Provider Enrollment Specialist

<div class="content-intro"><p>Akido builds AI-powered doctors<strong>.</strong> Akido is the first AI-native care provider, combining cutting-edge technology with a nationwide medical network to address America’s physician shortage and make exceptional healthcare universal. Its AI empowers doctors to deliver faster, more accurate, and more compassionate care.</p> <p>Serving 500K+ patients across California, Rhode Island, and New York, Akido offers primary and specialty care in 26 specialties—from serving <a href="https://www.fastcompany.com/91231274/how-one-la-doctor-is-using-ai-to-help-homeless-communities-get-medical-care">unhoused communities</a> in Los Angeles to <a href="https://www.wsj.com/articles/the-ai-doctor-will-see-new-york-ride-share-drivers-now-5ba53e6c?mod=Searchresults_pos1page=1">ride-share drivers</a> in New York.</p> <p>Founded in 2015 (YC W15), Akido is expanding its risk-bearing care models and scaling ScopeAI, its breakthrough clinical AI platform. <a href="https://www.businesswire.com/news/home/20250515102298/en/Akido-Raises-%2460-Million-Series-B-to-Expand-Reach-of-ScopeAI-its-Breakthrough-Health-Artificial-Intelligence">Read more about Akido’s $60M Series B</a>. More info at <a href="http://Akidolabs.com">Akidolabs.com</a>.</p></div><p data-pm-slice="0 0 []"><strong>The Opportunity</strong></p> <p>Are you driven to build the systems that keep healthcare running seamlessly? As a Credentialing Specialist, you’ll be part of our credentialing/provider enrollment team to ensure providers are credentialed and enrolled quickly and accurately with health plans and hospitals — so patients always have uninterrupted access to care.</p> <p>Credentialing/enrollment activities on this team include:</p> <ul> <li>Filling out provider enrollment applications with health plans, Medicare, Medicaid and hospitals.</li> <li>Following up with health plans and hospitals on submitted applications.</li> <li>Solve complicated credentialing-related issues directly with IPAs and health plans. </li> <li>Maintaining a clean database of provider data and enrollment-related activities in MD Staff. </li> <li>Applying for license renewals.</li> <li>Communicating with providers on credentialing-related updates. </li> </ul> <p>This is a hands-on role where you will work with the Credentialing Supervisor and fellow Credentialing Coordinators to ensure all work is completed in a timely and accurate fashion. If you’re energized by improving processes and building a credentialing function that supports high-quality care, we’d love to meet you!</p> <p><strong>What You’ll Do</strong></p> <ul> <li>Work amongst a team of credentialing/enrollment specialists to deliver accurate, timely, and compliant work - including completing credentialing/enrollment tasks. </li> <li>Process credentialing, re-credentialing, and privileging applications to keep providers active and patient care uninterrupted.</li> <li>Solve enrollment-related issues as they arise, working directly with health plans to get them resolved. </li> <li>Monitor application timelines to prevent delays and resolve escalated issues from staff, clinics, and providers.</li> <li>Maintain high data quality, including both provider data as well as credentialing data, like expiration dates, contact information, etc. </li> <li>Follow SOPs and policies that are designed to streamline workflows and strengthen compliance.</li> <li>Maintain compliance with the state, federal, and payer-specific credentialing requirements.</li> <li>Act as a liaison for external partners, including payers, hospitals, and credentialing verification organizations.</li> </ul> <p><strong>Who You Are</strong></p> <ul> <li>Bachelor’s degree in healthcare administration, business, or related field (preferred).</li> <li>3+ years of experience in provider credentialing.</li> <li>Strong knowledge of NCQA standards, payer requirements, and credentialing best practices.</li> <li>Excellent problem-solving and critical thinking skil ... (truncated, view full listing at source)