Credentialing & Enrollment Specialist
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AI Summary
The specialist will manage payer enrollment and credentialing applications for various medical providers across commercial, Medicare, and Medicaid plans. They will also establish and refine processes for gathering provider information and maintain internal databases and CAQH profiles.
About Imagen
Imagen Technologies is building the AI-enabled teleradiology practice of the future. We operate the first vertically integrated medical practice and AI development platform focused on reducing diagnostic error and giving radiologists superpowers through industry-leading AI solutions developed in-house. With over $200 million in funding from investors such as Google Ventures and some of the largest clinical networks in the country, we are rapidly expanding this platform across the U.S.—from 22 states and 2.7 million patients in 2025 to more than 35 states and over 5 million patients annually by 2027. We are the fastest-growing teleradiology group in the U.S., and by the end of this year, we will have the fifth-largest practice in the country.
About the Role
We’re looking for an experienced and detail-oriented Credentialing and Enrollment Specialist to own all payer enrollment preparation activities for our providers, including radiologists, cardiologists, and optometrists. Working closely with our providers and customer teams, you’ll build and streamline the processes that ensure documentation and applications are complete, accurate, and received in a timely manner. As we scale, you’ll have a direct hand in shaping how our department operates, providing a great opportunity to expand your skill set and grow alongside the company.
Responsibilities:
- 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.
Qualifications:
- 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.
Imagen Technologies is a remote-first company and this job is conducted remotely.
The hourly rate for the position is between $31.25 - $35.00, plus benefits. Please note that the range is a guideline, and individual total compensation will vary based on factors such as qualifications, skill level, competencies, and work location.
Imagen is committed to the principle of equal employment opportunity for all employees and applicants for employment and prohibits discrimination and harassment of any kind without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Imagen will not tolerate discrimination or harassment based on any of these characteristics. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Imagen Technologies maintains a Substance Abuse and Testing policy. Being under the influence of alcohol or controlled substances while on the job or while conducting business on Imagen’s behalf is prohibited. Imagen reserves the right to test any applicant or employee for alcohol and/or drug use, subject to compliance with any applicable state and/or federal laws.
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