Credentialing Privilege Specialist II

PRACTICE OVERVIEW

Radiology Partners, through its owned and affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare. Radiology is a team sport, and Radiology Partners is building a community of physicians and support teammates who embody our practice values and believe in our bold mission to transform radiology. Our support team is a vital force within the practice, using their gifts and talents to improve the overall healthcare experience. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.

POSITION SUMMARY

Radiology Partners is seeking a Privileging Specialist II responsible to ensure that all providers are processed/credentialed prior to start date. Maintain communication with Internal/External customers (MSO’s, Client Service, Practice(s)) ensuring accuracy of the Applications (its Affiliates, Managed Entities etc.) and creating efficiency for the on-boarding and hospital privileging processes.

POSITION DUTIES AND RESPONSIBILITIES

• Oversee multiple departmental functions including but not limited to:
• o Act as liaison between RP & client facility medical staff professionals to;
• o maintain accurate & updated information for all providers
• o Obtain initial privileging appointments timely
• o Maintain reappointments timely to ensure no lapse in privileges
• o Facilitate FPPE/OPPE data
• o Aid with reference completion
• o Ensure MQSA compliance for providers with mammo privileges
• o Assign all provider credentialing and re-credentialing applications to Application Specialist for completion in credentialing database (MRPa)
• o Review paper applications (electronic applications when possible) submitted by applicant providers and conduct a thorough assessment for accuracy and completeness prior to submitting
• Complete and/or review with accuracy and thoroughness all new hires and additional locations for credentialing and re-credentialing applications within specified timeframe
• Responsible for notification to appropriate parties once privileges received
• Responsible ensure MSO (Medical Staff Offices), credentialing database is updated and current
• Ensure primary source verifications occur for internal processing as well as external customers (i.e. MSO’s & State Boards)
• Provide timely follow-up to obtain documentation required
• Credentialing (within 90 days) & re-credentialing as required by contracted facility
• Coordinate internally to ensure complete information is received
• Ensure credentialing & re-credentialing is processed in accordance with The Joint Commission and company standards
• Assist and prepare for The Joint Commission audit, if applicable
• Assist with weekly report our meetings to various stakeholders including but not limited to Practice Directors, Practice Managers, and HR personnel
• Other duties as assigned

DESIRED PROFESSIONAL SKILLS AND EXPERIENCE

• High School Diploma or General Education Degree (GED) and 2 or more years of related experience
• Microsoft Office Suite
• Credentialing Software
• Good organizational skills
• Communicate and work well in a team environment
• Meet established production and quality goals/metrics
• Follow up in a timely manner on open items
• Able to effectively prioritize work on a daily basis

Certificates and Licenses (if applicable)

· Certified Provider Credentialing Specialist (CPCS) through National Association of Medical Staff Services preferred

Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences.

The hourly range for this position is $26.00 - $30.00. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. In addition to this range, Radiology Partners offers competitive total rewards packages, which include possible incentive and productivity programs, health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).

CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History.

Radiology Partners participates in E-verify.