Credentialing Specialist

Midwest Radiology•Roseville, MN

4d•$22 - $25•Hybrid

About The Position

The credentialing specialist is responsible for all aspects of the credentialing, recredentialing and privileging process for all medical providers who provide care with Midwest Radiology. Responsible for ensuring providers are credentialed, appointed, and privileged with hospitals and health plans. The credentialing specialist works directly with providers to maintain up-to-date data for each provider in the credentialing database, ensuring accuracy of credentialing applications, and timely renewal of licenses and certifications.

Requirements

Maintain understanding of the credentialing process, best practices and applicable regulations.
Ability to organize work and priorities to meet deadlines required of credentialing and recredentialing processes.
Excellent verbal and written communication skills including, letters, memos, and emails.
Ability to establish and maintain effective working relationships with providers, management, staff and contacts outside of the organization.
Dependable – consistently at work and on time.
Excellent attention to detail.
Incorporate company values into daily interactions with internal and external customers.
High school diploma or equivalent.
Must be able to work independently with minimal supervision.
Proficient use of Microsoft Office applications (Outlook, Word, Excel) and internet resources.
Demonstrate strong computer and data management skills.

Nice To Haves

Associate’s degree preferred.
Certified Provider Credentialing Specialist (CPCS) preferred.
2 years of experience in credentialing or similar medical business office role preferred.

Responsibilities

Compile and maintain current and accurate data for all provider credentialing records.
Maintain licenses, certification, health records, and CMEs for providers. Tracks expirations to ensure timely renewals.
Completes provider initial and reappointment applications. Monitors applications and follow-ups as needed to support completion.
Reviews credentialing applications for completeness and accuracy.
Communicates with providers to collect and maintain up to date information required in a complete credentialing application and provider record.
Performs verifications of credentialing records.
Assist hospitals and health plans with information needed to maintain the provider’s credentialing files
Respond to telephone and email in a timely manner.
Ensures security and confidentiality of credentialing records is adhered to.
Work closely with the credentialing manager to identify and resolve issues related to provider credentialing.
Performs other related duties as assigned.