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Credentialing Jobs in Utah (NOW HIRING)

Armada Ltd

Credentialing Specialists

Ogden, UT

Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through ...

Acaciumgroup

Credentialing Supervisor

Draper, UT · On-site

The Credentialing Supervisor partners closely with recruiters, client representatives, providers, clients, licensing, travel, payroll, and executive leadership to ensure providers are fully ...

Armada Ltd

Credentialing Specialists

Ogden, UT · On-site

Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through ...

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KCH Career Page

Payor/ Credentialing Specialist

Kanab, UT · On-site

Description: Part-Time Payor Credentialing Specialist - Job Title: Part-Time Payor Credentialing Specialist Department: Business Office Reports To: Business Office Manager Job Summary The Part-Time ...

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Credentialing information

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How much do credentialing jobs pay per hour?

As of Jul 4, 2026, the average hourly pay for credentialing in Utah is $22.18, according to ZipRecruiter salary data. Most workers in this role earn between $17.50 and $25.14 per hour, depending on experience, location, and employer.

What is credentialing?

Credentialing is the process by which organizations verify the qualifications, experience, and professional standing of healthcare providers, such as doctors and nurses. This ensures that providers meet specific standards required to deliver care within a healthcare facility or insurance network. The process typically involves checking education, licenses, certifications, work history, and any disciplinary actions. Credentialing is essential for patient safety and regulatory compliance, and it is a key step before providers can practice or receive reimbursement from insurers.

Is credentialing a hard job?

Credentialing can be challenging because it involves detailed verification of healthcare providers' qualifications, licenses, and certifications, often requiring attention to accuracy and compliance with regulations. The job typically demands strong organizational skills, attention to detail, and familiarity with credentialing software or databases. The difficulty level varies depending on the complexity of the credentialing process and the specific industry or organization.

What is the difference between Credentialing vs Medical Assistant?

AspectCredentialingMedical Assistant
Required credentialsCertifications, licenses, or accreditation for healthcare providersCertification (e.g., CMA), training programs, or on-the-job training
Work environmentHealthcare facilities, clinics, hospitals, insurance companiesDoctor's offices, clinics, outpatient facilities
Employer and industry usageUsed by healthcare providers and organizations to verify credentialsUsed by healthcare providers to assist with clinical and administrative tasks

Credentialing involves verifying healthcare providers' qualifications and licenses, ensuring they meet industry standards. Medical Assistants perform clinical and administrative duties under supervision. While credentialing focuses on verifying qualifications, Medical Assistants are involved in patient care and office tasks. Both roles are essential in healthcare but serve different functions.

What do you need to become a credentialing specialist?

To become a credentialing specialist, candidates typically need a high school diploma or equivalent, along with experience in healthcare administration or office management. Knowledge of credentialing processes, insurance requirements, and familiarity with credentialing software or databases are also important. Certifications such as the Certified Provider Credentialing Specialist (CPCS) can enhance job prospects.

What are the key skills and qualifications needed to thrive as a Credentialing Specialist, and why are they important?

To excel as a Credentialing Specialist, you need attention to detail, organizational skills, and knowledge of credentialing standards, usually supported by a relevant degree or experience in healthcare administration. Familiarity with credentialing software (such as CAQH or Verity), database management, and regulatory compliance systems is typically required. Strong communication, problem-solving abilities, and discretion stand out as essential soft skills in this role. These competencies ensure accurate provider verification, regulatory adherence, and smooth healthcare operations.

What are some common challenges faced by credentialing specialists when verifying provider information, and how can they be managed?

Credentialing specialists often encounter challenges such as incomplete or outdated provider documentation, slow response times from references, and varying requirements from different regulatory bodies. To manage these issues, it's important to maintain strong organizational skills, use credentialing software to track progress, and communicate clearly with providers about documentation needs and deadlines. Proactively following up and establishing checklists can help minimize delays and ensure compliance with industry standards.

What does a credentialing specialist do?

