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.
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).
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