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Remote Provider Credentialing Jobs in Arizona (NOW HIRING)

Credentialing Manager

Phoenix, AZ · Remote

$95K - $120K/yr

Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Own end-to-end credentialing for clinicians/providers across multiple states and payers (as ...

Contracts and Credentialing Specialist

Phoenix, AZ · On-site +1

$20.05 - $22.05/hr

... and providers credentialed with the Payors and added to the existing contracts. Pay Range: $20.05/hr - $22.05/hr Full Time Schedule: Monday - Friday 8:00am - 5:00pm Remote work environment (must ...

... credential preferred but not required About Presence As a trusted partner and advocate for clinicians since 2009, we offer our large community of remote providers access to an award-winning platform ...

Neurology job in Mesa AZ

Mesa, AZ · On-site +1

$210K - $220K/yr

Credentialing and licensing support; additional state licenses paid as needed Key responsibilities * Provide remote neurologic consultations to ED and inpatient teams * Evaluate acute stroke ...

Career Advisor (Remote)

Phoenix, AZ · On-site +1

$20.75 - $27.75/hr

Career Advisor- Remote Opportunity (Work from Home) NOTE: Both a cover letter and resume are ... Provide credentialing information for select career fields. * Schedule career coaching appointments ...

Career Advisor (Remote)

Phoenix, AZ · On-site +1

$20.75 - $27.75/hr

Career Advisor- Remote Opportunity (Work from Home) NOTE: Both a cover letter and resume are ... Provide credentialing information for select career fields. * Schedule career coaching appointments ...

Career Advisor (Remote)

Phoenix, AZ · Remote

$20.75 - $27.75/hr

Career Advisor- Remote Opportunity (Work from Home) NOTE: Both a cover letter and resume are ... Provide credentialing information for select career fields. * Schedule career coaching appointments ...

Career Advisor (Remote)

Phoenix, AZ · Remote

$20.75 - $27.75/hr

Career Advisor- Remote Opportunity (Work from Home) NOTE: Both a cover letter and resume are ... Provide credentialing information for select career fields. * Schedule career coaching appointments ...

Emergency Radiologist

Phoenix, AZ · On-site +1

$317K - $397K/yr

Integrated daytime/evening subspecialty shifts (on-site and remote) provide exposure to outpatient ... Reimbursement for licensure and credentialing expenses #RadEHR Why Mayo Clinic Mayo Clinic is top ...

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Remote Provider Credentialing information

What remote job is highest in demand?

Remote provider credentialing specialists are in high demand due to the healthcare industry's shift toward virtual processes. These roles require attention to detail, knowledge of healthcare regulations, and often involve working with credentialing software and electronic health records systems. The demand is driven by the need for efficient provider onboarding and compliance management in a remote setting.

What is remote provider credentialing?

Remote provider credentialing refers to the process of verifying the qualifications, experience, licensure, and background of healthcare providers who work remotely. This is essential for ensuring that remote physicians, nurses, and other practitioners meet all regulatory and organizational standards before they deliver care. The process often involves collecting and reviewing documents, contacting licensing boards, and verifying work history, all conducted through secure online systems. Remote credentialing helps healthcare organizations maintain compliance and ensure patient safety while supporting flexible work arrangements.

What does a remote credentialing specialist do?

A remote credentialing specialist verifies healthcare providers' qualifications, licenses, and certifications to ensure compliance with regulatory standards. They review and process documentation, communicate with providers and insurance companies, and maintain accurate records using credentialing software. This role requires attention to detail, knowledge of healthcare regulations, and often involves working with electronic health records and credentialing databases.

What are the key skills and qualifications needed to thrive as a Remote Provider Credentialing Specialist, and why are they important?

To thrive as a Remote Provider Credentialing Specialist, you need a solid understanding of healthcare regulations, credentialing processes, and attention to detail, often supported by a bachelor's degree or relevant experience. Familiarity with credentialing software (such as CAQH, VerityStream, or MD-Staff) and knowledge of healthcare compliance standards are typically required. Excellent organizational skills, strong communication, and problem-solving abilities help you manage complex documentation and interact with providers and regulatory bodies. These skills are essential for ensuring providers meet all regulatory requirements, maintaining compliance, and supporting efficient healthcare operations.

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

AspectRemote Provider CredentialingRemote Medical Billing Specialist
Required CredentialsLicenses, certifications, provider documentationBilling codes, insurance knowledge, coding certifications
Work EnvironmentHealthcare organizations, credentialing firmsMedical offices, billing companies
Industry UsageHealthcare, provider networksHealthcare, insurance reimbursement
Search & Comparison IntentCredentialing process, provider verificationBilling procedures, reimbursement processes

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

What are some common challenges faced when managing provider credentialing in a remote work environment?

