The Arc of the Ozarks is an Equal Opportunity Employer.
Credentialing Specialist
Location
United States
Posted
2 days ago
Salary
$24 - $28 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Credentialing Specialist
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.
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