Radiology Partners

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

As part of the Revenue Cycle team, the position will report to Provider Enrollment Management and will be focusing on process and oversight of provider enrollment support teammates and maintaining provider enrollment processes for multiple practices.

Position Duties and Responsibilities

• Work collaboratively with fellow team members to create, evaluate, and maintain department workflows, processes, policies and systems. In addition to training support staff (as needed)
• Responsible for completing analytical functions, special projects and be cross trained on running varies reports from multiple systems.
• Maintain the timelines on enrollment/credentialing schedules, communicate with providers and other departments to update as needed, and maintain a strict level of confidentiality for all matters pertaining to provider credentials
• Assist team in identifying resolution of provider enrollment follow-up
• Identify and work with management to resolve problems in provider enrollment processes and when appropriate, initiate changes to prevent future problems
• Assist in training newly hired staff.
• Oversee the enrollment of new providers and groups with government and contracted payors
• Oversee database maintenance of provider IDs, NPPEs logins, and CAQH logins
• Oversee revalidation of providers and groups with government and contracted payors
• Pulls and creates ad-hoc reporting to identify credentialing issues impacting billing team
• Work with internal billing team and vendor to share approvals and work through denials and appeal process
• Maintains knowledge of current payor requirements
• Audits payor directories for current and accurate provider information
• Ensure/audit data entry for providers specific to enrollment and re-validations
• Perform other reasonably related duties assigned by the immediate supervisor or other management personnel

DESIRED PROFESSIONAL SKILLS AND EXPERIENCE

• Undergraduate degree preferred and NAMSS certification preferred
• Bachelor's Degree preferred or 2+ years of Managerial experience in healthcare environment preferred
• Working knowledge and understanding of the Provider Enrollment process
• Experience with OneApp, CAQH, NPPEs, and Pecos
• Medicare credentialing, Medicaid credentialing, and BSBC credentialing
• Proficient use of Microsoft Office applications (Word, Excel, Outlook), internet resources as well as industry specific software
• Strong interpersonal/communication skills. Ability to interact and communicate effectively with Radiology staff and contacts outside the organization
• Detailed oriented and high degree of accuracy with the ability to effectively manage large amounts of detailed information as well as to research and analyze data
• Strong organizational skills: ability to organize and prioritize work and manage multiple priorities
• Excellent verbal and written communication skills including letters, memos, and emails
• Strong Customer Service skills
• Ability to work independently with minimal supervision, to think critically and identify the global impact across the revenue cycle with a solution oriented approach

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 salary range for this position is $58,000 - $65,000. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location, etc. This role is also eligible for an annual discretionary bonus. In addition to this range, Radiology Partners offers competitive total rewards packages, which include 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).

• : 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.