LHH seeks a Credentialing Specialist in Tempe, AZ. This is an onsite role.
Position Overview
The Credentialing Specialist plays a critical role in supporting revenue cycle operations by ensuring healthcare providers are properly enrolled with governmental and commercial payers. This position is responsible for managing the end-to-end enrollment process, including application submission, payer communication, and ongoing maintenance to ensure timely and accurate claim reimbursement.
This is a detail-oriented, high-volume role requiring strong organizational skills, the ability to navigate payer systems, and a proactive approach to problem-solving.
Responsibilities
Manage the full lifecycle of provider enrollment, including new enrollments, updates, and revalidations with Medicare, Medicaid, and commercial payers
Coordinate and support electronic setup processes, including EDI (claims submission), EFT (payments), and ERA (remittance advice)
Ensure all enrollment applications are complete, accurate, and compliant prior to submission, including obtaining required signatures and documentation
Serve as a primary liaison to payers for enrollment status, troubleshooting, and issue resolution
Monitor payer portals, enrollment processes, and document transmissions to track progress and resolve delays
Track and maintain internal records, including licenses and enrollment data, to ensure consistency and audit readiness
Support audits and quality checks related to provider enrollment and compliance
Qualifications
High school diploma or GED required
Minimum of 3 years of provider enrollment, credentialing, or related healthcare experience required
Experience working with governmental and commercial payers (Medicare, Medicaid, etc.)
Familiarity with EDI, EFT, and ERA processes is a plus
Strong attention to detail with the ability to manage high-volume, deadline-driven work
Excellent communication and interpersonal skills, particularly when working with external payer representatives
Proficiency in Microsoft Office (Word, Excel, Outlook)
Ability to prioritize tasks independently and adapt to changing regulatory requirements
42K-58K/yr + $7,500 Sign-On Bonus | Daily Lunch Catering | Monday to Friday | Tempe, AZ 85288 (onsite)
Benefits: medical, dental, vision, life insurance, disability, legal services, pet insurance & more.
Pay Details: $42,000.00 to $54,000.00 per year
Search managed by: Joanna Calderon
Equal Opportunity Employer/Veterans/Disabled
Military connected talent encouraged to apply
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