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Licensing Credentialing Jobs in Colorado (NOW HIRING)

Kyo

Credentialing Specialist

Denver, CO

$27.88 - $31.25/hr

Managing credentialing, recredentialing, and licensure process for clinical staff with health insurance plans, certification boards and other agencies * Ensuring compliance with various state ...

UCHealth

Credentialing Coordinator

Loveland, CO · On-site

$24.11 - $36.17/hr

... and other credentialing instances. Obtains primary source verification for: licenses ... Ensures that requisite licenses, malpractice coverage, and certifications are current for all ...

New

Delta Health

Payer Credentialing Coordinator

Delta, CO · On-site

$25.42 - $36.45/hr

Verify licenses, certifications, DEA registrations, education, training, malpractice coverage, and other credentials. * Manage provider information across CAQH, payer portals, credentialing systems ...

NuvemRx

Per Diem Pharmacist

Grand Junction, CO · On-site

$56.75 - $68.25/hr

Required licensing/credentialing/certification as established by federal & state regulations in the state in which you are practicing. * Bachelor of Science or PharmD in Pharmacy degree from an ...

Orthopedic Centers Of Colorado

Therapy Lead

Aurora, CO · On-site

$90K - $110K/yr

Monitor staff licensing, credentialing, Medicare compliance, and required documentation. * Assist with implementation of clinic policies and procedures. * Participate in annual compliance and ...

Orthopedic Centers of Colorado

Therapy Lead

Aurora, CO · On-site

$90K - $110K/yr

Monitor staff licensing, credentialing, Medicare compliance, and required documentation. * Assist with implementation of clinic policies and procedures. * Participate in annual compliance and ...

Nuvem

Per Diem Pharmacist

Grand Junction, CO · On-site

$56.75 - $68.25/hr

Required licensing/credentialing/certification as established by federal & state regulations in the state in which you are practicing. * Bachelor of Science or PharmD in Pharmacy degree from an ...

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Licensing Credentialing information

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Licensing credentialing can be challenging as it involves detailed knowledge of licensing requirements, attention to accuracy, and adherence to strict deadlines. The role often requires strong organizational skills, familiarity with credentialing software, and the ability to handle complex documentation processes. The difficulty level varies depending on the industry and the complexity of licensing regulations involved.

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Licensing Credentialing jobs near you
Infographic showing various Licensing Credentialing job openings in Colorado as of June 2026, with employment types broken down into 2% Locum Tenens, 2% As Needed, 48% Full Time, 31% Part Time, 2% Temporary, and 15% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

CREDENTIALING SPECIALIST

Pueblo, CO • On-site

Southern Colorado Clinic
51 - 200 employees
Learn more about Southern Colorado Clinicexternal

Full-time

Posted 19 days ago

Job description

Job Type
Full-time
Description
TITLE: CREDENTIALING AND PAYOR ENROLLMENT SPECIALIST
POSITION TYPE: FULL TIME
REPORTS TO: OPERATIONS MANAGER
FLSA CATEGORY: NON-EXEMPT
DEPARTMENT: ADMINISTRATION
MAIN LOCATION: 3676 PARKER BLVD, PUEBLO, CO 81008
JOB SUMMARY: This position is required to perform all duties of the Credentialing and Payor Enrollment Specialist. This position will be responsible for credentialing individual, facility, and/or ancillary medical providers to ensure all initial credentialing, subsequent credentialing, and internal requirements are met and maintained as required with licensing board, hospitals, certification agencies, training programs and medical groups, practitioners, commercial payers, Medicare, and Medicaid. The Credentialing and Payor Enrollment Specialist also maintains excellent relations and liaison between payers, clinics, and providers to assist in ensuring participation status is managed in a timely and accurate manner.
*** THIS IS NOT A REMOTE POSITION. THE EXPECTATION WILL BE 5-DAYS PER WEEK IN PERSON ***
DUTIES AND RESPONSIBILITIES
  • Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications.
  • Maintain internal provider grid to ensure all information is accurate and logins are available.
  • Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases.
  • Update each provider's CAQH database file timely according to the schedule published by CMS.
  • Apply for and renew annually all provider licenses; Professional, DEA, and Controlled Substance.
  • Complete revalidation requests issued by government payers.
  • Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid.
  • Complete re-credentialing applications for commercial payers.
  • Credential new providers and re-credential current providers with hospitals at which they hold staff privileges.
  • Work closely with the Business Office Manager and billing staff to identify and resolve any denials or authorization issues related to provider credentialing.
  • Maintain work area in a clean, sanitized, and organized manner.
  • Follows all Infection Prevention policies and procedures.
  • Attends annual required company programs and trainings.
  • Attends all regular required department and company meetings.
  • Maintains strictest confidentiality.
  • Performs all other tasks and projects assigned.

