Medical Reviewers are the Backbone of MRIoA’s Clinical Review Services

Once your application is received by the credentialing team, it will be assigned to a Credentialing Coordinator. The Credentialing Coordinator will email to let you know that your application has been received and will perform the necessary checks (NPDB, board certifications, state licenses, etc.). If additional information is needed, the Credentialing Coordinator will reach out to you via email so please be on the lookout for these emails to ensure your application is processed in a timely manner. Please be sure to check your SPAM folder as emails are sometimes filtered there incorrectly.

Once your application has been compiled and all the necessary checks/verifications have been performed, the Credentialing Coordinator will email you to let you know if your application has been approved or denied. We aim to have a decision on your application within 7 – 10 days of your application being received and assigned to a Credentialing Coordinator.

If approved, you will receive your MRIoA Agreement with COde of Conduct via Adobe Sign and an email containing the You’ve Been Credentialed PowerPoint with useful information to complete your test case. (Please note: It can take 24 hours to receive your agreement once you receive the approval email.). In order to continue with the credentialing process, you will need to confirm that you received these materials, sign your Agreement, and schedule your training session (30-45 minutes in duration; conducted via Zoom).

Once you have signed your Agreement and selected a training time, the Director of Provider Relations will conduct a 30-45-minute training session via Zoom in which she will go over accessing your cases in ReviewerTools and how to complete a case. After she has finished the training session, you will be given time to ask any questions you may have. She will also send a follow-up email with the information she went over so that you can reference it while completing your test case.

After completing your training, you will need to notify the Credentialing Coordinator when you are ready to receive your test case. The Credentialing Coordinator will then create a ReviewerTools profile for you and within 24 hours, you will receive an email with your ReviewerTools details to log in and complete your test case. This test case will have a 3-business day turn-around time, so if you have any questions or concerns, please reach out to the Credentialing Coordinator ASAP. Upon posting your test case, it will be reviewed by a medical director within 3 business days. If the medical director has questions or concerns that need to be addressed, you will receive an email and a text advising that you have a clarification request. You will have 1 business day to review the clarification request and submit your response. If the medical director has no further questions or concerns, you will receive feedback for your test case. Please be on the lookout for correspondence from your credentialing coordinator to prevent delays.

Once you have received and reviewed your test case feedback, please select a time slot that works best for you to complete your final onboarding meeting with the Director of Provider Relations. This final meeting will be conducted via Zoom and typically last 15 minutes. During this meeting, the Director of Provider Relations will go over your test case feedback and answer any final questions you may have. After this final meeting, you’ll receive a follow-up email with contact information for your assignment and completion teams.

Within 24 hours of completing your final onboarding meeting, the Credentialing Coordinator will send you an email with details for the ReviewerTools mobile app and will have announced you as a new member of our Reviewer Panel. If you do not receive your first live case within 1 week of being announced, please reach out to pr@mrioa.com so they can follow up with the assignment teams.