Credentialing Specialist at CIVIE

About this role

CIVIE is an AI-powered ecosystem of radiology solutions that encompass the entire patient and clinical journey, from exam ordering to image viewing, reporting, and payment. CIVIE 's cloud-based product offering utilizes state of the art technology to provide an integrated radiology information system, PACS, automated speech-to-text, revenue cycle management, and vendor neutral archive. The Company's products are purpose-built to optimize revenue, increase physician productivity, and drive practice efficiencies through its innovative, cloud-based, AI-driven technology platform.
Overview
The Credentialing Specialist is responsible for coordinating and executing the credentialing and re-credentialing process for healthcare providers. This role ensures providers meet regulatory, accreditation and payer requirements while maintaining accurate and up-to-date credentialing records. The Credentialing Specialist works collaboratively with health plans, payers and providers to support timely onboarding and enrollment.
This is a fully remote position. Candidates must reside within the United States. The salary range is $45,000 - $55,000.
Your

Manage the full credentialing and re-credentialing process for assigned providers
Conduct primary source verification of licenses, board certifications, education, training and work history
Submit and track credentialing applications to health plans, payers and provider networks
Maintain accurate provider records in credentialing databases and electronic systems
Monitor expiration dates for licenses, DEA registrations, malpractice insurance and certifications to prevent lapses
Ensure compliance with state, federal and accreditation standards
Review provider applications for completeness and accuracy, follow up on missing or incomplete documentation
Respond to payer inquiries and assist in resolving credentialing discrepancies or denials
Communicate credentialing status updates to providers and internal stakeholders
Identify opportunities to improve the efficiency, accuracy, and timeliness of credentialing processes

Qualifications

High School diploma or equivalent
2+ years of relevant credentialing experience 
Working experience in CAQH, PECOS, Availity, Verity
Willingness to learn and build a process around onboarding new clients for payer claim enrollment and EFT enrollments 
Self-driven and motivated with great attention to detail
Able to manage multiple priorities and meet deadlines
Comfortable with multitasking and working in a tech-driven environment
Organized and focused while navigating multiple systems
Able to handle sensitive and confidential information with discretion

Preferred Qualifications
Certified Provider Credentialing Specialist (CPCS) certification
Benefits

Paid vacation, sick time, and personal days
11company paid holidays
Health, dental, and vision benefits, with employer HSA contribution
401(k)company match and profit sharing
STD, LTD and life insurance

Monthly Fringe benefits
Professional development stipend

Collaborative Imaging Technology, LLC provides equal employment opportunities for all applicants and employees. All qualified applicants will be considered regardless of an individual’s race, color, sex, gender identity or expression, religion, age, national origin, citizenship, physical or mental disability, medical condition, family care status, marital status, domestic partner status, sexual orientation, military or veteran status, or any other basis protected by federal, state or local laws. If you cannot submit your application due to a disability, please email ; we will reasonably accommodate individuals with disabilities to the extent required by applicable law.
Originally posted on Himalayas