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Provider Credentialing Jobs in Arizona (NOW HIRING)

Credentialing Specialist

Phoenix, AZ ยท On-site

$20 - $25/hr

Top Skills Required : โ€ข Coordinate initial and re credentialing for physicians and allied health providers. โ€ข Perform primary source verification of education, licensure, training, and work ...

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Provider Credentialing information

See Arizona salary details

$12

$22

$36

How much do provider credentialing jobs pay per hour?

As of Jul 13, 2026, the average hourly pay for provider credentialing in Arizona is $22.70, according to ZipRecruiter salary data. Most workers in this role earn between $17.93 and $25.77 per hour, depending on experience, location, and employer.

What is provider credentialing?

Provider credentialing is the process by which healthcare organizations verify and assess the qualifications, experience, and professional background of medical providers, such as doctors, nurses, and specialists. This includes checking education, training, licenses, certifications, work history, and any malpractice or disciplinary actions. Credentialing ensures that providers meet the standards required to deliver care and are eligible for participation in health insurance networks. It is a critical step for patient safety and regulatory compliance. The process must be repeated periodically to maintain up-to-date records and ensure ongoing eligibility.

What are some common challenges faced in a Provider Credentialing role, and how can they be managed?

A common challenge in Provider Credentialing is managing multiple deadlines and ensuring all documentation is accurate and up to date for various healthcare providers. The process often involves coordinating with providers, insurance companies, and regulatory bodies, which can lead to delays if communication is not clear. Staying organized, maintaining detailed records, and using credentialing management software can help streamline workflow and reduce errors. Building strong relationships with providers and team members also aids in resolving issues quickly and efficiently.

What is the difference between Provider Credentialing vs Medical Billing Specialist?

AspectProvider CredentialingMedical Billing Specialist
Required CredentialsLicenses, certifications, provider credentialsBilling certifications, coding knowledge
Work EnvironmentHealthcare facilities, insurance companiesMedical offices, billing companies
Employer & Industry UsageHospitals, clinics, insurance providersMedical practices, billing firms
Search & Comparison IntentUnderstanding credentialing process, requirementsBilling procedures, coding, reimbursement

Provider Credentialing focuses on verifying healthcare providers' qualifications to ensure they meet industry standards, while Medical Billing Specialists handle coding, billing, and reimbursement processes. Both roles are essential in healthcare operations but serve different functions within the industry.

What are the key skills and qualifications needed to thrive in Provider Credentialing, and why are they important?

To thrive in Provider Credentialing, you need strong attention to detail, organizational skills, and knowledge of healthcare regulations, typically supported by a background in healthcare administration or related fields. Familiarity with credentialing software, databases, and compliance tools such as CAQH ProView and state licensure systems is essential. Exceptional communication, problem-solving, and time management skills help professionals interact with providers and manage complex documentation processes. These competencies ensure accurate provider verification, regulatory compliance, and efficient onboarding, which are critical for healthcare organizations.
What are the most commonly searched types of Provider Credentialing jobs in Arizona? The most popular types of Provider Credentialing jobs in Arizona are:
What cities in Arizona are hiring for Provider Credentialing jobs? Cities in Arizona with the most Provider Credentialing job openings:

$60K - $70K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 24 days ago


Job description

Credentialing Specialist

About Us

At Atlas Medical we're expanding our team and are seeking a dynamic and compassionate Credentialing Specialist who shares our passion for making healthcare better for all. If you're someone who values meaningful work, thrives in a supportive environment, and believes in enriching the lives of those you encounter, this may be the perfect opportunity for you.

Location: Arizona, AZ (Remote)

Compensation: $60,000-$70,000/ Salary DOE

Status: Full-Time, W2 Employee

Schedule: Monday - Friday, 8 AM - 5 PM

About the Role

We are seeking a detail-oriented Healthcare Credentialing Specialist to manage provider credentialing, recredentialing, and enrollment processes. The ideal candidate will ensure healthcare providers maintain compliance with regulatory requirements and payer standards while supporting timely enrollment with insurance networks.

Your key responsibilities will include:

  • Coordinate and manage provider credentialing and recredentialing activities.
  • Prepare, submit, and track credentialing applications with Medicare, Medicaid, commercial payers, and regulatory agencies.
  • Maintain accurate provider files, including licenses, certifications, malpractice insurance, and continuing education documentation.
  • Monitor credential expiration dates and ensure timely renewals.
  • Facilitate provider enrollment, updates, and terminations with insurance carriers.
  • Respond to payer inquiries and resolve credentialing related issues.
  • Maintain compliance with healthcare regulations, accreditation standards, and organizational policies.
  • Generate credentialing reports and maintain confidential provider records.
  • Assist with audits and support practice operations as needed.

Qualifications

To thrive in the role of Credentialing Specialist you must:

  • High school diploma or equivalent required; associate or bachelor's degree preferred.
  • 5+ years of healthcare credentialing experience.
  • Must have Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM)
  • Knowledge of Medicare, Medicaid, and commercial payer enrollment processes.
  • Familiarity with CAQH, NPPES, PECOS, and provider enrollment systems.
  • Strong understanding of healthcare compliance and credentialing standards.
  • Excellent organizational, communication, and problem-solving skills.
  • Proficiency in Microsoft Office and credentialing software systems.
  • Ability to manage multiple priorities and meet deadlines in a fast-paced environment.

Perks & Benefits

At Atlas Medical, we believe in creating supportive, enriching environments for our team members. Here's what we offer:

  • Career Longevity: Our average employee tenure is 5 years.
  • Professional Development: Comprehensive onboarding, training, and growth opportunities.
  • Meaningful Work: Directly impact a vulnerable population and provide person-centered care.
  • Employee Experience: Fun perks, rewards, and recognition programs.
  • Comprehensive Benefits Package: 22 days of PTO, Medical, Dental, and Vision insurance options, 401(k) with employer matching, Life, Accident, and Disability Insurance, Referral bonuses

What Makes Atlas Medical Stand Out?

Our mission is simple yet profound: enrich every life we encounter. From our employees to patients and their families, we strive to provide services rooted in care, compassion, and expertise. Our continuum of patient-focused services-which includes Mobile Primary Care, Home Health, Palliative Care, Hospice, Outpatient Therapy, DME, and Medical Transport-is designed to address diverse needs seamlessly.

Make a Difference with Aegis

Are you ready to impact lives every day, while growing within a company that values your dedication and contributions? We are expanding our team and seeking extraordinary individuals like you to join us on this inspiring mission.

Apply Today

If Aegis Healthcare's values and your passion for enriching lives align, we can't wait to meet you. Apply now to join the Atlas Team today!

Aegis Celebrates Diversity and is committed to creating an inclusive environment for all employees, underscored by a Zero Tolerance policy for discrimination. Aegis Healthcare is an equal opportunity employer, welcoming applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, veteran status, sexual orientation, gender identity, or any other characteristic protected by law