What are the responsibilities and job description for the Credentialing Specialist - Providers position at Senior Doc?
Location: North Phoenix, Arizona (Hybrid)
Coverage Area: Multiple States
Summary
GreenWell Health is seeking an experienced and detail-oriented Credentialing Specialist to support provider credentialing and contracting efforts across multiple states. This role is critical in ensuring providers meet all regulatory, payer, and organizational requirements to deliver care efficiently and compliantly.
Work Schedule & Location
This is a hybrid position based in the North Phoenix area, requiring 3 days per week onsite and 2 days working remotely. Candidates must reside within a reasonable commuting distance to the North Phoenix office. This schedule is a standard requirement for the role.
Responsibilities
Coverage Area: Multiple States
Summary
GreenWell Health is seeking an experienced and detail-oriented Credentialing Specialist to support provider credentialing and contracting efforts across multiple states. This role is critical in ensuring providers meet all regulatory, payer, and organizational requirements to deliver care efficiently and compliantly.
Work Schedule & Location
This is a hybrid position based in the North Phoenix area, requiring 3 days per week onsite and 2 days working remotely. Candidates must reside within a reasonable commuting distance to the North Phoenix office. This schedule is a standard requirement for the role.
Responsibilities
- Manage end-to-end provider credentialing, re-credentialing, and privileging processes
- Coordinate payer enrollment and contracting for medical groups with commercial and government payers
- Ensure compliance with CMS, NCQA, and other regulatory standards
- Maintain accurate and up-to-date provider records in credentialing systems
- Track and monitor expiring licenses, certifications, and registrations to ensure timely renewals
- Communicate with providers to obtain required documentation and resolve discrepancies
- Prepare and submit credentialing and enrollment applications to payers and agencies
- Collaborate with internal teams to support provider onboarding and operational readiness
- Identify and resolve credentialing issues, delays, or denials with payers
- Coordinate and support provider onboarding, ensuring all credentialing requirements are completed prior to start date
- Minimum 5 years of progressive experience in provider credentialing and contracting with insurance companies
- Experience credentialing providers across multiple states (Arizona, Nevada and New Mexico preferred)
- Strong knowledge of payer enrollment processes, including Medicare and Medicaid
- Familiarity with credentialing platforms such as CAQH, PECOS, and NPPES
- Excellent attention to detail, organizational, and time management skills
- Strong communication and problem-solving abilities
- Ability to manage multiple priorities in a fast-paced environment
- Knowledge of healthcare regulatory and accreditation standards
Salary : $29 - $35