Credentialing Specialist - Full-time

Full Time Benefit eligible position 

Hybrid telecommute option. Reside in Minneapolis/St. Paul area only.

Monday - Friday 40 hours per week 

Summary of Position:

The credentialing specialist is responsible for all aspects of the credentialing, recredentialing and privileging process for all medical providers who provide care with Midwest Radiology. Responsible for ensuring providers are credentialed, appointed, and privileged with hospitals and health plans. The credentialing specialist works directly with providers to maintain up-to-date data for each provider in the credentialing database, ensuring accuracy of credentialing applications, and timely renewal of licenses and certifications.

Essential Functions:

· Compile and maintain current and accurate data for all provider credentialing records.

· Maintain licenses, certification, health records, and CMEs for providers. Tracks expirations to ensure timely renewals.

· Completes provider initial and reappointment applications. Monitors applications and follow-ups as needed to support completion.

· Reviews credentialing applications for completeness and accuracy.

· Communicates with providers to collect and maintain up to date information required in a complete credentialing application and provider record.

· Performs verifications of credentialing records.

· Assist hospitals and health plans with information needed to maintain the provider’s credentialing files

· Respond to telephone and email in a timely manner.

· Ensures security and confidentiality of credentialing records is adhered to.

· Work closely with the credentialing manager to identify and resolve issues related to provider credentialing.

· Performs other related duties as assigned.