Medical Credentialing Specialist

RAYUS Radiology•Pittsburgh, PA

2d•Remote

About The Position

RAYUS Radiology is looking for a Credentialing Specialist to join their team. They are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. As a Credentialing Specialist, you will be responsible for initial physician internal board appointments, facility privileging, including conducting follow-up and timely responses to questions regarding pending applications. This is a full-time remote position, working day shifts, 40 hours per week, Monday - Friday.

Requirements

High school diploma, or equivalent
Minimum 3-5 years of physician medical credentialing, licensing, privileging, or provider enrollment experience.
Experience managing multiple provider onboarding projects simultaneously.
Familiarity with federal/state and regulatory and/or accrediting agencies
Strong organizational and follow-up skills.
Excellent verbal and written communication skills
Experience interacting with physicians, medical staff offices, and healthcare administrators.
Proficiency using Microsoft Office Suite applications
Proficiency using various computer systems and proficient typing skills

Nice To Haves

Associate degree
Working knowledge of CMS, CAQH, IMLCC, NPDB, and JCAHO
Certified Provider Credentialing Specialist (CPCS) OR Certified Professional Medical Services Management (CPMSM)
Experience using CredentialStream credentialing software.
Active notary status preferred but not required.

Responsibilities

Own and manage the end-to-end provider onboarding process for newly hired physicians.
Serve as the primary point of contact for new providers throughout onboarding.
Initiate, track, and maintain provider onboarding workflows in Credential database.
Monitor onboarding milestones and ensure timely completion of credentialing and privileging requirements.
Utilize Credential software to create and manage initial provider onboarding, track onboarding status and outstanding items, and maintain provider records and documentation.
Conduct routine follow-up with providers, facilities, and internal departments regarding pending items.
Collaborate with Recruitment, Operations, Medical Staff Services, Licensing, Enrollment, Human Resources, and physician leadership to ensure providers meet target start dates.
Identify onboarding risks and escalate issues affecting provider readiness.
Provide regular onboarding status updates to leadership and operational stakeholders.
Ensure credentialing files remain audit-ready and compliant with applicable accreditation standards and organizational policies.
Maintain detailed notes and documentation within credentialing software database.
Coordinate facility privileging applications and initial appointments for assigned providers.
Review applications for completeness and accuracy before submission to facilities.
Manage facility-specific privileging requirements and documentation.
Communicate with Medical Staff Offices regarding application status and outstanding requirements.
Monitor privileging timelines and committee dates to support provider start dates.
Maintain accurate credentialing and privileging records within Credentialing database.
Perform other duties and projects as assigned.