Job Summary
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RAYUS Radiology is looking for a Credentialing & Licensing 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 & Licensing Specialist, you will be responsible for physician state licensing initiatives, facility privileging and internal appointments and reappointments, including conducting follow-up and timely responses to questions regarding pending applications. This role coordinates and completes licensing and/or facility privilege requests in a timely manner, maintains electronic files (for licensure and privileging) and ensures the credentialing database is kept current.
This is a remote, full-time position, working 40 hours per week, Monday thru Friday; Corporate hours. ESSENTIAL DUTIES AND RESPONSIBILITIES:
(55%) Provider Licensure
- Compiles documents for state medical licensing boards for providers.
- Works closely with physicians throughout the licensing process.
- Track documents and timeframes associated with licensing and CME organization and knowledge of state licensing requirements related to CMEs.
- Process State License renewals, DEAs, BLS, ALS, CDS and other certifications for state licensure.
- Coordinates with other departments as needed for licensure priority according to staffing needs
- Research state medical board requirements for physician providers as needed.
- Runs database reports, NPDBs, etc. as needed.
- Must meet all deadlines regarding provider licensure
(45%) Provider Privileging
- Receives, evaluates and processes initial and reappointment applications including performing all applicable credentialing and recredentialing verification functions
- Reviews the medical staff application for completeness and accuracy to initiate the verification process
- Maintains accurate credentials for each provider (e.g., license status and expirations, board certifications, reappointments, and malpractice coverage)
- Generates and analyzes reports from specialty database to monitor credentials of each provider
- Communicates with providers and assigned departments to gather current credentials, as needed
- Coordinates and monitors medical staff licensure applications/status changes and maintains Verity credentialing database
- Communicates with internal and external colleagues and resources
- Assists in organizing and development of monthly Credentials Committee Agenda Performs
(5%) Other Duties and Projects as Assigned
