Credentialing Specialist - Remote in Missouri

THE ARC OF THE OZARKS • Springfield, MO

8d • $24 - $28 • Remote

About The Position

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.

Requirements

• 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

Nice To Haves

• 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

Responsibilities

• 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

Benefits

• Supports a mission-driven organization serving individuals and families across Missouri
• Helps reduce delays in provider enrollment, payer participation, billing, and reimbursement
• Supports a team dedicated to meaningful care and services

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED