communication

Problem solving

Attention to detail

MS Office

Team player

Ausbildung

High school diploma

Tools

Microsoft Office Suite

Jobbeschreibung

Real Radiology in Omaha, NE is seeking a Physician Services Credentialing Specialist to ensure physicians maintain active status with state boards, interstate compact databases, and client credentialing requirements. The role supports initial credentialing, renewals, and provider enrollments, coordinating with physicians and cross-department teams.

This full-time office-based position emphasizes accuracy, compliance, and timely updates, with responsibility for maintaining records, tracking