Physician Privileging & Credentialing Specialist

ADP, Inc.; Omaha (NE); On-site; USD 52,000 - 70,000; Full time

Benefits offered by this job

Benefits package

Retirement plan

Paid time off

Company lunches & snacks

Job summary

Real Radiology, a physician-owned teleradiology company in Omaha, NE, seeks a Physician Privileging Specialist to manage physician credentialing and hospital privileging processes. The role reports to the Physician Services Manager and is full-time in-office during business hours.

You will gather documentation, manage enrollments, and coordinate with hospitals and payors while ensuring regulatory compliance and timely updates to internal teams.

Qualifications

• Minimum high school diploma; 1+ years in a medical office environment or equivalent preferred.
• Physician credentialing, licensing or privileging experience is a plus.
• Strong knowledge of credentialing processes and HIPAA regulations preferred.

Responsibilities

• Process initial privileging and payor enrollment applications for new physicians.
• Gather and verify required documentation (education, work history, licenses, certifications, malpractice insurance, references).
• Assist physicians in obtaining hospital privileges and provider enrollments.
• Maintain clear communication with physicians and internal departments regarding credentialing status.
• Identify issues or delays in the credentialing process and escalate as needed.
• Manage application requirements for all physicians and monitor reappointments for compliance.
• Update physician records, databases, and documentation of activities.
• Serve as liaison between physicians, hospitals, and credentialing bodies to obtain verifications.
• Provide updates to relevant departments on credentialing status.
• Use phone, email, fax, and mail to support inquiries and process flow.
• Identify opportunities to improve privileging and payor processes.

Skills

Credentialing processes

Healthcare terminology

HIPAA regulations

Communication skills

Problem solving

Attention to detail

Microsoft Office

Office equipment

Team collaboration

Education

High school diploma

Tools

Microsoft Office

Job description

Real Radiology, a physician-owned teleradiology company in Omaha, NE, seeks a Physician Privileging Specialist to manage physician credentialing and hospital privileging processes. The role reports to the Physician Services Manager and is full-time in-office during business hours.

You will gather documentation, manage enrollments, and coordinate with hospitals and payors while ensuring regulatory compliance and timely updates to internal teams.