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Provider Credentialing Jobs in Utah (NOW HIRING)

We streamline critical functions-like billing, compliance, and provider operations-so clinicians ... Key Responsibilities Provider Credentialing & Enrollment * Own full-cycle provider credentialing ...

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 ...

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 ...

$24.60 - $37.46/hr

Provides ongoing support and coordination while acting as liaison between the Medical Staff and Administration. The position is responsible for the on-going credentialing/privileging process and ...

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Provider Credentialing information

See Utah salary details

$12

$22

$35

How much do provider credentialing jobs pay per hour?

As of Jul 13, 2026, the average hourly pay for provider 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 provider credentialing?

Provider credentialing is the process by which healthcare organizations verify and assess the qualifications, experience, and professional background of medical providers, such as doctors, nurses, and specialists. This includes checking education, training, licenses, certifications, work history, and any malpractice or disciplinary actions. Credentialing ensures that providers meet the standards required to deliver care and are eligible for participation in health insurance networks. It is a critical step for patient safety and regulatory compliance. The process must be repeated periodically to maintain up-to-date records and ensure ongoing eligibility.

What are some common challenges faced in a Provider Credentialing role, and how can they be managed?

A common challenge in Provider Credentialing is managing multiple deadlines and ensuring all documentation is accurate and up to date for various healthcare providers. The process often involves coordinating with providers, insurance companies, and regulatory bodies, which can lead to delays if communication is not clear. Staying organized, maintaining detailed records, and using credentialing management software can help streamline workflow and reduce errors. Building strong relationships with providers and team members also aids in resolving issues quickly and efficiently.

What is the difference between Provider Credentialing vs Medical Billing Specialist?

AspectProvider CredentialingMedical Billing Specialist
Required CredentialsLicenses, certifications, provider credentialsBilling certifications, coding knowledge
Work EnvironmentHealthcare facilities, insurance companiesMedical offices, billing companies
Employer & Industry UsageHospitals, clinics, insurance providersMedical practices, billing firms
Search & Comparison IntentUnderstanding credentialing process, requirementsBilling procedures, coding, reimbursement

Provider Credentialing focuses on verifying healthcare providers' qualifications to ensure they meet industry standards, while Medical Billing Specialists handle coding, billing, and reimbursement processes. Both roles are essential in healthcare operations but serve different functions within the industry.

What are the key skills and qualifications needed to thrive in Provider Credentialing, and why are they important?

To thrive in Provider Credentialing, you need strong attention to detail, organizational skills, and knowledge of healthcare regulations, typically supported by a background in healthcare administration or related fields. Familiarity with credentialing software, databases, and compliance tools such as CAQH ProView and state licensure systems is essential. Exceptional communication, problem-solving, and time management skills help professionals interact with providers and manage complex documentation processes. These competencies ensure accurate provider verification, regulatory compliance, and efficient onboarding, which are critical for healthcare organizations.
What are the most commonly searched types of Provider Credentialing jobs in Utah? The most popular types of Provider Credentialing jobs in Utah are:
What cities in Utah are hiring for Provider Credentialing jobs? Cities in Utah with the most Provider Credentialing job openings:

Credentialing Manager

ALLEVIO CARE, LLC

Salt Lake City, UT โ€ข Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago


Job description

Location: Salt Lake City, UT preferred (Open to remote for the right candidate)

About Allevio

At Allevio, weโ€™re on a mission to empower healthcare practice owners by removing the operational and administrative roadblocks that get in the way of exceptional patient care. We streamline critical functionsโ€”like billing, compliance, and provider operationsโ€”so clinicians can focus on what matters most: their patients.

We understand the complexity of running a multi-state medical practice, which is why we build thoughtful, scalable solutions that drive efficiency, support growth, and maintain regulatory compliance. At Allevio, youโ€™ll join a collaborative team committed to helping practices thriveโ€”today and long-term.

About The Role

Weโ€™re looking for a Credentialing Manager to own and manage end-to-end provider credentialing and payer enrollment across our growing multi-state platform. This is a hands-on, detail-driven role for someone who thrives in fast-paced healthcare environments and takes pride in building clean, compliant, and efficient credentialing processes. Youโ€™ll partner closely with Clinical Operations, People, Finance, and external payers to ensure providers are credentialed accurately and on timeโ€”minimizing revenue delays and supporting a strong provider onboarding experience.

Key Responsibilities

Provider Credentialing & Enrollment

  • Own full-cycle provider credentialing and payer enrollment across all states and entities
  • Manage provider onboarding requirements including CAQH, PECOS, NPI, DEA, state licenses, payer contracts, and re-credentialing
  • Track credentialing timelines, expirables, and renewals to ensure ongoing compliance
  • Proactively identify and resolve credentialing issues that could delay billing or revenue
  • Serve as the primary point of contact for providers, payers, and internal stakeholders
  • Maintain accurate documentation and audit-ready credentialing files

Process & Operations

  • Build and maintain standardized credentialing workflows, checklists, and SLAs
  • Partner with internal teams and external vendors to improve turnaround times
  • Track and report on credentialing KPIs (time to credential, enrollment status, revenue impact)
  • Support onboarding of new practices and providers during growth and M&A activity
  • Identify opportunities for process improvements and increased efficiency

Collaboration & Support

  • Work closely with Revenue Cycle and Finance to minimize credentialing-related revenue delays
  • Support providers with credentialing questions and guidance throughout onboarding
  • Ensure compliance with payer requirements and healthcare regulations
  • Contribute to documentation, dashboards, and reporting to support scaleWhat Weโ€™re Looking For
  • 4โ€“7+ years of experience in healthcare provider credentialing and payer enrollment
  • Strong knowledge of multi-state credentialing requirements and payer processes
  • Experience working with CAQH, PECOS, NPPES, state licensing boards, and payers
  • Highly organized, detail-oriented, and deadline-driven
  • Comfortable managing multiple providers, payers, and timelines simultaneously
  • Strong communication skills and a service-oriented mindset
  • Experience in a high-growth, multi-entity, or PE-backed healthcare environment is a plus

Why Allevio

  • Opportunity to own and improve a critical function in a scaling healthcare platform
  • Meaningful impact on provider experience and revenue performance
  • Collaborative, supportive team environment
  • Competitive compensation and growth opportunities
  • A culture that values accountability, clarity, and continuous improvement

Benefits & Perks

ยท Medical, dental, and vision insurance

ยท 401(k) with company match

ยท Paid time off (PTO) and company holidays

Equal Opportunity Employer

Allevio is proud to be an Equal Opportunity Employer. We are committed to building a diverse and inclusive team where everyone belongs. We welcome applicants of all backgrounds and identities and do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, gender identity, sexual orientation, veteran status, or any other protected characteristic. We believe diverse perspectives strengthen our company and help us better serve the practices and patients we support