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Provider Credentialing Jobs in Utah (NOW HIRING)

Acaciumgroup

Credentialing Specialist

Draper, UT

Collect, verify, andmaintainall required provider credentialing documentation, including licenses, certifications, work history, and references * Ensure all providers meet internal compliance ...

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 ...

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 ...

Imh

$24 - $36.54/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 ...

Imh

$19.31 - $26.22/hr

Credential Management: Supportonboardingfornew research staffby preparing, collecting,andfiling ... Provide data entry and appropriate documentation into Intermountain departmental and study-related ...

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All JobsProvider Credentialing JobsProvider Credentialing Jobs in Utah

Provider Credentialing information

See Utah salary details

$12

$22

$35

How much do provider credentialing jobs pay per hour?

As of Jun 16, 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 credentialing a hard job?

Provider credentialing can be challenging as it involves verifying qualifications, licenses, and certifications, often requiring attention to detail and organization. The process can be time-consuming and may involve navigating complex regulations and documentation, but it is a standard part of healthcare administration. Success in the role depends on strong communication skills and familiarity with credentialing software and procedures.

How to get into provider credentialing?

To enter provider credentialing, individuals 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 healthcare databases and compliance standards is often required.

What jobs pay $10,000 a month without a degree?

Provider credentialing roles typically do not pay $10,000 a month without specialized experience or certifications. High-paying jobs that can reach this level without a degree often include sales, real estate, or skilled trades like plumbing or electrical work, which rely on experience, skills, and licensing rather than formal education.

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 jobs in the US pay 300,000 a year?

In provider credentialing, senior roles such as Credentialing Director or Manager can reach or exceed $300,000 annually, especially in large healthcare organizations. High-level healthcare executives, medical directors, and specialized physicians also often earn this level of compensation, typically requiring extensive experience, certifications, and leadership skills.
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 are popular job titles related to Provider Credentialing jobs in Utah? For Provider Credentialing jobs in Utah, the most frequently searched job titles are:
What job categories do people searching Provider Credentialing jobs in Utah look for? The top searched job categories for 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:
Provider Credentialing jobs near you

Payor/ Credentialing Specialist

Kane County Human Resource SPE

Kanab, UT

Other

Posted 14 days ago

Job description

Description

Part-Time Payor Credentialing Specialist - Job Description

Job Title: Part-Time Payor Credentialing Specialist
Department: Business Office
Reports To: Business Office Manager


Job Summary

The Part-Time Payor Credentialing Specialist is responsible for managing and maintaining provider credentialing and recredentialing with insurance payors, government agencies, and healthcare networks. This role ensures providers remain compliant and enrolled with all contracted payors to support uninterrupted billing and reimbursement.


Key Responsibilities

  • Complete and submit provider credentialing and recredentialing applications.
  • Maintain accurate provider records in credentialing databases and CAQH.
  • Monitor credential expiration dates, licenses, certifications, malpractice      insurance, and other required documents.
  • Follow up with insurance companies regarding application status and approvals.
  • Coordinate provider enrollment with Medicare, Medicaid, and commercial payors.
  • Ensure compliance with federal, state, and organizational credentialing      requirements.
  • Update provider information with payors as needed.
  • Resolve credentialing-related claim denials and enrollment issues.
  • Maintain organized electronic and paper credentialing files.
  • Communicate effectively with providers, office staff, and insurance representatives.
  • Prepare reports on credentialing status and outstanding items.

Qualifications

  • High school diploma or equivalent required; associate degree preferred.
  • Previous experience in healthcare credentialing, medical billing, or provider      enrollment preferred.
  • Knowledge of CAQH, PECOS, Medicare, Medicaid, and commercial insurance processes.
  • Strong attention to detail and organizational skills.
  • Proficiency with Microsoft Office and credentialing software systems.
  • Ability to manage multiple deadlines and work independently.
  • Excellent written and verbal communication skills.

Preferred Skills

  • Experience with physician or behavioral health credentialing.
  • Familiarity with HIPAA and healthcare compliance standards.
  • Ability to troubleshoot enrollment and billing issues efficiently.

Schedule

  • Part-time position (approximately 20-30 hours per week).
  • Flexible schedule may be available depending on organizational needs.

Requirements

  • High school diploma or equivalent required; associate degree preferred.
  • Previous experience in healthcare credentialing, medical billing, or provider      enrollment preferred.
  • Knowledge of CAQH, PECOS, Medicare, Medicaid, and commercial insurance processes.
  • Strong attention to detail and organizational skills.
  • Proficiency with Microsoft Office and credentialing software systems.
  • Ability to manage multiple deadlines and work independently.
  • Excellent written and verbal communication skills.

 Preferred Skills

  • Experience with physician or behavioral health credentialing.
  • Familiarity with HIPAA and healthcare compliance standards.
  • Ability to troubleshoot enrollment and billing issues efficiently.


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