A credentialing specialist is responsible for verifying the qualifications, licenses, and certifications of healthcare providers or other professionals to ensure they meet industry standards and regulatory requirements. They review and process application documents, maintain accurate records, and coordinate with licensing boards or accreditation organizations. Strong attention to detail and knowledge of credentialing software are essential for this role.

How to get in credentialing entry level?

To start an entry-level credentialing role, candidates typically need a high school diploma or equivalent, strong organizational skills, and attention to detail. Relevant experience in healthcare, insurance, or administrative support can be beneficial, and familiarity with credentialing software or databases is often preferred.
What are the most commonly searched types of Credentialing jobs in Utah? The most popular types of Credentialing jobs in Utah are:
What are popular job titles related to Credentialing jobs in Utah? For Credentialing jobs in Utah, the most frequently searched job titles are:
What job categories do people searching Credentialing jobs in Utah look for? The top searched job categories for Credentialing jobs in Utah are:
What cities in Utah are hiring for Credentialing jobs? Cities in Utah with the most Credentialing job openings:
Credentialing jobs near you
Credentialing Manager

Credentialing Manager

Serenity Mental Health Centers

Lehi, UT

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago

Job description

Credentialing Manager
Onsite only - Lehi, Utah
Job Overview:
The Credentialing Manager is responsible for overseeing and managing the credentialing and re-credentialing processes for all behavioral health providers within the organization. This role ensures that all providers meet the necessary licensing, accreditation, and regulatory requirements, ensuring the highest standards of care are delivered to our patients. The Credentialing Manager will work closely with healthcare professionals, insurance companies, and regulatory bodies to ensure compliance and maintain accurate provider records.


Key Responsibilities:

  • Oversee the complete credentialing process for behavioral health providers, including physicians, therapists, counselors, and other clinical staff.
  • Ensure all new providers are credentialed accurately and efficiently, ensuring compliance with local, state, and federal regulations.
  • Manage and track re-credentialing for all providers, ensuring timely submission of documents and approvals to maintain active status with insurance networks.
  • Review and verify provider licensure, certifications, and other relevant credentials to ensure compliance with the company's policies and applicable regulations.
  • Develop and maintain strong relationships with external agencies, regulatory bodies, and insurance payers to facilitate the credentialing process.
  • Assist with any audits and compliance checks related to credentialing and licensing.
  • Maintain accurate and up-to-date provider records and databases, ensuring that documentation is complete and easily accessible for regulatory or operational needs.
  • Collaborate with HR, billing, and operations teams to ensure smooth integration of credentialed providers into the organization.
  • Stay current with changes in federal and state regulations related to credentialing and provider accreditation.
  • Provide guidance and support to internal teams and providers regarding credentialing requirements and timelines.
  • Prepare and submit reports on credentialing status to senior leadership as requested.
  • Manage the ongoing monitoring of provider status, including expiring certifications, licenses, and insurance agreements.

Qualifications:

  • Bachelor's degree in healthcare administration, business, or a related field; or equivalent work experience in credentialing, compliance, or healthcare operations.
  • Experience with behavioral health providers and understanding of behavioral health-specific credentialing needs.
  • Minimum of 3-5 years of experience in credentialing within the healthcare or behavioral health field, with a focus on provider enrollment and insurance network management.
  • Knowledge of regulatory requirements for healthcare providers and experience with industry standards for credentialing and re-credentialing.
  • Strong understanding of the credentialing software and databases.
  • Ability to maintain confidentiality and handle sensitive information.
  • Excellent organizational skills and attention to detail.
  • Strong written and verbal communication skills.
  • Ability to manage multiple tasks and priorities in a fast-paced environment.

Benefits

  • Competitive pay (DOE)
  • Medical, Dental and Vision Insurance
  • Life Insurance
  • 401k
  • Paid Time off
  • 10 Major Holidays Off

About 

At Serenity, we give our patients long-term success even when other treatments have failed. We are committed to creating the finest patient experience and ensure this by investing in our employees through cultivating a culture that is people-centric, collaborative,positive, proactive, and open to opportunity for personal and professional development. 

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