Credentialing Manager

Apollo Radiology International

Website: apolloradiologyintl.com
Job details:

Company Description

Apollo Radiology International (ARI) is a trusted teleradiology partner for leading healthcare institutions globally. By enhancing radiology departments, ARI helps improve patient outcomes while reducing training and technology costs. The organization operates cutting-edge reporting centers in India, the UK, the USA, and the UAE. ARI is committed to providing top-quality radiology services and innovation in healthcare imaging solutions.

Role Description

• Manage end-to-end credentialing lifecycle for radiologists across multiple U.S. states, including initial credentialing, recredentialing, and reappointments
• Coordinate and track multi-state physician licensure, including new applications, renewals, and status monitoring
• Lead hospital and imaging center privileging processes to ensure timely approvals and go-live readiness
• Manage Medicare (PECOS), Medicaid, and commercial payer enrollments, revalidations, and updates
• Own CAQH profile setup, maintenance, and timely attestations for all U.S.-based radiologists
• Perform and document primary source verification for licenses, board certifications, education, training, work history, malpractice, and sanctions
• Maintain accurate and audit-ready provider records across all credentialing systems and tracking tools
• Track and proactively manage expirables such as licenses, board certifications, DEA, and malpractice coverage
• Act as the central coordination point between radiologists, hospitals, payers, and internal stakeholders
• Proactively follow up on missing documents, pending approvals, and application bottlenecks to reduce onboarding delays
• Maintain dashboards and reports tracking credentialing status, approval timelines, payer effective dates, and readiness metrics
• Ensure compliance with Joint Commission, payer, and regulatory standards across all credentialing activities
• Support audits and provide complete documentation for internal reviews, client requests, and compliance checks
• Standardize credentialing workflows, templates, and turnaround timelines to improve operational efficiency
• Enable fast onboarding of radiologists aligned to client SLAs and coverage requirements service to resolve inquiries related to credentialing.

Qualifications

• Proficiency in Credentialing and Medical Staff Credentialing processes.
• Strong Communication and Customer Service skills to interact effectively with healthcare professionals and regulatory bodies.
• Knowledge of Medicare compliance and related guidelines.
• Detail-oriented with excellent organizational and record-keeping skills.
• Familiarity with healthcare standards and regulations is an advantage.
• Previous experience in a similar role within the healthcare or radiology sector is a plus.
• Bachelor's degree in healthcare administration, management, or related field preferred.

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