Northeast Credentialing Specialist (Remote)
16 days ago
Liverpool
Job Description Rezolut Imaging is seeking a Credentialing Specialist to join our team! Who is Rezolut? Rezolut is a national emerging platform of diagnostic medical imaging services. With focus on four key platforms, our vision is to provide topnotch patient care partnered with innovative technology — to achieve better health outcomes. Position Summary The Northeast Credentialing Specialist will be responsible for supporting national payor and facility credentialing support growing Radiology Services Organization. Note: This role will be specifically supporting New York, New Jersey, and Pennsylvania credentialing. As a member of the Payor Contracting and Credentialing team this teammate will be a key contributor to company’s objectives by improving our credentialing execution, management and other special projects.The ideal candidate will reside in the New York or California area. Position Duties and Responsibilities • Own, track, and manage Medicare, Medicaid, and other third-party public and private payor, facility and provider enrollment and credentialing., • Primary point of contact inside and outside of the organization for related questions and requests., • Develop and maintain relationships with new and existing third-party payors credentialing counterparts, • Knowledgeable of credentialing process and best practices as well as staying on top of new trends and respective company impacts., • Track, organize and provide timely update for all credentialing applications., • Problem solves, troubleshoot and research credentialing issues independently., • Partner and support Payor Contracting and Revenue Cycle Management (RCM) departments, patients, etc. with related ad-hoc reporting and analyses as needed., • Creation and updating of guides, Standard Operating Procedures (SOPs), announcements, and other documentation for the department and RCM customers., • Required: at least 2 years of experience in the field or in a related area, • Required: experience with New York Medicare & Medicaid, NYWC and other 3rd party New York payors, • Competent in Excel, Powerpoint, Smartsheet, OneNote, • Nice to have – experience with Credential Stream and Availity, • Prior Healthcare, RCM, Credentialing, or Medical Billing experience is required, • Working knowledge and understanding of Medicare physician reimbursement methodologies is required, • Work collaboratively across multiple functions (Credentialing, RCM, and Payor Contracting), • Highly motivated self-starter who is an excellent team player, • Outstanding organizational and communication (both verbal and written) skills, • Ability to innovate in a fast-growing work environment and comfortable dealing with ambiguity, • Immediately accrue PTO as you work! (Full Time), • 6 Observed Holidays, • Medical, Dental, Vision, Life and other voluntary insurances for full-time employees, • 401(k) Retirement plan