Credentialing Specialist at Akido Labs

<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&nbsp;<a href="https://www.fastcompany.com/91231274/how-one-la-doctor-is-using-ai-to-help-homeless-communities-get-medical-care">unhoused communities</a>&nbsp;in Los Angeles to&nbsp;<a href="https://www.wsj.com/articles/the-ai-doctor-will-see-new-york-ride-share-drivers-now-5ba53e6c?mod=Searchresults_pos1&amp;page=1">ride-share drivers</a>&nbsp;in New York.</p> <p>Founded in 2015 (YC W15), Akido is expanding its risk-bearing care models and scaling&nbsp;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.&nbsp;</li> <li>Maintaining a clean database of provider data and enrollment-related activities in MD Staff.&nbsp;</li> <li>Applying for license renewals.</li> <li>Communicating with providers on credentialing-related updates.&nbsp;</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.&nbsp;</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.&nbsp;</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.&nbsp;</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 skills, with the ability to resolve escalated issues.</li> <li>Exceptional organization skills, with sharp attention to detail and ability to manage multiple priorities.</li> <li>Strong written and verbal communication and interpersonal skills to collaborate cross-functionally and with external stakeholders.</li> <li>Experience with credentialing software and databases (preferred).</li> </ul> <p><strong>Benefits</strong></p> <ul> <li>Health benefits include medical, dental and vision</li> <li>Life insurance</li> <li>Paid Leaves</li> </ul> <p><strong>Location</strong></p> <ul> <li>This full-time role is in-person in Pomona.</li> </ul><div class="content-pay-transparency"><div class="pay-input"><div class="title">Hourly pay range</div><div class="pay-range"><span>$24</span><span class="divider">&mdash;</span><span>$33 USD</span></div></div></div><div class="content-conclusion"><p data-pm-slice="1 1 []">Akido Labs, Inc. is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.</p></div>