Credentialing & Enrollment Specialist – Payer Enrollment
Imagine PediatricsFull Time
Mid-level (3 to 4 years)
Candidates must possess national certification in Medical Assisting and have at least 5 years of experience in a healthcare setting, working directly with clinicians. Experience in internal medicine is preferred, and comfort in a fast-paced atmosphere is a plus.
Responsibilities include providing clinical support and triage for members, pharmacies, and providers via phone, adhering to service level agreements. This involves escalating calls to the appropriate clinical team, performing member outreach for appointment confirmation and health risk assessments, and assisting with medication refill requests. The role also entails tracking and reporting on specific processes, utilizing EMR tools, participating in team meetings and process improvement initiatives, and potentially performing administrative tasks and follow-up calls to members and providers.
Monitors and treats chronic metabolic diseases
Twin Health focuses on addressing chronic metabolic diseases by targeting their root cause: damaged metabolism. The company operates in the healthcare and wellness market, specifically for individuals suffering from conditions like diabetes and Metabolic Syndrome. Twin Health uses its Whole Body Digital Twin technology, which combines sensors, artificial intelligence, and medical science to create a virtual model of the human body. This technology allows for real-time monitoring and analysis of a person's metabolic functions, enabling the creation of personalized treatment plans. Unlike its competitors, Twin Health emphasizes reversing and preventing these diseases through a subscription-based model that provides continuous support and updates. The goal of Twin Health is to effectively manage and reduce the prevalence of chronic metabolic diseases, improving the health of millions globally.