One of the main challenges in remote provider credentialing is staying organized while tracking multiple providers’ documents and deadlines across different systems. Communication can also be more complex, as coordination with healthcare providers, licensing boards, and insurance companies often requires timely follow-ups and clear digital documentation. Utilizing secure, cloud-based credentialing software and maintaining regular virtual check-ins with your team can help ensure deadlines are met and compliance is maintained. Proactively managing these aspects can reduce delays and support a smooth credentialing process.

How much does a credentialing assistant make?

A credentialing assistant typically earns between $35,000 and $50,000 annually, depending on experience, location, and the size of the organization. They often work with healthcare providers to verify credentials and maintain compliance using credentialing software. Entry-level positions may start lower, while experienced assistants or those with specialized certifications can earn higher salaries.

How to get into provider credentialing?

To enter provider credentialing, candidates typically need a background in healthcare administration, insurance, or related fields, along with strong organizational and communication skills. Gaining experience with credentialing software and understanding industry standards, such as CMS or NCQA requirements, is also beneficial. Certifications like Certified Provider Credentialing Specialist (CPCS) can enhance job prospects in this field.
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 Remote Provider Credentialing jobs? Cities in Arizona with the most Remote Provider Credentialing job openings:
Credentialing Specialist - [Arizona Remote Only]

Credentialing Specialist - [Arizona Remote Only]

AMERICAS REHAB CAMPUSES LLC

Phoenix, AZ • Remote

Other

Posted 8 days ago


Job description

The Credentialing Specialist is responsible for coordinating and managing provider and facility credentialing, enrollment, recredentialing, and payer participation activities for America’s Rehab Campus (ARC). This position works closely with AHCCCS, commercial insurance carriers, and internal departments to ensure providers and facilities remain compliant, credentialed, and eligible for billing and network participation. 

The Credentialing Specialist maintains accurate credentialing records, monitors expiration dates and regulatory requirements, submits applications and updates, and assists with compliance and audit readiness. This role requires strong attention to detail, knowledge of AHCCCS and behavioral health credentialing requirements, and the ability to work independently in a remote environment while managing multiple deadlines and priorities. 

DUTIES AND RESPONSIBILITIES 

  • Complete and manage provider credentialing and recredentialing applications with AHCCCS, commercial insurance carriers, and contracted networks 

  • Coordinate facility credentialing, enrollment, and updates for behavioral health programs and locations 

  • Maintain credentialing files and ensure all required documentation remains current and compliant 

  • Monitor expiration dates for licenses, certifications, malpractice insurance, DEA registrations, CAQH attestations, and other required credentials 

  • Submit and track AHCCCS provider enrollment applications, updates, and revalidations 

  • Work with insurance payers regarding contracting, participation status, and credentialing follow-up 

  • Maintain provider records within credentialing databases and internal tracking systems 

  • Verify provider credentials including licenses, education, certifications, NPI numbers, sanctions, exclusions, and background screening requirements 

  • Coordinate with HR, Compliance, Revenue Cycle, and Operations regarding onboarding and credentialing status 

  • Assist with audits, surveys, and compliance requests related to credentialing documentation 

  • Maintain knowledge of AHCCCS requirements, payer standards, and behavioral health credentialing regulations 

  • Communicate credentialing updates and deficiencies to leadership and providers in a timely manner 

  • Ensure credentialing timelines are met to avoid interruptions in billing or payer participation 

QUALIFICATIONS, CERTIFICATIONS, AND EDUCATION REQUIREMENTS: 

  • High School Diploma or Equivalent required 

  • Minimum of 2 years of credentialing experience required 

  • Experience with AHCCCS provider enrollment and behavioral health credentialing strongly preferred 

  • Knowledge of provider and facility credentialing processes for commercial and government payers 

  • Experience with CAQH, NPPES/NPI Registry, sanction monitoring, and license verification systems 

  • Understanding of healthcare compliance standards and payer requirements 

  • Experience credentialing behavioral health providers and facilities 

  • Familiarity with Joint Commission and AHCCCS compliance requirements 

  • CPCS, CPMSM, or related credentialing certification preferred but not required 

  • Strong attention to detail and organizational skills 

  • Ability to manage multiple deadlines and prioritize workload independently 

  • Strong written and verbal communication skills 

  • Proficient with Microsoft Office, credentialing software, and electronic document management systems 

  • Ability to maintain confidentiality and handle sensitive information appropriately 

  • Minimum two (2) years of experience in behavioral health field preferred 

  • Successful clearance of pre-employment criminal/county/state background check 

  • Successful clearance of pre-employment drug and alcohol testing 

Additional Notes: 
America’s Rehab Campus’s is an Equal Opportunity Employer, a drug free workplace, and complies with Veteran and ADA regulations as applicable.Â