Credentialing Specialist - Remote in Missouri - #306589

The Arc of the Ozarks

Remote within Missouri

$24 - $28 an hour

Full-time | Hourly | Non-exempt

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.

• 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
  

Strong candidates will be organized, accurate, and comfortable managing multiple deadlines. This role may be a great fit for someone with experience in credentialing, provider enrollment, payer enrollment, medical billing, revenue cycle, healthcare administration, CAQH, PECOS, Medicaid enrollment, Medicare enrollment, commercial insurance enrollment, NPI, taxonomy, or provider file management.

Required:

• 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

Preferred:

• 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
  

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.

$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.

If you are organized, detail-oriented, and experienced in healthcare credentialing, provider enrollment, billing, or revenue cycle support, we would love to hear from you. Apply today to join The Arc of the Ozarks as a Credentialing Specialist - Remote in Missouri.