Rezolut Imaging is seeking a Credentialing Specialist to join our team!
Who is Rezolut?
Rezolut is a national emerging platform of diagnostic medical imaging services. With focus on four key platforms, our vision is to provide topnotch patient care partnered with innovative technology — to achieve better health outcomes.
Position Summary
The Northeast Credentialing Specialist will be responsible for supporting national payor and facility credentialing support growing Radiology Services Organization.
Note: 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 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 update for all credentialing applications.
- Problem solves, 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.
Required & Desired Professional Skills and Experience
- Required: at least 2 years of experience in the field or in a related area
- Required: 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.
What We Offer
- 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