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Provider Credentialing Jobs in Utah (NOW HIRING)

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Manage provider enrollment, credentialing, and re-credentialing processes * Maintain accurate provider records and documentation * Conduct primary source verification and application processing

Kyo is a leading provider of Applied Behavior Analysis (ABA) therapy, dedicated to empowering ... Managing credentialing, recredentialing, and licensure process for clinical staff with health ...

Key Responsibilities • Verify healthcare providers' credentials, including licensure, education, training, and relevant certifications • Maintain accurate and up-to-date credentialing records for ...

Key Responsibilities Verify healthcare providers' credentials, including licensure, education, training, and relevant certifications Maintain accurate and up-to-date credentialing records for all ...

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 ...

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Verify healthcare providers' credentials, including licensure, education, training, and relevant certifications * Maintain accurate and up-to-date credentialing records for all healthcare ...

This position supports credentialing services for federal personnel and contractors while providing leadership and operational support to credentialing teams. Key Responsibilities * Support ...

Provide administrative support, documentation management, scheduling, and operational support. * Ensure compliance with credentialing policies, security procedures, and quality standards. * Perform ...

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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 Aug 7, 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.

Is provider credentialing hard?

Provider credentialing can be a complex process that involves verifying a healthcare professional’s qualifications, licenses, and work history, often requiring attention to detail and organization. It typically involves working with multiple organizations and adhering to specific regulations, which can make the process time-consuming and challenging for some providers. Strong communication skills and familiarity with credentialing software can help streamline the process.

What does a provider credentialing specialist do?

A provider credentialing specialist is responsible for verifying healthcare providers' qualifications, licenses, and certifications to ensure they meet the standards required by insurance companies and healthcare organizations. They manage the credentialing process, maintain accurate provider records, and ensure compliance with regulatory requirements, often using specialized credentialing software. This role requires attention to detail, knowledge of healthcare regulations, and strong organizational skills.

How to get into provider credentialing?

To enter provider credentialing, candidates typically need a background in healthcare administration, medical billing, or related fields, along with strong organizational and communication skills. Gaining certification such as the Certified Provider Credentialing Specialist (CPCS) can enhance job prospects, and familiarity with credentialing software and industry standards is beneficial. Entry-level roles often require a high school diploma or equivalent, with some positions preferring an associate's or bachelor's degree.

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:
Infographic showing various Provider Credentialing job openings in Utah as of August 2026, with employment types broken down into 2% As Needed, 62% Full Time, 21% Part Time, and 15% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $46,124 per year, or $22.2 per hour.

Enrollment & Credentialing Specialist - UT

Vensure Employer Services

Salt Lake City, UT • On-site

Full-time

Medical, Dental, Vision, PTO

Posted 18 days ago

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Job description

Enrollment & Credentialing Specialist

Salt Lake City, UT | Full-Time


We are seeking a detail-oriented Enrollment & Credentialing Specialist to join our healthcare team. This role is ideal for someone with experience in provider credentialing who enjoys working in a fast-paced environment and ensuring compliance with healthcare regulations and standards.


What You'll Do:

• Manage provider enrollment, credentialing, and re-credentialing processes

• Maintain accurate provider records and documentation

• Conduct primary source verification and application processing

• Prepare and submit credentialing materials to payers and committees

• Track license, certification, and credential expirations

• Collaborate with internal teams and external organizations to resolve credentialing issues


What We're Looking For:

• Experience in medical enrollment and/or credentialing

• Knowledge of healthcare regulations and accreditation standards

• Proficiency with credentialing software and Microsoft Office

• Strong attention to detail and organizational skills

• Excellent communication and follow-up abilities

• Ability to handle confidential information with professionalism


Why Join Us?

• Be part of a mission-driven healthcare organization

• Supportive and collaborative team environment

• Opportunity to grow your expertise in provider credentialing and compliance

• Meaningful work that helps ensure quality patient care


If you're organized, detail-focused, and passionate about healthcare operations, we'd love to hear from you. Apply today!