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Provider Enrollment - Credentialing Specialist - REMOTE

Remote Jobs, Phoenix, Arizona, United States

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Employer Industry: Revenue Cycle Management

Why consider this job opportunity:

Opportunity for career advancement and growth within the organization

Work remotely from anywhere within the United States

Professional development through potential certification in CPES or CPCS

Supportive and collaborative work environment with a focus on quality

Engaging role that directly impacts healthcare providers and patient care

Job Responsibilities

Manage the credentialing, recredentialing, and privileging processes for medical providers

Coordinate payer enrollment activities and develop related policies and procedures

Verify education and training of providers and maintain accurate credentialing databases

Prepare reports on credentialing status and communicate with health plans and payers

Engage with physician clients to facilitate smooth enrollment processes

Qualifications

High School diploma or equivalent

Minimum of 2 years of experience in healthcare payer enrollment and credentialing

Proven experience credentialing providers with Medicare, Medicaid, and commercial health plans

Proficient in MS Office products, including Excel, Word, and PowerPoint

Ability to work independently while contributing to a team environment

Preferred Qualifications

Working proficiency of CPT and ICD-10 coding

Self‑motivated with a strong passion for quality work

Experience with multistate payer enrollment processes

Strong attention to detail and critical thinking skills

Ability to communicate professionally via video, phone, and email

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