Credentialing Specialist - Teleradiology - Full Time

Experity is the leading software and services company for on-demand healthcare in the U.S. We provide software solutions that remove complexities and simplify operations for 5700+ urgent care clinics across the country. We create, maintain, and support products to facilitate the complete on-demand healthcare experience: from patients finding clinics and making appointments, to checking in, to clinical documentation, and to the final bill paid by the patient. Our team is committed to changing healthcare for the better by innovating and revolutionizing on-demand healthcare for millions of patients across the country.

Experity offers the following:

• Benefits – Comprehensive coverage starts first day of employment and includes Medical, Dental/Orthodontia, and Vision.
• Ownership - All Team Members are eligible for synthetic ownership in Experity upon one year of employment with real financial rewards when the company is successful!
• Employee Assistance Program - This robust program includes counseling, legal resolution, financial education, pet adoption assistance, identity theft and fraud resolution, and so much more.
• Flexibility  – Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance.
• Paid Time Off (PTO) - Experity offers a generous PTO plan and increases with milestones to ensure our Team Members have time to recharge, relax, and spend time with loved ones.
• Career Development – Experity maintains a learning program foundation for the company that allows Team Members to explore their potential and achieve their career goals.
• Team Building – We bring our Team Members together when we can to strengthen the team, build relationships, and have fun! We even have a family company picnic and a holiday party.
• Total Compensation - Competitive pay, quarterly bonuses and a 401(k) retirement plan with an employer match to help you save for your future and ensure that you can retire with financial security.

Hybrid: Experity offers Team Members the opportunity to work remotely or in an office. While this position allows remote work, we require Team Members to live within a commutable distance from one of our locations to ensure you are available to come into the office as needed.

Job Type:Full Time

Compensation: Budgeted $44,720 - $60,000 dependent upon experience

Responsibilities:

• Ensure continuous compliance with all Joint Commission (TJC) standards, as related to credentialing, to maintain the Company’s accreditation status.
• Organize and maintain credentialing file for each doctor to include specific list of documents required by TJC and Company policy.
• Maintain database of state license and insurance information for all physicians to ensure that all are current and active.
• Maintain credentialing-related shared documents utilized by various departments within the Company.
• Assign physician PACS user privileges and set filters for new providers and license or modality changes.
• Serve as Administrator for MD-Staff credentialing software and act as first-line support for other Company users. Collaborate on maintenance of MD-Staff credentialing tasks and database.
• Administrator of NPDB account, responsible for querying government database for verification purposes.
• Manage and complete new license applications (both individual and IMLC), communicate with provider, act as a liaison to state medical licensure boards, and follow-up on additional tasks until license is issued.
• Manage and complete all license renewals and assist with document preparation for the Chief Medical Officer.
• Prepare initial and reappointment privilege letters for review and signature by Leadership.
• Process subpoenas and records requests in accordance with company policy and HIPAA regulations.
• Maintain database of current and past malpractice case information.
• Analyze data and prepare reports for collaboration with associated teams. Purposes include sharing of data with facilities, capacity planning, and other ad hoc reporting, as requested.
• Prepare monthly expense reports for Accounting team.
• Assist in development of Credentialing/Licensing budget and maintain appropriate records of related expenses, including physician reimbursements for licensing costs.

Education and Experience:

• Bachelor’s degree or equivalent combination of education and experience. 
• At least five years of experience in healthcare credentialing.
• At least five years of experience using a PACS system.
• Proficiency in MS Office applications
• Experience with medical credentialing software (MD-Staff preferred).

Every Team Member lives and breathes our Core Values:

• Team First
• Lift Others Up
• Share Openly
• Set and Crush Goals
• Delight the Client

Our urgent care solutions include:

Electronic Medical Records (EMR): Software that healthcare providers use to input patient data, such as medical history, diagnoses, treatment plans, medications, and test results.
Patient Engagement (PE): Software that shows patients the wait times at various clinics, allows patients to reserve a spot in line if there's a wait, and book the appointment.
Practice Management (PM): Software that the clinic front desk staff uses to register the patient once they arrive for their appointment.
Billing and Revenue Cycle Management (RCM): Software that manages coding, billing and payer contracts for clinics so they don’t have to.
Teleradiology: Board certified radiologist providing accurate and timely reads of results from X-rays, CT scans, MRIs, and ultrasounds, for our urgent care clients.
Consulting: Consulting services for urgent care clinics to assist with opening, expanding and enhancing client's businesses