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Credentialing and Enrollment Specialist (Contract)

Imagen Technologies
Remote, USA
Contract, Temporary
Entry
Remote
USD 36-40 hourly / hour
Discovered 1 months ago
CAQHModio

Full Job Posting

  • Prepare and submit credentialing and payer enrollment applications for Imagen providers across commercial, Medicare, and Medicaid plans, following each customer's requirements and timelines.
  • Review provider documentation and professional history against customer requirements to confirm applications are complete before submission.
  • Enter, update, and maintain provider information in internal databases and CAQH profiles, keeping records accurate and current.
  • Track application status and follow up with payers, providers, and customers on missing items or delays.
  • Coordinate with the Medical Affairs team on customer-specific timelines and requirements.
  • Send regular status updates to internal stakeholders on application progress and any issues that could cause delays.
  • Keep provider files organized and audit-ready, and pull records for audits and compliance reviews as requested.
  • Experience with payer enrollment and credentialing; experience in a radiology department or practice is a strong plus.
  • Hands-on experience managing CAQH profiles and using credentialing and enrollment platforms; experience with a platform like Modio is a plus.
  • Experience working across healthcare settings such as health systems, hospitals, and outpatient clinics; experience with radiologists preferred.
  • Organized, dependable self-starter with strong attention to detail and clear communication skills.

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