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Provider Enrollment Jobs in Arizona (NOW HIRING)

ESSENTIAL DUTIES, FUNCTIONS AND RESPONSIBILITIES • Ensures accurate and timely enrollment for health care providers, physicians and mid-level practitioners. Coordinates with other credentialing and ...

ESSENTIAL DUTIES, FUNCTIONS AND RESPONSIBILITIES • Ensures accurate and timely enrollment for health care providers, physicians and mid-level practitioners. Coordinates with other credentialing and ...

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Provider Enrollment information

What is the difference between Provider Enrollment vs Provider Credentialing?

AspectProvider EnrollmentProvider Credentialing
Required CredentialsLicenses, certifications, provider numbersLicenses, certifications, education verification
Work EnvironmentHealthcare administration, insurance companiesHealthcare facilities, insurance panels
Employer & Industry UsageInsurance plans, government programsHospitals, clinics, insurance panels
Search & Comparison IntentHow to enroll as a providerHow to verify provider qualifications

Provider Enrollment involves registering with insurance companies and government programs to become an approved healthcare provider. Provider Credentialing focuses on verifying a provider's qualifications, licenses, and certifications to ensure they meet industry standards. While both are essential for practicing in healthcare, enrollment is about gaining access, and credentialing is about verifying qualifications.

What is provider enrollment?

Provider enrollment is the process by which healthcare professionals and organizations apply to participate in health insurance networks, including Medicare, Medicaid, and private insurance plans. This involves submitting detailed information about credentials, licenses, and practice details to insurance payers for approval. Successful enrollment allows providers to bill insurance companies and receive reimbursement for services rendered to insured patients. The process ensures that only qualified and authorized providers deliver care to covered individuals.

What are the key skills and qualifications needed to thrive as a provider enrollment specialist?

To thrive as a Provider Enrollment Specialist, you need strong organizational skills, attention to detail, and knowledge of healthcare regulations, often supported by a background in healthcare administration or a related field. Familiarity with provider enrollment software, credentialing databases, and proficiency in using systems like CAQH and Medicare/Medicaid portals are typically required. Excellent communication, problem-solving abilities, and the capacity to manage multiple tasks efficiently are vital soft skills for this role. These competencies ensure timely and accurate provider onboarding, compliance with regulatory requirements, and effective coordination between healthcare providers and payers.

What are some typical challenges faced in a provider enrollment role, and how can they be managed effectively?

Professionals in Provider Enrollment often encounter challenges such as navigating complex and varying payer requirements, handling time-sensitive documentation, and managing communication between providers and insurance companies. Staying organized and proactive in tracking application statuses, maintaining up-to-date knowledge of payer guidelines, and fostering strong relationships with both internal teams and external contacts are key strategies for overcoming these hurdles. Using workflow management tools and regularly attending industry training can also help streamline the enrollment process and reduce delays.
What are the most commonly searched types of Provider Enrollment jobs in Arizona? The most popular types of Provider Enrollment jobs in Arizona are:
What cities in Arizona are hiring for Provider Enrollment jobs? Cities in Arizona with the most Provider Enrollment job openings:
Infographic showing various Provider Enrollment job openings in Arizona as of August 2026, with employment types broken down into 2% Internship, 81% Full Time, 15% Part Time, and 2% Temporary. Highlights an 92% In-person, 2% Hybrid, and 6% Remote job distribution.

PROVIDER ENROLLMENT SPECIALIST

FDIHB

Fort Defiance, AZ • Remote

$23.52 - $28.69/hr

Full-time

Posted 7 days ago


Job description

Closing Date: Monday, August 10, 2026, by 4:00 pm (DST)

Salary Range: $23.52 - $28.69/hour

**APPLICANT MUST HAVE A VALID, UNRESTRICTED INSURABLE DRIVER’S LICENSE**

**RESUMES AND REFERENCES ARE REQUIRED**

ESSENTIAL DUTIES, FUNCTIONS AND RESPONSIBILITIES

• Ensures accurate and timely enrollment for health care providers, physicians and mid-level practitioners. Coordinates with other credentialing and Director of Revenue Generation on obtaining essential information to complete the enrollment process.
• Coordinates and ensures providers receive enrollment forms and packets where applicable, responds to all inquiries regarding enrollment using timely and effective communication with providers, programs, and other credentialing staff.
• Submits new provider enrollment applications via electronic online provider enrollment portals and will track online applications through all stages in order to accurately enroll each provider with commercial, Medicare and State Medicaid payers.
• Assist with updates and/or modifies provider enrollment for current and returning providers with Medicare and State Medicaid plans, to ensure that all billable providers are appropriately linked to the correct facility. Maintains and recognizes effective processes for monitoring provider enrollment status for all commercial, Medicare and State Medicaid health plans. Reviews and submits accurate enrollment applications.
• Assists with submitting Medicare revalidations for Facility in a timely manner with Medicare to avoid loss of billing privileges.
• Submits the Provider Contract Request Form along with other required documentation to Blue Cross Blue Shield (BCBS) and Tricare payers for all medical providers, this is to ensure linking of medical providers to the Fort Defiance Indian Hospital Board, Inc. Facility NPIs.
• Communicates with other internal and/or external credentialing staff and supervisors on any deficiencies. Follows up on all submitted and outstanding documents for providers. Obtains all applications and supporting documents for State Medicaid, Medicare, and commercial plans from providers and keep on file electronically for audits purposes.
• Maintain deadlines and enrollment schedules by tracking files through all stages of the enrollment process.
• Assists provider’s with completing and updating of their Council for Affordable Quality Healthcare (CAQH) profiles.
• Completes the provider turnaround document (TAD) to New Mexico Medicaid, by deadlines scheduled by payers.
• Notifies Medicare and State Medicaid Plans of the appropriate end date for exiting medical
providers within 1 (one) year after departure.
• Responsible for providing and updating a provider listing to the Director of Revenue Generation, which consists of provider NPI information, department, title, state licensure, expiration dates, start date, and payers assigned provider numbers for active, consulting, and inactive providers. In addition, to provide a weekly productivity summary report to direct supervisor.
• Performs other duties as assigned.

MANDATORY MINIMUM QUALIFICATIONS:

Experience:

Two (2) years enrollment experience or two (2) years Revenue Cycle Management experience in a healthcare environment

Education:

Associate Degree or equivalent experience

Please email degree or transcripts to philbert.yazzie@fdihb.org

NAVAJO/INDIAN PREFERENCE:

FDIHB and its facilities are located within the Navajo Nation and, in accordance with Navajo Nation law, has implemented a Navajo/Indian Preference in Employment Policy. Pursuant to this Policy, applicants who meet the minimum qualifications for this position and who are enrolled members of the Navajo Nation will be given primary preference in hiring and employment for this position and members of other federally recognized Indian tribes will be given secondary preference. Other candidates will be considered only after all candidates entitled to primary or secondary preference have been fully considered.