... in a remote environment while managing multiple deadlines and priorities. DUTIES AND ... Submit and track AHCCCS provider enrollment applications, updates, and revalidations * Work with ...
... in a remote environment while managing multiple deadlines and priorities. DUTIES AND ... Submit and track AHCCCS provider enrollment applications, updates, and revalidations * Work with ...
$100/hr
Review and sign provider enrollment applications and related attestations * Participate in occasional meetings related to network expansion and market launch * Participate in 1-2 user research ...
$100/hr
Review and sign provider enrollment applications and related attestations * Participate in occasional meetings related to network expansion and market launch * Participate in 1-2 user research ...
The position is remote, with preference for candidates residing in California, Arizona, Colorado ... Prepare, submit, and manage provider credentialing and payer enrollment applications for commercial ...
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The position is remote, with preference for candidates residing in California, Arizona, Colorado ... Prepare, submit, and manage provider credentialing and payer enrollment applications for commercial ...
... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...
... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...
... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...
... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...
... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...
... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...
... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...
... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...
... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...
... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...
... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...
... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...
... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...
... Provide Friendly Support: Answer questions, address concerns, and ensure each client has a smooth ... Enrollments: Assist clients in filling out applications and finalizing their benefits during ...
Licensing and Credentialing Manager (Telemedicine)
Phoenix, AZ · Remote
$95K - $110K/yr
... Remote · Full-time Stage: Series B · $95K-$110K + performance-based incentives 1 · ABOUT THE ... Own payer enrollment so providers go live with Medicare, Medicaid, and commercial payers before go ...
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Licensing and Credentialing Manager (Telemedicine)
Phoenix, AZ · Remote
$95K - $110K/yr
... Remote · Full-time Stage: Series B · $95K-$110K + performance-based incentives 1 · ABOUT THE ... Own payer enrollment so providers go live with Medicare, Medicaid, and commercial payers before go ...
$50/hr
Review and sign provider enrollment applications and related attestations * Participate in occasional meetings related to network expansion and market launch * Participate in 1-2 user research ...
$50/hr
Review and sign provider enrollment applications and related attestations * Participate in occasional meetings related to network expansion and market launch * Participate in 1-2 user research ...
Data Governance Supervisor
Phoenix, AZ · On-site +1
$77K - $82K/yr
... enrollment, provider enrollment, managed care oversight, behavioral health, ALTCS, and quality ... Remote work is a management option and not an employee entitlement or right. An agency may ...
Data Governance Supervisor
Phoenix, AZ · On-site +1
$77K - $82K/yr
... enrollment, provider enrollment, managed care oversight, behavioral health, ALTCS, and quality ... Remote work is a management option and not an employee entitlement or right. An agency may ...
Work alongside a dynamic remote team, where collaboration is the heartbeat of success. Benefits: Work virtually, from anywhere Comprehensive training provided A fun, energetic, and positive team ...
Work alongside a dynamic remote team, where collaboration is the heartbeat of success. Benefits: Work virtually, from anywhere Comprehensive training provided A fun, energetic, and positive team ...
Remote Sales Specialist
Peoria, AZ · Remote
$69K/yr
You will work remotely, serving clients by providing guidance and protection solutions for ... Present benefit programs and assist clients with enrollment * Build and maintain strong client ...
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Remote Sales Specialist
Peoria, AZ · Remote
$69K/yr
You will work remotely, serving clients by providing guidance and protection solutions for ... Present benefit programs and assist clients with enrollment * Build and maintain strong client ...
Remote Sales Specialist
Chandler, AZ · Remote
$69K - $150K/yr
You will work remotely, serving clients by providing guidance and protection solutions for ... Present benefit programs and assist clients with enrollment * Build and maintain strong client ...
Quick apply
Remote Sales Specialist
Chandler, AZ · Remote
$69K - $150K/yr
You will work remotely, serving clients by providing guidance and protection solutions for ... Present benefit programs and assist clients with enrollment * Build and maintain strong client ...
Remote Account Executive
Peoria, AZ · Remote
$69K - $150K/yr
You will work remotely, serving clients by providing guidance and protection solutions for ... Present benefit programs and assist clients with enrollment * Build and maintain strong client ...
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Remote Account Executive
Peoria, AZ · Remote
$69K - $150K/yr
You will work remotely, serving clients by providing guidance and protection solutions for ... Present benefit programs and assist clients with enrollment * Build and maintain strong client ...
Remote Sales Executive
Phoenix, AZ · Remote
$69K - $150K/yr
You will work remotely, serving clients by providing guidance and protection solutions for ... Present benefit programs and assist clients with enrollment * Build and maintain strong client ...
Quick apply
Remote Sales Executive
Phoenix, AZ · Remote
$69K - $150K/yr
You will work remotely, serving clients by providing guidance and protection solutions for ... Present benefit programs and assist clients with enrollment * Build and maintain strong client ...
Remote Account Executive
Tucson, AZ · Remote
$69K - $150K/yr
You will work remotely, serving clients by providing guidance and protection solutions for ... Present benefit programs and assist clients with enrollment * Build and maintain strong client ...
Quick apply
Remote Account Executive
Tucson, AZ · Remote
$69K - $150K/yr
You will work remotely, serving clients by providing guidance and protection solutions for ... Present benefit programs and assist clients with enrollment * Build and maintain strong client ...
Sales Executive - Remote
Glendale, AZ · Remote
$69K - $150K/yr
You will work remotely, serving clients by providing guidance and protection solutions for ... Present benefit programs and assist clients with enrollment * Build and maintain strong client ...
Quick apply
Sales Executive - Remote
Glendale, AZ · Remote
$69K - $150K/yr
You will work remotely, serving clients by providing guidance and protection solutions for ... Present benefit programs and assist clients with enrollment * Build and maintain strong client ...
Remote Provider Enrollment information
What is a Remote Provider Enrollment job?
A Remote Provider Enrollment job involves processing and managing healthcare provider enrollment with insurance networks, Medicare, Medicaid, and other payers. Responsibilities typically include completing applications, verifying credentials, maintaining provider records, and ensuring compliance with payer requirements. This role is performed remotely, utilizing online platforms and databases to submit and track enrollment statuses. Strong attention to detail, knowledge of billing practices, and communication skills are essential for success in this position.
What are the key skills and qualifications needed to thrive in the Remote Provider Enrollment position, and why are they important?
To thrive as a Remote Provider Enrollment specialist, you need strong attention to detail, understanding of healthcare regulations, and experience with credentialing and enrollment processes, often backed by a relevant associate or bachelor's degree. Familiarity with provider enrollment software (such as CAQH or Medicare PECOS), document management systems, and basic proficiency in Microsoft Office are typically required. Excellent organizational skills, proactive communication, and the ability to manage time independently make someone stand out in this remote position. These skills are essential to ensure accurate and timely provider onboarding, regulatory compliance, and effective collaboration with healthcare organizations and insurance payers.
What are some typical challenges faced by Remote Provider Enrollment specialists, and how are they addressed?
Remote Provider Enrollment specialists often encounter challenges such as keeping track of multiple provider applications, ensuring all documentation is accurate, and navigating changing payer requirements. Effective use of digital tracking tools and maintaining clear communication with both providers and insurance companies help address these issues. Many organizations offer thorough onboarding and ongoing support to ensure team members are up to date with the latest regulatory changes. Collaborating closely with credentialing teams and leveraging shared resources also helps manage workload and maintain compliance. While the role is detail-oriented, a supportive team environment makes it easier to overcome these common obstacles.
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Posted 19 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.
About Americas Rehab Campuses
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Tucson, AZ, US
Year founded
2016