[Hiring] Credentialing Specialist @Rezolut

Role Description

Rezolut Imaging is seeking a Credentialing Specialist to join our team!

The Northeast Credentialing Specialist will be responsible for supporting national payor and facility credentialing support growing Radiology Services Organization. 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 the 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 updates for all credentialing applications.
• Problem solve, 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.
• Independently run with ad-hoc projects and other duties as assigned.

Qualifications

• At least 2 years of experience in the field or in a related area.
• 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.
• Ability to work independently in a complex and often fast-paced environment.
• A self-motivated and resourceful attitude, taking intellectual ownership of work and projects.
• Proactively identifying issues, prepared to address concerns/questions and make recommendations.

Benefits

• 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.
• Employee Assistance Program.

Location

Remote