Medical Credentialing Specialist

RAYUS Radiology • Pittsburgh, PA • 1h ago

RAYUS now offers DailyPay! Work today, get paid today!

RAYUS Radiology is looking for a Credentialing Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! 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

ESSENTIAL DUTIES AND RESPONSIBILITIES:

(65%) Provider Onboarding & Credentialing Database Management

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

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.

(30%) Facility Privileging & Credentialing

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.

(30%) Facility Privileging & Credentialing

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.

(5%) Other Duties and Projects as Assigned

Required:

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

Preferred:

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.

RAYUS is committed to delivering clinical excellence in communities across the U.S., driven by our passion for and superior service to referring providers and patients. RAYUS Radiology is built on our brilliant medicine, brilliant team, brilliant technology and services - all to provide the highest level of patient care possible.

We bring brilliance to health and wellness. Join our team and shine the light on Radiology Services! RAYUS Radiology is an EO Employer/Vets/Disabled.

We offer benefits (based on eligibility) including medical, dental and vision insurance, 401k with company match, life and disability insurance, tuition reimbursement, adoption assistance, pet insurance, PTO and holiday pay and many more! Visit our career page to see them all www.rayusradiology.com/careers.

DailyPay implementation is contingent upon initial set-up period.

Rayus is an equal opportunity employer; applicants are considered without discrimination with regard to race, color, religion, sex, national origin, age, disability, veteran status or other statuses protected by state, local or other applicable laws. This policy extends to all aspects of employment, including recruitment and hiring.Rayus and its associates have an employment relationship, which is known as employment-at-will. This means that either Rayus or an associate has the right to terminate the employment relationship at any time, for any reason with or without cause or prior notice.

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