Credentialing Specialist - NY Licensed

Job Summary

A company is looking for a Credentialing Specialist to support national payor and facility credentialing in the Radiology Services Organization.

Key Responsibilities

• Manage enrollment and credentialing for Medicare, Medicaid, and other third-party payors
• Serve as the primary contact for credentialing-related inquiries and maintain relationships with payor counterparts
• Track and provide updates on credentialing applications and support ad-hoc reporting and analyses

Required Qualifications

• At least 2 years of experience in credentialing or a related field
• Experience with New York Medicare & Medicaid and other third-party payors
• Prior experience in Healthcare, Revenue Cycle Management, Credentialing, or Medical Billing
• Working knowledge of Medicare physician reimbursement methodologies
• Competence in Excel, PowerPoint, Smartsheet, and OneNote