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Remote Credentialing Jobs in Arizona (NOW HIRING)

Talkiatry

Remote Therapist - Arizona

Tucson, AZ · Remote

Minimal administrative burden in a fully remote environment * Clear expectations around caseload ... Full operational support including scheduling, billing, intake coordination, credentialing, and ...

Talkiatry

Remote Therapist - Arizona

Mesa, AZ · Remote

Minimal administrative burden in a fully remote environment * Clear expectations around caseload ... Full operational support including scheduling, billing, intake coordination, credentialing, and ...

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Remote Credentialing information

What is a Remote Credentialing job?

A Remote Credentialing job involves verifying and maintaining the qualifications, certifications, and professional licenses of healthcare providers or other professionals from a remote location. Credentialing specialists ensure compliance with industry regulations, accreditation standards, and organizational policies. Responsibilities often include reviewing applications, conducting background checks, and managing credentialing databases. This role is essential for ensuring that providers meet required standards before they can deliver services. Remote credentialing allows professionals to perform these tasks efficiently without being physically present at a healthcare facility.

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

To excel in Remote Credentialing, you need a strong understanding of healthcare credentialing processes, attention to detail, and knowledge of applicable laws and regulations, often with prior experience in a medical or administrative setting. Familiarity with credentialing management software (such as CAQH, VerifPoint, or MedTrainer) and sometimes certification like CPCS (Certified Provider Credentialing Specialist) is valuable. Excellent organizational skills, problem-solving ability, and clear communication are crucial for success in a remote environment. These skills ensure accuracy, compliance, and efficient processing of provider credentials, which are essential for maintaining healthcare standards and operational flow.

What typical responsibilities should I expect in a Remote Credentialing position?

In a Remote Credentialing role, you'll be responsible for verifying and maintaining healthcare providers' credentials, licensing, and certifications according to regulatory and organizational standards. Your daily tasks may include reviewing applications, conducting background checks, managing databases, and communicating with providers and regulatory agencies to resolve discrepancies. You will often work independently but also collaborate with compliance, HR, and medical staff departments to ensure timely credentialing. Attention to deadlines, strong organizational skills, and the ability to adapt to changing regulations are important for success in this position.

What are the most commonly searched types of Credentialing jobs in Arizona? The most popular types of Credentialing jobs in Arizona are:
What are popular job titles related to Remote Credentialing jobs in Arizona? For Remote Credentialing jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Remote Credentialing jobs in Arizona look for? The top searched job categories for Remote Credentialing jobs in Arizona are:
What cities in Arizona are hiring for Remote Credentialing jobs? Cities in Arizona with the most Remote Credentialing job openings:
Remote Credentialing jobs near you
Infographic showing various Remote Credentialing job openings in Arizona as of July 2026, with employment types broken down into 75% Full Time, and 25% Part Time. Highlights an 100% Remote job distribution.
Credentialing Coordinator - (Remote in Arizona)

Credentialing Coordinator - (Remote in Arizona)

Blue Cross Blue Shield of Arizona

Phoenix, AZ • On-site, Remote

Full-time

Posted 14 days ago

Blue Cross Blue Shield Of Arizona rating

5.9

Company rating: 5.9 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

263rd of 281 rated insurance

Job description

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:
  • Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week
  • Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week
  • Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month
  • Onsite: daily onsite requirement based on the essential functions of the job
  • Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building

Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.
This position is remote within the state of AZ only. This remote work opportunity requires residency, and work to be performed, within the State of Arizona.
PURPOSE OF THE JOB
The Credentialing Coordinator facilitates the accurate and efficient Credentialing and Recredentialing of Medicaid Business Segment providers in alignment with State, Federal, and NCQA standards.
REQUIRED QUALIFICATIONS
Required Work Experience
  • 2 years of experience in a healthcare field
  • 2 years of experience in provider credentialing

Required Education
  • High-School Diploma or GED in general field of study

Required Licenses
  • N/A

Required Certifications
  • N/A

PREFERRED QUALIFICATIONS
Preferred Work Experience
  • 2 years of experience in a healthcare field, preferably within a credentialing/recredentialing environment and knowledge of national accreditation and/or regulatory standards

Preferred Education
  • Associate's Degree in general field of study

Preferred Licenses
  • N/A

Preferred Certifications
  • Certified Provider Credentialing Specialist (CPCS)

ESSENTIAL JOB FUNCTIONIS AND RESPONSIBILITIES
  • Ensure timely and accurate processing of credentialing and recredentialing for both individual practitioners and organizations
  • Coordinate Credentialing Committee meeting, including preparing the agenda and documenting meeting minutes
  • Identify and communicate agenda items for Credentialing Committee to immediate leader
  • Facilitate prompt coordination with the Credentialing Verification Organization (CVO) and monitor Work in Progress file
  • Promptly address incoming files for processing
  • Review and maintain all applications for accuracy and completeness
  • Accurately and efficiently data enter primary source verification data into the credentialing database
  • Input credentialing decisions and dates into the credentialing database
  • Generate and mail approval letters to participating providers
  • Identify missing or erroneous information from the provider's application, and communicate with the provider to obtain
  • Coordinate with Network Services and/or other internal departments on follow-up items needed to complete the credentialing process
  • Communicate with Network Services and/or other internal departments regarding status of provider and organizational credentialing
  • Maintain ongoing participation in cross-training activities
  • Provide recommendations and feedback regarding process improvements and/or standardization practices
  • Actively participate in staff meetings, team huddles, and one-on-one meetings
  • Engage in team building activities
  • Perform all other duties as assigned
  • The position has an onsite expectation of 0 days per week and requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements

REQUIRED COMPETENCIES
Required Job Skills
  • Verbal and written communication skills
  • Maintains confidentiality according to policy
  • Effectively communicate with internal and external customers via telephone and email
  • Accurately receive information through oral communication
  • Accurately review data and figures both in hard copy and electronic formats
  • Accurately sort through data and think through issues in a time-pressured environment
  • Accurately learn and retain new information, knowledge, and skills
  • Efficiently manage multiple tasks, with varying degrees of priority, at the same time

Required Professional Competencies
  • Ability to think critically
  • Strong attention to detail
  • Excellent organizational skills
  • Outstanding interpersonal skills, ability to establish a trusting rapport with individuals at all levels
  • Maintain a calm and collected presence while addressing the concerns from an internal and external customer

Required Leadership Experience and Competencies
  • N/A

PREFERRED COMPETENCIES
Preferred Job Skills
  • Thorough understanding of managed care principles and physician practice operations, with an understanding of health plan credentialing preferred

Preferred Professional Competencies
  • N/A

Preferred Leadership Experience and Competencies
  • N/A

Our Commitment
AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.
Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.

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