Credentialing / Provider Enrollment Specialist (Contract, Remote)

Patronus AI

United States

Remote

USD 55,000 - 110,000

Full time

6 days ago
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Job summary

Patronus AI is seeking a credentialing and provider enrollment specialist to manage credentialing, recredentialing, primary source verification, and enrollment with payers via CAQH, PECOS, and payer portals. You will contribute to frontier AI model evaluation by showing best practices in credentialing workflows.

Ideal candidates will review documents, flag unrealistic items, and create precise scoring rubrics.

Responsibilities

  • Explain the credentialing workflow, documents, and decision points.
  • Review credentialing files, CAQH/PECOS records, verifications, and enrollment forms.
  • Create precise scoring rubrics so two reviewers reach the same verdict.
  • Develop new tasks from fictional scenarios and document your reasoning.
  • Work independently, meet deadlines, and respond to reviewer feedback.

Skills

Credentialing
Provider enrollment
Attention to detail
Independent work
Review and critique

Tools

CAQH
PECOS
Payer portals

Job description

Pay: $40–$80/hr

Commitment: Flexible, typically 10–20 hours per week

Patronus AI is a frontier lab building simulation research and infrastructure to accelerate progress toward human-aligned AGI. We built some of the earliest research in AI evaluation, including FinanceBench, Lynx, SimpleSafetyTests, CopyrightCatcher and Humanity's Last Exam. Our team comes from Meta AI, Amazon AGI and Google. Our customers include foundation model labs and Fortune 500 companies, and we are backed by Lightspeed Venture Partners, Notable Capital and others.

We're looking for credentialing and provider enrollment specialists who do this work today. In your role you credential and recredential providers, run primary source verification, and enroll providers with payers through CAQH, PECOS and payer portals. You'll help us show frontier AI models how that work is really done, and where they get it wrong. You don't need an AI background.

What you'll do
  • Explain how the work is done in your role: the steps, the documents, who decides what, and where things go wrong.
  • Review realistic task packets, such as credentialing files, CAQH and PECOS records, primary source verifications, payer enrollment applications, expirables trackers and provider rosters, and flag anything a practitioner would find unrealistic.
  • Write scoring rubrics precise enough that two independent reviewers reach the same verdict.
  • Create new, original tasks from fictional scenarios, solve them yourself and document your reasoning.
  • Work independently and asynchronously, meet agreed deadlines and work in reviewer feedback.
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