... 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 ...
Licensing and Credentialing Manager (Telemedicine)
Phoenix, AZ ยท Remote
$95K - $110K/yr
... Remote ยท Full-time Stage: Series B ยท $95K-$110K + performance-based incentives 1 ยท 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 ยท Remote
$95K - $110K/yr
... Remote ยท Full-time Stage: Series B ยท $95K-$110K + performance-based incentives 1 ยท ABOUT THE ... Own payer enrollment so providers go live with Medicare, Medicaid, and commercial payers before go ...
... 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 ...
$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 ...
Remote Sales Enrollment Specialist
Wickenburg, AZ ยท Remote
$69K/yr
Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... You will work remotely, serving clients by providing guidance and protection solutions for ...
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Remote Sales Enrollment Specialist
Wickenburg, AZ ยท Remote
$69K/yr
Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... You will work remotely, serving clients by providing guidance and protection solutions for ...
$69K/yr
Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... You will work remotely, serving clients by providing guidance and protection solutions for ...
Quick apply
$69K/yr
Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... You will work remotely, serving clients by providing guidance and protection solutions for ...
Remote Sales Enrollment Specialist
Green Valley, AZ ยท Remote
$69K/yr
Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... You will work remotely, serving clients by providing guidance and protection solutions for ...
Quick apply
Remote Sales Enrollment Specialist
Green Valley, AZ ยท Remote
$69K/yr
Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... You will work remotely, serving clients by providing guidance and protection solutions for ...
$69K/yr
Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... You will work remotely, serving clients by providing guidance and protection solutions for ...
Quick apply
$69K/yr
Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... You will work remotely, serving clients by providing guidance and protection solutions for ...
Remote Sales Enrollment Specialist
Laveen, AZ ยท Remote
$69K/yr
Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... You will work remotely, serving clients by providing guidance and protection solutions for ...
Quick apply
Remote Sales Enrollment Specialist
Laveen, AZ ยท Remote
$69K/yr
Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... You will work remotely, serving clients by providing guidance and protection solutions for ...
Remote Sales Enrollment Specialist
Keams Canyon, AZ ยท Remote
$69K/yr
Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... You will work remotely, serving clients by providing guidance and protection solutions for ...
Quick apply
Remote Sales Enrollment Specialist
Keams Canyon, AZ ยท Remote
$69K/yr
Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... You will work remotely, serving clients by providing guidance and protection solutions for ...
Remote Sales Enrollment Specialist
Pinedale, AZ ยท Remote
$69K/yr
Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... You will work remotely, serving clients by providing guidance and protection solutions for ...
Quick apply
Remote Sales Enrollment Specialist
Pinedale, AZ ยท Remote
$69K/yr
Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... You will work remotely, serving clients by providing guidance and protection solutions for ...
Remote Sales Enrollment Specialist
Tuba City, AZ ยท Remote
$69K/yr
Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... You will work remotely, serving clients by providing guidance and protection solutions for ...
Quick apply
Remote Sales Enrollment Specialist
Tuba City, AZ ยท Remote
$69K/yr
Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... You will work remotely, serving clients by providing guidance and protection solutions for ...
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 21 days ago
Job description
The Credentialing Specialistย is responsible forย coordinating and managing provider and facility credentialing, enrollment, recredentialing, and payer participation activities for Americaโs Rehab Campus (ARC). This position works closely with AHCCCS, commercial insurance carriers, and internal departments to ensure providers and facilitiesย remainย compliant, credentialed, and eligible for billing and network participation.ย
The Credentialing Specialistย maintainsย accurateย credentialing records, monitorsย expirationย dates and regulatory requirements,ย submitsย applications and updates, andย assistsย 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.ย
DUTIES AND RESPONSIBILITIESย
Complete and manage provider credentialing and recredentialing applications with AHCCCS, commercial insurance carriers, and contracted networksย
Coordinate facility credentialing, enrollment, and updates for behavioral health programs and locationsย
Maintain credentialing files and ensure all required documentationย remainsย current and compliantย
Monitorย expirationย dates for licenses, certifications, malpractice insurance, DEA registrations, CAQH attestations, and other required credentialsย
Submit and track AHCCCS provider enrollment applications, updates, and revalidationsย
Work with insurance payersย regardingย contracting, participation status, and credentialing follow-upย
Maintain provider records within credentialing databases and internal tracking systemsย
Verify provider credentials including licenses, education, certifications, NPI numbers, sanctions, exclusions, and background screening requirementsย
Coordinate with HR, Compliance, Revenue Cycle, and Operationsย regardingย onboarding and credentialing statusย
Assistย with audits, surveys, and compliance requests related to credentialing documentationย
Maintain knowledge of AHCCCS requirements, payer standards, and behavioral health credentialing regulationsย
Communicate credentialing updates and deficiencies to leadership and providersย in a timely mannerย
Ensure credentialing timelines are met to avoid interruptions in billing or payer participationย
QUALIFICATIONS, CERTIFICATIONS,ย AND EDUCATION REQUIREMENTS:ย
High School Diploma or Equivalent requiredย
Minimum of 2 years of credentialing experienceย requiredย
Experience with AHCCCS provider enrollment and behavioral health credentialing strongly preferredย
Knowledge of provider and facility credentialing processes for commercial and government payersย
Experience with CAQH, NPPES/NPI Registry, sanction monitoring, and license verification systemsย
Understanding of healthcare compliance standards and payer requirementsย
Experience credentialing behavioral health providers and facilitiesย
Familiarity with Joint Commission and AHCCCS compliance requirementsย
CPCS, CPMSM, or related credentialing certification preferred but notย requiredย
Strong attention to detail and organizational skillsย
Ability to manage multiple deadlines and prioritize workload independentlyย
Strong written and verbal communication skillsย
Proficient with Microsoft Office, credentialing software, and electronic document management systemsย
Ability toย maintainย confidentiality and handle sensitive information appropriatelyย
Minimum two (2) years of experience inย behavioral healthย field preferredย
Successful clearance of pre-employment criminal/county/state background checkย
Successful clearance of pre-employment drug and alcohol testingย
Additional Notes:ย
Americaโs Rehab Campusโs is an Equal Opportunity Employer, a drug free workplace, andย complies withย Veteran and ADA regulations as applicable.ย
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