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Credentialing & Enrollment Specialist

Imagen Technologies
Remote, USA
Full-time
Mid Level
Remote
USD 31.25-35 hourly
Discovered 1 months ago

Full Job Posting

  • Complete and track credentialing and payer enrollment applications for all Imagen providers on behalf of customers across commercial, Medicare, and Medicaid plans.
  • Partner directly with customers to research their specific payer mix and requirements, ensuring enrollment applications are tailored to their unique timelines and processes.
  • Proactively analyze provider documentation and professional history against customer requirements, ensuring application completeness and readiness.
  • Establish, refine, and document processes for gathering payer and provider information to enable efficient, accurate, and timely enrollments.
  • Input, update, and maintain internal databases and CAQH profiles for Imagen providers to ensure data readiness.
  • Communicate regularly with providers, customers, and internal teams to troubleshoot issues, resolve application delays, and ensure seamless credentialing and enrollment.
  • Provide regular updates to internal stakeholders regarding enrollment progress, risks, and overall project timelines.
  • Support audits and compliance reviews by ensuring documentation and records are accurate, up to date, and easily accessible.
  • An associate’s degree and/or bachelor’s degree.
  • 3+ years of payer enrollment/credentialing experience; experience within a radiology department or practice is a strong plus.
  • Direct experience managing CAQH profiles and utilizing credentialing and enrollment platforms; experience with CredflowAI is a strong plus.
  • Experience working with radiologists and/or other specialists across diverse healthcare environments, e.g. health systems, hospitals, outpatient clinics, etc.
  • Highly organized and proactive self-starter with strong attention to detail and effective communication skills.
  • Certified Provider Enrollment Specialist (CPES) and/or Certified Provider Credentialing Specialist (CPCS) certification highly preferred.

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