Requirements
*** THIS IS NOT A REMOTE POSITION. THE EXPECTATION WILL BE 5-DAYS PER WEEK IN PERSON ***
REQUIREMENTS:
  • High School Diploma or equivalent required.
  • Associate Degree preferred.
  • At least two (2) years of Medical Credentialing experience.
  • At least two (2) years of experience in a medical practice business office role required.
  • Extremely knowledgeable of credentialing and the direct impact on the revenue cycle.
  • Knowledge of medical terminology.
  • Ability to multitask.
  • Strong ethical code of conduct.
  • Ability to maintain sensitive confidential information.
  • Proficiency with computers and EMR software.
  • Autonomous, positive mindset and team player.
  • Ability to remain motivated with a positive attitude.
  • Disciplined, organized, and detail oriented.
  • Willingness to learn and adapt.
  • Ability to work with all levels of management and staff in a professional capacity.

TYPICAL PHYSICAL DEMANDS
Major activities of this job include sitting for long periods of time, moving from place to place, and light physical effort performed on a level surface. Use of a computer, telephone, writing, and organizational skills. Manual dexterity for use of computer keyboard and calculator, mobility and good vision (includes near acuity and depth perception). May be required to lift and carry items weighing up to 10 lbs., occasionally lift or move up to 100 lbs. with assistance. Requires ability to communicate effectively and have hearing within a normal range. Southern Colorado Clinic will make reasonable accommodations for the known disability of an otherwise qualified individual, unless such accommodations would cause undue hardship to the operation of the Clinic or pose a direct threat to patient or other employees' health and safety.
*** THIS IS NOT A REMOTE POSITION. THE EXPECTATION WILL BE 5-DAYS PER WEEK IN PERSON ***
TYPICAL WORKING CONDITIONS
Must possess the physical and mental abilities to perform the tasks normally associated with a Credentialing Specialist. The work environment is indoors in an office / medical clinic setting. Frequent exposure to communicable diseases, toxic substances, ionizing radiation, medicinal preparations, moving equipment, and other conditions common to a medical clinic environment. Requires working under stress in emergency situations, meeting deadlines, frequent interruptions, and occasionally may involve irregular working hours.
NOTE: Nothing in this job description implies a contract of employment, nor does it restrict management's rights to assign or reassign duties and responsibilities to this job at any time. This job description is subject to change at any time.
Southern Colorado Clinic (SCC) is an Equal Opportunity Employer. Our policy is clear: there will be no discrimination on the basis of age, disability, sex, race, religion or belief, gender reassignment, marriage/civil partnership, pregnancy/maternity, or sexual orientation.
We are an inclusive organization and actively promote equality of opportunity for all with the right mix of talent, skills and potential. We welcome all applications from a wide range of candidates. Selection for roles will be based on individual merit alone.
SCC does not accept unsolicited CVs from recruiters or employment agencies. SCC will not consider or agree to payment of any referral compensation or recruiter fee relating to these unsolicited CVs. SCC reserves the right to hire candidates without any financial obligation to the recruiter or agency. All applications must be submitted directly through the job posting or our online portal. Unsolicited CVs sent to hiring managers or via email will be considered property of SCC without obligation to any agency.

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