Credentialing Specialist

Rite of Passage•Queen Creek, AZ

2d•Onsite

About The Position

Rite of Passage Team is hiring for a Credentialing Specialist at Canyon State Academy in Queen Creek, Arizona. Canyon State Academy is located on a scenic 180-acre campus surrounded by a football stadium, an athletic center (gymnasium, padded wrestling room, a fully equipped weight room & more), a Farm student housing for 300 + youth, a Thrift Store, Cafe and Barbershop open to the community. Free meals on site for staff. As well as 10% off Thrift Store and Cafe purchases for employees. After 41 years of improving the lives of youth, we are looking for passionate advocates to continue the legacy of helping young people become successful adults. As a Program Director, you will have the unique opportunity to create a positive, safe and supportive environment for the youth we serve while building a career rich in growth opportunities and self-fulfillment.

Requirements

High school diploma or equivalent required
Minimum of 2 years of healthcare credentialing or payer enrollment experience preferred.
Ability to manage multiple projects and deadlines simultaneously.
Excellent written and verbal communication skills.
Proficiency in Microsoft Office Suite, especially Excel, and credentialing software/databases

Nice To Haves

associate’s or bachelor’s degree preferred.
Experience with behavioral health, residential treatment, Medicaid, or managed care organizations strongly preferred.
Knowledge of CAQH, NPPES, and Medicaid enrollment systems preferred.
Familiarity with multi-state Medicaid enrollment processes is a plus.
Strong attention to detail and organizational skills
Experience working with behavioral health providers, PRTFs, RTCs, or residential treatment programs
Knowledge of Joint Commission, CARF, or CMS-related credentialing standards
Understanding of provider contracting and revenue cycle processes

Responsibilities

Complete and maintain Medicaid and commercial payer enrollments for providers and facilities across multiple states.
Coordinate provider credentialing and recredentialing applications with insurance payers, managed care organizations (MCOs), and regulatory entities.
Track credentialing timelines, expirations, renewals, and revalidations to ensure compliance and uninterrupted participation.
Prepare, submit, and monitor CAQH applications and attestations.
Maintain accurate provider and facility records within credentialing databases and internal systems.