Credentialing Operations Specialist (Entry Level)

Reposted 2 Hours Ago
Be an Early Applicant
Hiring Remotely in United States
Remote
Entry level
Artificial Intelligence • Healthtech • Software
The Role
Manage provider credentialing and payer enrollment caseloads: collect and verify provider documents, run primary source verifications, submit and track payer applications, maintain credentialing status, and monitor license expirations and re-credentialing deadlines.
Summary Generated by Built In

Company Overview: Accel Health is a SaaS platform that automates physician credentialing and payer enrollment. We handle primary source verification, enrollment, and compliance monitoring so healthcare organizations get providers credentialed and paid faster—without the spreadsheets.

Title: Credentialing Operations Specialist (Entry Level)

Role Summary: We're looking for a contractor to join our credentialing operations team, managing credentialing for physicians and advanced practice providers (APPs). No experience needed—we'll train you on the process and tools.

Key Responsibilities:

  • Manage a caseload of providers moving through credentialing and payer enrollment.
  • Collect provider documents and confirm core details: board certification, state licenses, DEA/NPI, education and work history, and malpractice coverage.
  • Run and monitor primary source verification (state boards, DEA, NPI, NPDB, medical schools) and resolve discrepancies.
  • Submit and track payer enrollment applications (CAQH, PECOS).
  • Follow up with providers, boards, and payers on missing items.
  • Keep credentialing status current in our system.
  • Monitor license expirations and re-credentialing deadlines.

Ideal Candidate:

  • Credentialing, payer enrollment, or provider services experience is a plus, but not required.
  • Exceptionally detail-oriented and organized; able to manage a pipeline independently.
  • Strong written and verbal English communication.
  • Quick to pick up new software.
  • Self-motivated and reliable.

Compensation & Terms:

  • Contract, 40 hours/week, U.S. business hours (9am–5pm EST required).

Skills Required

  • Manage a caseload of providers through credentialing and payer enrollment
  • Collect provider documents and verify board certification, state licenses, DEA/NPI, education, work history, and malpractice coverage
  • Run and monitor primary source verification (state boards, DEA, NPI, NPDB, medical schools) and resolve discrepancies
  • Submit and track payer enrollment applications (CAQH, PECOS)
  • Monitor license expirations and re-credentialing deadlines and keep system status current
  • Exceptionally detail-oriented and organized; able to manage a pipeline independently
  • Strong written and verbal English communication
  • Quick to pick up new software
  • Self-motivated and reliable
  • Credentialing, payer enrollment, or provider services experience
  • Contractor, 40 hours/week, work U.S. business hours (9am–5pm EST required)
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
8 Employees

Similar Jobs

CrowdStrike Logo CrowdStrike

Sales Engineer

Cloud • Computer Vision • Information Technology • Sales • Security • Cybersecurity
Remote or Hybrid
USA
11000 Employees
135K-205K Annually

ReUp Education Logo ReUp Education

Engagement Coordinator

Edtech • Social Impact
Remote or Hybrid
USA
180 Employees
20-20 Hourly

Datadog Logo Datadog

Manager I, Documentation

Artificial Intelligence • Cloud • Security • Software • Cybersecurity
Easy Apply
Remote or Hybrid
5 Locations
6500 Employees
131K-193K Annually

Celonis Logo Celonis

Client Director - Financial Services

Big Data • Information Technology • Productivity • Software • Analytics • Business Intelligence • Consulting
Remote or Hybrid
New York, USA
3000 Employees
211K-250K Annually

Similar Companies Hiring

Hanover Park Thumbnail
Artificial Intelligence • Fintech • Software • Financial Services
New York, New York
42 Employees
Kepler  Thumbnail
Fintech • Software
New York, New York
6 Employees
Onshore Thumbnail
Artificial Intelligence • Fintech • Software • Financial Services
New York, New York
60 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account