Credentialing Specialist (Remote)

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.)

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