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Enrollment & Credentialing Specialist - UT

Salt Lake City, UT · On-site

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

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Provider Enrollment Manager information

See Utah salary details

$32.3K

$78.6K

$106.5K

How much do provider enrollment manager jobs pay per year?

As of Aug 8, 2026, the average yearly pay for provider enrollment manager in Utah is $78,637.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,600.00 and $106,100.00 per year, depending on experience, location, and employer.

What is a provider enrollment manager?

A Provider Enrollment Manager is responsible for overseeing the process by which healthcare providers become authorized to bill insurance companies, Medicare, or Medicaid for their services. They manage applications, verify credentials, and ensure compliance with regulations to maintain active provider statuses. Their role is crucial in minimizing delays in reimbursement and avoiding compliance issues for healthcare organizations. Provider Enrollment Managers typically work in hospitals, healthcare systems, or insurance companies, and they often supervise a team that handles provider credentialing and enrollment tasks.

What are the key skills and qualifications needed to thrive as a provider enrollment manager?

To thrive as a Provider Enrollment Manager, you need expertise in healthcare regulations, credentialing processes, and provider data management, typically supported by a degree in healthcare administration or a related field. Familiarity with enrollment software, credentialing databases, and compliance tracking systems is essential. Strong organizational skills, attention to detail, and effective communication are crucial soft skills for managing complex documentation and liaising with multiple stakeholders. These capabilities ensure timely and accurate provider enrollments, regulatory compliance, and efficient healthcare operations.

What is the difference between Provider Enrollment Manager vs Provider Relations Specialist?

AspectProvider Enrollment ManagerProvider Relations Specialist
CredentialsTypically requires healthcare administration, insurance, or related certificationsOften requires customer service, healthcare, or administrative certifications
Work EnvironmentOffice-based, focused on enrollment processes and complianceOffice or hospital-based, focused on communication and relationship building
Employer & Industry UsageHealth insurance companies, healthcare providers, government programsHospitals, clinics, healthcare networks, insurance companies
Search & Comparison IntentUnderstanding enrollment processes, credentialing, and complianceBuilding provider relationships, resolving provider issues

The Provider Enrollment Manager primarily handles provider credentialing, enrollment, and compliance with insurance plans, ensuring providers are properly registered. In contrast, the Provider Relations Specialist focuses on maintaining positive relationships with providers, addressing their concerns, and facilitating communication. Both roles are essential in healthcare administration but serve different functions within the provider network.

How to become a certified provider enrollment manager?

To become a certified provider enrollment manager, individuals typically need relevant experience in healthcare administration or billing, along with knowledge of enrollment processes. Certification programs such as the Certified Provider Enrollment Specialist (CPES) offered by industry organizations can enhance credentials. Gaining familiarity with enrollment systems and maintaining ongoing education are also beneficial for career advancement.

What are some common challenges faced by provider enrollment managers, and how can they be effectively addressed?

Provider Enrollment Managers often encounter challenges such as navigating complex payer requirements, managing high volumes of applications, and ensuring timely credentialing to prevent delays in provider onboarding. Staying organized, maintaining clear communication with payers and internal teams, and utilizing enrollment management software can help mitigate these challenges. Building strong relationships with both providers and insurance representatives also facilitates smoother processes and quicker resolution of issues.
What are popular job titles related to Provider Enrollment Manager jobs in Utah? For Provider Enrollment Manager jobs in Utah, the most frequently searched job titles are:
What job categories do people searching Provider Enrollment Manager jobs in Utah look for? The top searched job categories for Provider Enrollment Manager jobs in Utah are:
What cities in Utah are hiring for Provider Enrollment Manager jobs? Cities in Utah with the most Provider Enrollment Manager job openings:
Provider Enrollment Manager jobs near you
Infographic showing various Provider Enrollment Manager job openings in Utah as of August 2026, with employment types broken down into 77% Full Time, and 23% Part Time. Highlights an 77% In-person, and 23% Remote job distribution, with an average salary of $78,637 per year, or $37.8 per hour.

Provider Enrollment Specialist

University of Utah Health

Salt Lake City, UT • On-site, Remote

Full-time

Re-posted 29 days ago

University Of Utah Health rating

7.7

Company rating: 7.7 out of 10

Based on 142 frontline employees who took The Breakroom Quiz

161st of 887 rated healthcare providers

Job description

Overview
Preference to candidates with ENROLLMENT, CREDENTIALING, and/or BILLING experience.
As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA
The Provider Enrollment Specialist is responsible for obtaining and coordinating all necessary provider enrollment applications for billing to Medicare, Medicaid and Contracted Insurance Payers. Functionally, these activities are key to the maintenance of the physician group, individual physician records, regulatory, and hospital contract compliance.
Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.
Responsibilities
Essential Functions
  • Prepares documents necessary to enroll physicians and non-physician providers with insurance carriers.
  • Maintains deletions, additions, and changes to the Physician Enrollment file pertaining to all pertinent information including review of payer membership.
  • Handles telephone communications and written correspondence with providers and fiscal intermediaries in an efficient and effective manner that facilitates the Provider Enrollment process.
  • Maintains updated information per Insurance carrier requirements through contact with the carriers and by reviewing bulletins, and other materials sent to the providers.
  • Works in a team effort on projects such as new start-ups, renewals, re-credentialing applications as required by Insurance carriers.
  • Prepares documents in a consistent and accurate manner.
  • Communicates information to input into Cactus and Epic system including new providers and updates of provider information using the appropriate forms.
  • Responsible for working enrollment issues.
  • Responsible for working provider enrollment claims in Epic.
  • Follows department and Insurance payer guidelines for preparing documents in a consistent and accurate manner.
  • Reports any detected problems, errors, and/or changes in provider enrollment requirements, when discovered.
  • Understands and complies with department and organization policies and insurance carrier guidelines.
  • Other duties as assigned.
Knowledge / Skills / Abilities
  • Excellent written and verbal communication skills, customer service skills, including professional telephone skills.
  • Good organizational skills and the ability to pay attention to detail.
  • Self-motivated with good time management and organizational skills.
  • Ability to read and interpret basic to moderately complex documents such as operating and maintenance instructions, procedure manuals, and government/healthcare guidelines.

Qualifications
Required
  • Associate's degree in a related area of assignment, or equivalency.
  • Three years of experience in professional support.

Qualifications (Preferred)
Preferred
  • Provider Enrollment experience.
  • Ability to multi-task in a busy office environment.
  • Experience with Epic and Cactus system applications.
Working Conditions and Physical Demands
Employee must be able to meet the following requirements with or without an accommodation.
  • This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.

Physical Requirements
Listening, Near Vision, Sitting, Speaking

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