Credentialing Coordinator

Blue Cross Blue Shield of Arizona

Credentialing Coordinator facilitating the credentialing and recredentialing of Medicaid providers for Blue Cross Blue Shield of Arizona. Focused on timely processing and coordination with various departments.

Posted 7/1/2026full-timeRemote • Arizona • 🇺🇸 United StatesJuniorMid-LevelWebsite

About the role

Key responsibilities & impact

Facilitate the accurate and efficient Credentialing and Recredentialing of Medicaid Business Segment providers
Ensure timely and accurate processing of credentialing and recredentialing for both individual practitioners and organizations
Coordinate Credentialing Committee meetings
Identify and communicate agenda items for Credentialing Committee to immediate leader
Facilitate prompt coordination with the Credentialing Verification Organization (CVO)
Review and maintain all applications for accuracy and completeness
Accurately and efficiently data enter primary source verification data into the credentialing database
Generate and mail approval letters to participating providers
Communicate with Network Services regarding status of provider and organizational credentialing

Requirements

What you’ll need

2 years of experience in a healthcare field
2 years of experience in provider credentialing
High-School Diploma or GED in general field of study
Associate's Degree in general field of study preferred
Certified Provider Credentialing Specialist (CPCS) preferred

Benefits

Comp & perks

Health insurance
Flexible work arrangements

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Credentialing ProcessPrimary Source VerificationApplication ReviewData EntryMeeting Coordination

Soft Skills

CommunicationOrganizational Skills

Certifications

Certified Provider Credentialing Specialist (CPCS)