Remote Credentialing Specialist – MQSA/ACR Compliance

Washington Radiology; Addison (TX); On-site; USD 55,000 - 85,000; Full time

Job summary

Solis Mammography is seeking a Compliance Specialist to manage credentialing workflows, maintain MQSA and ACR certifications, and ensure physician contracts with payors. Remote work with flexible hours supports onboarding and ongoing regulatory adherence across locations.

The role emphasizes data accuracy, HIPAA compliance, and coordination with radiology groups, billing, and clinical training managers to sustain a high standard of credentialing integrity.

Qualifications

• Bachelor's degree or equivalent experience preferred.
• Two or more years of credentialing experience working with NCQA standards.
• Minimum of two years in a centralized credentialing office or related health care environment.
• At least two years of data entry experience.
• Strong written and verbal communication skills.

Responsibilities

• Manages a database of certifications, credentials, and continuing education and requirements for Radiologists reading images according to MQSA and ACR standards.
• Plan, organize and coordinate credentialing activities.
• Communicate with payors to ensure that physicians are on contracts.
• Resolves credentialing issues through proactive measures and follow through.
• Researches and verifies engagement, competence, education, residency, internships, training, board certifications, and licenses per MQSA requirements.
• Confirms in the OIG database and queries the National Practitioner Data Bank at start of engagement.
• Ensures attestation processes after querying the CAQH database and manages expiring documents.
• Acts as liaison between Radiology Groups and Solis to coordinate credentialing dates for new placements.
• Facilitates physician onboarding with Manager of Clinical Training.
• Maintains knowledge of MQSA and ACR requirements and applies them to credentialing.
• Performs OIG Exclusion checks on Radiologists, Vendors, and Referring physicians monthly.
• Maintains relationships with Medical Director, physician groups, center directors, and VPs of Operations.
• Manages compliance requirements through MQSA/ACR certifications for all center locations.
• Distributes MQSA and ACR notices to Quality Directors for follow up and investigation coordination.
• Liaises with Billing to ensure radiologists are contracted with payors and updates demographic information as needed.
• Upholds HIPAA regulations.
• Performs other related responsibilities as required.

Skills

Attention to detail

Excellent communication

Organizational skills

Time management

Education

Bachelor's degree or equivalent experience

Tools

Word

Excel

Job description

Solis Mammography is seeking a Compliance Specialist to manage credentialing workflows, maintain MQSA and ACR certifications, and ensure physician contracts with payors. Remote work with flexible hours supports onboarding and ongoing regulatory adherence across locations.

The role emphasizes data accuracy, HIPAA compliance, and coordination with radiology groups, billing, and clinical training managers to sustain a high standard of credentialing integrity.