THE ARC OF THE OZARKS

Role Description The Arc of the Ozarks is seeking a detail-oriented Credentialing Specialist to manage provider credentialing, re-credentialing, and payer enrollment processes. This position helps ensure providers remain active, compliant, and connected with commercial insurance, Medicare, Medicaid, and other payer networks. This is a remote position for Missouri residents only. Applicants must currently live in Missouri. What You’ll Do - Manage initial credentialing, re-credentialing, and provider enrollment - Submit provider applications and supporting documentation accurately and on time - Track credentialing status and follow up with payers until approvals are complete - Maintain provider records in CAQH, PECOS, Medicaid portals, payer systems, and internal files - Monitor expiring licenses, certifications, insurance, and required provider documents - Review NPI, taxonomy, provider file requirements, and payer-specific documentation - Serve as a liaison between providers, insurance companies, state agencies, vendors, and internal teams - Help resolve credentialing-related issues, including claim rejections tied to enrollment status - Assist with credentialing audits, reporting, and file reviews - Support billing, revenue cycle, and administrative tasks as needed Qualifications - High school diploma or equivalent - Strong attention to detail and accuracy - Excellent communication, organization, and follow-up skills - Working knowledge of Microsoft Word, Excel, and general computer systems - Ability to work independently in a remote environment - Ability to maintain confidentiality with sensitive provider and organizational information Requirements - 2 or more years of credentialing, provider enrollment, healthcare administration, billing, or revenue cycle experience - Knowledge of Medicare, Medicaid, and commercial payer credentialing processes - Familiarity with CAQH, PECOS, Medicaid portals, payer portals, NPI, taxonomy codes, and provider documentation Benefits - Compensation: $24 - $28 per hour, based on experience and qualifications - Full-time position with standard business hours - Occasional flexibility may be needed based on payer deadlines, audits, or team priorities Company Description At The Arc of the Ozarks, your work supports a mission-driven organization serving individuals and families across Missouri. As a Credentialing Specialist, you will help reduce delays in provider enrollment, payer participation, billing, and reimbursement while supporting a team dedicated to meaningful care and services.

Role Description Join our mission-driven team at The Arc of the Ozarks Autism & Neurodevelopmental Center and make a positive impact in your community. The Billing Specialist – Clinic ensures timely and accurate reporting, invoicing, and collection of payments from clients and contracted locations. This role supports efficient billing and claims processing through collaboration with off-site billing agencies and internal teams. What You’ll Do - Prepare, review, and submit insurance claims (electronic and paper) - Ensure accurate coding and payer-specific compliance - Track claim status, follow up on denials, and manage appeals - Post and reconcile insurance and patient payments - Generate and send client statements - Address billing inquiries and assist with payment plans - Maintain confidentiality and uphold HIPAA standards - Use Excel and billing software to manage and report data - Perform other duties as assigned to support the billing team Qualifications - 2+ years of experience in medical billing or insurance claims processing - Familiarity with CPT/HCPCS and ICD-10 coding - Strong understanding of EOBs, ERAs, and denial management - Proficiency with billing software and EHR systems - Skilled in Microsoft Excel (formulas, filters, and pivot tables preferred) - Excellent written and verbal communication skills - Strong attention to detail, organization, and problem-solving - High School Diploma required; Associate degree or billing certification preferred Benefits - Competitive, experience-based pay - Health, Vision, Dental, & Life Insurance – effective Day 1 - 403(b) retirement plan with up to 4% employer match after 1 year - Paid Time Off + Paid Holidays - Annual wage increases - Employee Assistance & Wellness Programs - Supportive, mission-focused environment Company Description The Arc of the Ozarks is an Equal Opportunity Employer.