Top 10 credentialing remote Jobs in phoenix az

Provider Enrollment Specialist (Remote)
Blue Cloud Pediatric Surgery Centers —Phoenix, AZ
- Full-time
- Remote
- Microsoft Excel
- Ability to walk for extended periods
- Computer literacy
- Health savings account
- Paid holidays
Quick Apply
6d
Credentialing Specialist
Innovative Health Care —Scottsdale, AZ
- $40,000 - $50,000 a year
- Full-time
- Remote
- Writing skills
- Mid-level
- Communication skills
Quick Apply
2d
Credentialing & Enrollment Specialist
Open Mind Health —Phoenix, AZ
- $17 - $20 an hour
- Full-time
- Remote
- Psychiatry
- Mid-level
- Administrative experience
- Paid holidays
- Health insurance
Quick Apply
Credentialing Specialist - [Arizona Remote Only]
AMERICAS REHAB CAMPUSES LLC —Phoenix, AZ
- Remote
- Background check
- Mid-level
- High school diploma or GED
Provider Program Manager (Provider Credentialing Required)
TriWest Healthcare Alliance —Phoenix, AZ
- $128,000 - $135,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Customer service
- AD&D insurance
- Disability insurance
Contracts and Credentialing Specialist
Devereux —Phoenix, AZ
- $20.05 - $22.05 an hour
- Full-time
- Remote
- Pass drug screening
- Mid-level
- Residential
- 403(b) matching
- Health insurance
5d

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Provider Enrollment Specialist (Remote)

Blue Cloud Pediatric Surgery Centers -
Phoenix, AZ

Quick Apply

Job Details

Full-time
6 days ago

Benefits

Health savings account
Paid holidays
Disability insurance
Health insurance
Paid time off
401(k) matching

Qualifications

Availity
Microsoft Excel
Word embeddings
Productivity software

Full Job Description

NOW HIRING

PROVIDER ENROLLMENT SPECIALIST

ABOUT US

Blue Cloud is the largest pediatric Ambulatory Surgery Center (ASC) company in the country, specializing in dental restorative and exodontia surgery for pediatric and special needs patients delivered under general anesthesia. We are a mission-driven company with an emphasis on providing safe, quality, and accessible care, at reduced costs to families and payors.

OUR VISION & VALUES

At Blue Cloud, it’s our vision to be the leader in safety and quality for
pediatric dental patients treated in a surgery center environment. Our core values drive the decisions of our talented team every day and serve as a guiding direction toward that vision.

We cheerfully work hard
We are individually empathetic
We keep our commitments

Essential Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Facilitate initial and recredentialing payer enrollment applications and credentialing processes for healthcare providers with all relevant insurance payers, including Medicare, Medicaid, and commercial insurers.

Ensure all applications are complete, accurate, and submitted within specified timeframes.

Track and update the status of enrollment applications, ensuring timely follow-ups and problem resolution with payers.

Establish and maintain relationships with payer representatives to track the status of applications and address any issues promptly.

Conduct regular follow-up with payers to monitor the progress of pending applications and expedite the approval process as needed.

Document all payer communication and updates within the credentialing system.

Maintain accurate and up-to-date records of provider information, credentialing status, and payer enrollment details in the credentialing software.

Track and monitor credentialing expiration dates to ensure timely re-enrollment and avoid interruptions in service or billing.

Provide updates on enrollment status, metrics, and turnaround times for management review.

Collaborate with internal teams (such as billing, revenue cycle, and provider relations) to address provider enrollment questions and billing issues.

Provide guidance and status updates to internal stakeholders as requested.

Complete and submit EFT agreements with payers to facilitate electronic payments.

Regularly update provider directories with payers.

Complete and maintain CAQH profiles for providers, ensuring profiles are accurate and updated.

Competency

Knowledge of payer enrollment processes and requirements, EFT processes and CAQH.

Strong attention to detail, organizational skills, and the ability to manage multiple tasks in a fast-paced environment.

Demonstrate accuracy, organizational and problem-solving skills

Excellent verbal and written communication skills

Ability to work independently

Maintains confidentiality

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.

The employee is occasionally required to sit, climb, balance, stoop, kneel, crouch or crawl. The employee must frequently lift and move up to 10 pounds and occasionally lift and move objects up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Position Type/Expected Hours of Work

This is a full-time position. Days and hours of work are Monday through Friday, start time between 7 am to 9 am.

Travel

No travel is expected for this position.

Required Education and Experience

Provider Enrollment Experience Preferred
Experience with CAQH, PECOS and Availity
Proficient in Microsoft Office – including Microsoft Word & Excel
Familiar with Internet
Excellent written and verbal communication skills
Experience with credentialing software a plus

Preferred Education and Experience

Minimum 3 years of experience in Provider Enrollment

BENEFITS

Work with a passionate, dedicated, and talented team in a growing organization committed to doing good
Health insurance, Flexible Spending and Health Savings Accounts, disability coverage and additional voluntary plans
401k plan, including company match
Paid Time Off
No on call, no holidays, no weekends
Remote Opportunity - AZ, ID, TN, MO, TX, MD, CO, FL, PA, SC

Work Location: Remote (Not eligible for CA employees)

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Quick Apply

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credentialing remote jobs in phoenix az

Provider Enrollment Specialist (Remote)

Credentialing Specialist

Credentialing & Enrollment Specialist

Credentialing Specialist - [Arizona Remote Only]

Provider Program Manager (Provider Credentialing Required)

Contracts and Credentialing Specialist

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