Northeast Credentialing Specialist (Remote) Job at Rezolut, Clifton Park, NY

Und1eEI4RUpTWHhtOHNLODJOTUVRc1ZNVVE9PQ==
  • Rezolut
  • Clifton Park, NY

Job Description

Job Description

Job Description

Rezolut Imaging is seeking a Credentialing Specialist to join our team!

Who is Rezolut?

Rezolut is a national emerging platform of diagnostic medical imaging services. With focus on four key platforms, our vision is to provide topnotch patient care partnered with innovative technology — to achieve better health outcomes.  

Position Summary

The Northeast Credentialing Specialist will be responsible for supporting national payor and facility credentialing support growing Radiology Services Organization.

Note: This role will be specifically supporting New York, New Jersey, and Pennsylvania credentialing. As a member of the Payor Contracting and Credentialing team this teammate will be a key contributor to company’s objectives by improving our credentialing execution, management and other special projects.The ideal candidate will reside in the New York or California area.

Position Duties and Responsibilities

  • Own, track, and manage Medicare, Medicaid, and other third-party public and private payor, facility and provider enrollment and credentialing.
  • Primary point of contact inside and outside of the organization for related questions and requests.
  • Develop and maintain relationships with new and existing third-party payors credentialing counterparts
  • Knowledgeable of credentialing process and best practices as well as staying on top of new trends and respective company impacts.
  • Track, organize and provide timely update for all credentialing applications.
  • Problem solves, troubleshoot and research credentialing issues independently.
  • Partner and support Payor Contracting and Revenue Cycle Management (RCM) departments, patients, etc. with related ad-hoc reporting and analyses as needed.
  • Creation and updating of guides, Standard Operating Procedures (SOPs), announcements, and other documentation for the department and RCM customers.
  • Independently run with ad-hoc projects and other duties as assigned.

Required & Desired Professional Skills and Experience

  • Required: at least 2 years of experience in the field or in a related area
  • Required: experience with New York Medicare & Medicaid, NYWC and other 3rd party New York payors
  • Competent in Excel, Powerpoint, Smartsheet, OneNote
  • Nice to have – experience with Credential Stream and Availity
  • Prior Healthcare, RCM, Credentialing, or Medical Billing experience is required
  • Working knowledge and understanding of Medicare physician reimbursement methodologies is required
  • Work collaboratively across multiple functions (Credentialing, RCM, and Payor Contracting)
  • Highly motivated self-starter who is an excellent team player
  • Outstanding organizational and communication (both verbal and written) skills
  • Ability to innovate in a fast-growing work environment and comfortable dealing with ambiguity
  • Ability to work independently in a complex and often fast-paced environment. A self-motivated and resourceful attitude, taking intellectual ownership of work and projects. Proactively identifying issues, prepared to address concerns/questions and make recommendations.

What We Offer

  • Immediately accrue PTO as you work! (Full Time)
  • 6 Observed Holidays
  • Medical, Dental, Vision, Life and other voluntary insurances for full-time employees
  • 401(k) Retirement plan 
  • Employee Assistance Program

Location: Remote

Job Tags

Remote job, Full time, Immediate start,

Similar Jobs

HII

MARINE PAINTER TRAINEE OR CERTIFICATION - FOR 2026 HIGH SCHOOL SENIORS OR GRADUATES - SIGN-ON BONUS Job at HII

 ...appearance. Working at Newport News Shipbuilding often involves performing tasks in various weather conditions, at extreme heights on scaffolding, ladders, or elevated platforms and in small, confined spaces such as tanks, compartments, or voids in a ship. These environments... 

Illinois State University

Assistant/Associate Professor, Hip Hop, Culture, History and Practice (Normal) Job at Illinois State University

 ...The Wonsook Kim College of Fine Arts at Illinois State University invites applications for an energetic, interdisciplinary educator-practitioner to teach Hip-Hop: Culture, History & Practice, a new large-section General Education course. This tenure-track position will... 

Stellar IT Solutions LLC

Project Manager Job at Stellar IT Solutions LLC

 ...Coordinate with stakeholders to ensure smooth transitions and minimal disruption. Track project progress using Excel and Smartsheet tools. Document processes, timelines, and outcomes for accountability and transparency. Manage risks, dependencies, and... 

Lucid Motors

Hardware Technician / 3D Print Technician Job at Lucid Motors

Fremont, CAOverview Lucid Motors is seeking a Hardware Technician / 3D Print Technician to join our Special Tooling department. In this role...  ....Lucid offers a wide range of competitive benefits, including medical, dental, vision, life insurance, disability insurance, vacation... 

Addison Group

Junior Accountant (Entry Level Accounting Grad) Job at Addison Group

 ...Role: Junior Accountant (Entry Level/Accounting Grad) Hiring Type: Contract to Hire Location: Washington DC In office : 3x week Pay: $25- $28 hr / Salary Conversion 60-65k (after 90 days) This position may be eligible for vision...