Credentialing Specialist

Company Overview

Akido builds AI-powered doctors. 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.

Serving 500K+ patients across California, Rhode Island, and New York, Akido offers primary and specialty care in 26 specialties — from serving unhoused communities in Los Angeles to ride‑share drivers in New York.

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.

• Filling out provider enrollment applications with health plans, Medicare, Medicaid, and hospitals.
• Following up with health plans and hospitals on submitted applications.
• Solve complicated credentialing‑related issues directly with IPAs and health plans.
• Maintaining a clean database of provider data and enrollment‑related activities in MD Staff.
• Applying for license renewals.
• Communicating with providers on credentialing‑related updates.
• Work amongst a team of credentialing/enrollment specialists to deliver accurate, timely, and compliant work.
• Process credentialing, re‑credentialing, and privileging applications to keep providers active and patient care uninterrupted.
• Resolve enrollment‑related issues as they arise, working directly with health plans.
• Monitor application timelines to prevent delays and resolve escalated issues from staff, clinics, and providers.
• Maintain high data quality, including both provider data as well as credentialing data, like expiration dates, contact information, etc.
• Follow SOPs and policies that are designed to streamline workflows and strengthen compliance.
• Maintain compliance with the state, federal, and payer‑specific credentialing requirements.
• Act as a liaison for external partners, including payers, hospitals, and credentialing verification organizations.

• Bachelor’s degree in healthcare administration, business, or related field (preferred).
• 3+ years of experience in provider credentialing.
• Strong knowledge of NCQA standards, payer requirements, and credentialing best practices.
• Exceptional organization skills, with sharp attention to detail and ability to manage multiple priorities.
• Excellent problem‑solving and critical thinking skills, with the ability to resolve escalated issues.
• Strong written and verbal communication and interpersonal skills to collaborate cross‑functionally and with external stakeholders.
• Experience with credentialing software and databases (preferred).

• Health benefits include medical, dental, and vision.
• Life insurance.

This full‑time role is in‑person in Pomona.

Hourly pay range: $24 – $33 USD.

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.