Hybrid Credentialing & Enrollment Specialist

Community Medical Services; Scottsdale (AZ); Hybrid; USD 45,000 - 65,000; Full time

Benefits offered by this job

Subsidized medical, dental, and vision

Health savings account

Short and long-term disability

Life insurance

Paid sick, vacation, and holiday time

401K retirement plan with match

Tuition and CME reimbursement up to 百

Job summary

Community Medical Services (CMS) is hiring a Credentialing Administrator. Under supervision of the Credentialing Admin Supervisor, the role maintains credentialing records, files and reports for physicians, nurses and facilities, and prepares applications for payer enrollment and recredentialing.

This is a hybrid role with in-office work on Tuesday-Thursday and remote work on Monday and Friday in a fast-paced environment.

Qualifications

• Minimum education of high school diploma or GED; associates/bachelor preferred.
• At least 3 years healthcare credentialing and enrollment experience.
• Familiarity with healthcare industry and payer enrollment processes.
• Proficient with PDF, Microsoft Word, Excel and data entry; ability to learn new systems.
• Strong written and verbal communication; able to multitask in a deadline-driven environment.

Responsibilities

• Compile and process provider documents for payer and facility enrollment.
• Maintain provider data and monitor progress across credentialing cycles.
• Ensure complete verification of credentials and eligibility.
• Coordinate data collection from cross-functional teams for credentialing files.
• Load rendering providers into CMS EMR/EHR systems.
• Navigate state and federal payer websites to submit enrollments.

Skills

Credentialing

Healthcare experience

Microsoft Office

Data entry

Communication skills

Education

High school diploma or GED

Associates or Bachelor's degree preferred

Tools

Pecos

I&A

NPPES

APE P

CAQH

Availity

Job description

Community Medical Services (CMS) is hiring a Credentialing Administrator. Under supervision of the Credentialing Admin Supervisor, the role maintains credentialing records, files and reports for physicians, nurses and facilities, and prepares applications for payer enrollment and recredentialing.

This is a hybrid role with in-office work on Tuesday-Thursday and remote work on Monday and Friday in a fast-paced environment.