Homeoffice Payer Relations Specialist (Remote) chez Envision Radiology

Envision Radiology is adding a Remote Payer Relations Specialist to the team!
Monday - Friday 40 hours/week | Position Pay Range $20.10 - $24.20
Open to AL, AZ, CO, FL, ID, LA, MO, NE, NC, OK, TX, UT, VA, WA & WI Markets.

Summary/Objective

Responsible for credentialing of all centers, Radiologists, and Technologists for contracting purposes and government requirements.

Responsible for all aspects of the credentialing, re-credentialing and privileging processes for all medical providers who provide patient care. Responsible for ensuring providers are credentialed, appointed, and privileged with health plans, hospitals and patient care facilities. Maintain up-to-date data for each provider in credentialing databases and online systems. Ensure timely renewal of licenses and certifications.

Essential Functions

1. Completes and submits accurate information to update/maintain commercial and Medicaid contracts.

2. Updates equipment information with commercial carriers who require this data and work with centers to submit certifications as needed.

3. Manages licenses and other required information for Radiologists and Technologists.

4. Works closely with management with regards to new contracts to provide all needed documentation.

5. Develops a strong understanding of the IDTF rules and requirements.

6. Compiles and maintains current and accurate data for all providers.

7. Completes provider and facility credentialing and re-credentialing applications. Monitors applications and follows-up as needed.

8. Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.

9. Maintains knowledge of current health plan and agency requirements for credentialing providers.

10. Assists in the maintenance of provider information in online credentialing databases and systems.

11. Tracks license and certification expirations for all providers to ensure timely renewals. Works closely with contracted groups to ensure documents are received timely.

12. Audits health plan directories for current and accurate provider information.

13. Other duties as assigned.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Competencies

1. Ethical Conduct.

2. Thoroughness.

3. Collaboration Skills.

4. Time Management.

5. Organization Skills.

6. Project Management.

7. Personal Effectiveness/Credibility.

Supervisory Responsibility

This position has no supervision responsibilities.

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to use hands and fingers to handle, feel or operate objects, tools or controls, and reach with hands and arms. The employee is frequently required to talk and hear.

Position Type/Expected Hours of Work

This is a full-time position. Standard days and hours of work are Monday through Friday, 8:00 a.m. through 5:00 p.m.

Travel

No travel is expected for this position.

Job Qualifications

Minimum Qualifications / Experience:

• Attention to detail is a must.
• Ability to learn new software quickly and efficiently.
• Must be organized, with the ability to track many different items at once.

Education / Certifications:

• High school diploma or equivalent
• Two years of relevant credentialing experience

Additional Eligibility Qualifications

None required for this position.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Other duties may be assigned as needed by supervision.

Compliance

Adheres to Envision’s Code of Conduct and Compliance Policies and attends annual Compliance training as set forth by the Company.

Company Benefits

Below is a list of benefits that are offered to employees, once eligibility is met.

• Health Benefits: Medical/Dental/Vision/Life Insurance
• Company Matched 401k Plan
• Employee Stock Ownership Plan
• Paid Time Off + Paid Holidays
• Employee Assistance Program

OSHA Exposure Rating: 1

It is reasonably anticipated NO employees in this job classification will have occupational exposure to blood and other potentially infectious body fluids.

Envision Radiology is an equal opportunity employer (M/F/D/V). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law.

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.