Payer Enrollment Specialist
Imagen Technologies
Imagen’s mission is to ensure that every patient receives the right diagnosis at the right time. The company operates at the “front door” of healthcare—the primary care provider (PCP) office—equipping clinics with in-house staff and equipment, as well as specialists powered by industry-leading AI. Imagen’s platform includes six FDA-cleared AI devices capable of automatically detecting over 120 pathologies. By leveraging this technology, Imagen empowers its customers to achieve healthcare’s quadruple aim: improving quality, reducing costs, and enhancing both the patient and provider experience.
The company is rapidly expanding its platform across the U.S. - from 16 states and 500,000 patients in 2023, to 20+ states and 1.5M patients in 2024. By 2026, Imagen will deliver care across 35 states and to more than 5m patients annually. Imagen is also expanding its product offerings on both the technology and clinical sides, developing new AI offerings for risk-bearing entities while expanding into new specialty areas like cardiology.
Imagen is a remote-first organization with a team of over 100 business professionals, supported by more than 80 clinical staff members. The company’s investors include Google Ventures, Casdin Capital, and Threshold Ventures.
We’re looking for an experienced and detail oriented Payer Enrollment/Credentialing Specialist to perform and oversee all payer enrollment activities for our specialists, including radiologists, cardiologists, and optometrists. You will be responsible for working with our customers to determine the appropriate enrollment pathways for commercial, Medicare, and Medicaid payers and assist their teams with ensuring that documentation and applications are received in a timely manner. This position requires meticulous attention to detail, excellent organizational skills, and the ability to communicate effectively with various stakeholders.
Responsibilities:
- Complete payer enrollment applications on behalf of customers for all Imagen specialists across commercial, Medicare, and Medicaid plans.
- Research customer-specific enrollment requirements, including payer mix, timelines, and required documentation.
- Establish, refine, and document processes for gathering and verifying payer and provider information to enable efficient, accurate, and timely enrollments.
- Input, update, and maintain internal databases and CAQH profiles for Imagen specialists.
- Track enrollment application status, follow up proactively with payers, and maintain detailed records of provider data, communications, and documentation.
- Interface directly with clients to ensure enrollment applications are completed in alignment with client-specific needs and processes.
- Communicate regularly with providers, payers, and internal teams to troubleshoot issues, resolve application delays, and ensure seamless enrollment.
- Provide consistent 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
- 3+ years of payer enrollment/credentialing experience
- Preferably in a radiology department or practice
- Experience using Excel to generate and maintain reports for internal stakeholders
- Experience working with radiologists, other physicians, and/or healthcare organizations
Imagen Technologies is a remote-first company and this job is conducted remotely.
The base salary for the position is between $60,000 - $80,000, plus benefits. Please note that the base salary range is a guideline, and individual total compensation will vary based on factors such as qualifications, skill level, competencies, and work location.
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.
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.