Credentialing Specialist - Part Time

Wasatch; Provo (UT); On-site; USD 29,000 - 37,000; Part time

Job summary

Wasatch Behavioral Health is seeking an in-office Credentialing Specialist for our Westpark Family Clinic in Provo, Utah. This part-time role supports a full-time credentialing specialist with Medicaid, NPI enrollment, and selective private insurer credentialing, ensuring regulatory compliance.

The position handles licensing verification, file maintenance, and data integrity in EMR systems; it also assists with funding coordination and eligibility tasks across the team.

Qualifications

• High school diploma or GED required; bachelor’s degree preferred.
• Experience in administrative support, healthcare credentialing, billing, insurance, or a related field preferred.
• Strong attention to detail, organization, and time management.
• Proficiency with Microsoft Office and database systems.
• Ability to maintain confidentiality and manage sensitive information.
• Strong communication skills and ability to work independently and as part of a team.

Responsibilities

• Assist with provider enrollment, credentialing, and recredentialing for Medicaid, NPI, and select private insurance networks.
• Review and process credentialing applications for accuracy and compliance with regulatory requirements.
• Verify provider licenses, certifications, NPI numbers via primary source verification.
• Create, maintain, and audit provider credentialing files and databases.
• Track application statuses and follow up to meet credentialing deadlines.
• Support funding coordination by helping maintain client out-of-pocket costs and eligibility.
• Update provider information within electronic medical records and other internal systems when changes occur.
• Update client information within EMRs as insurance and Medicaid change.
• Work with providers to give funding information about clients at scheduled appointments.

Skills

Attention to detail

Organization

Time management

Communication

Independent work

Education

High school diploma or GED

Bachelor's degree preferred

Tools

Microsoft Office

Database systems

Job description

Join Wasatch Behavioral Health and make a meaningful impact in your community as an in office Credentialing Specialist at our Westpark Family Clinic in Provo, Utah. This part-time position offers a competitive wage of $21.36–$27.08/hour and provides an excellent opportunity to support the delivery of quality behavioral health services across our organization. In this role, you will assist our full-time Credentialing Specialist with provider enrollment and credentialing for Medicaid, NPI registration and maintenance, and select private insurance networks while ensuring compliance with regulatory and accreditation standards. You will also support funding coordination processes, maintain accurate provider records and databases, and collaborate with providers, managers, and internal teams to help ensure timely credentialing and reimbursement for services.

Schedule: Tuesday-Friday, 8:00 AM–3:00 PM
Compensation: $21.36–$27.08 DOE and Education

About Us: Wasatch Behavioral Health

Wasatch Behavioral Health is a local government agency dedicated to providing compassionate, accessible mental health and substance-use services. We value collaboration, innovation, empathy, and creating a workplace where both clients and employees can thrive.

What You'll Do a Credentialing Specialist

• Assist with provider enrollment, credentialing, and recredentialing for Medicaid, NPI, and select private insurance networks.
• Review and process credentialing applications to ensure accuracy, completeness, and compliance with regulatory requirements.
• Verify provider licenses, certifications, NPI numbers, and other credentialing documentation through primary source verification.
• Create, maintain, and audit provider credentialing files and databases to ensure current and accurate records.
• Track application statuses and follow up with providers, insurance companies, and regulatory agencies to meet credentialing deadlines.
• Support funding coordination activities by helping maintain client out of pocket costs and insurance and/or Medicaid eligibility.
• Update provider information within electronic medical records and other internal systems as licenses, certifications, or credentials change.
• Update client information within electronic medical records and other internal systems as insurance and/or Medicaid change.
• Work with providers to give funding information about the clients on each scheduled appointment.

Qualifications

• High school diploma or GED required (bachelor's degree preferred).
• Experience in administrative support, healthcare credentialing, billing, insurance, or a related field preferred.
• Strong attention to detail, organization, and time management skills.
• Proficiency with Microsoft Office and database systems.
• Ability to maintain confidentiality and manage sensitive information.
• Strong communication skills and ability to work independently and as part of a team.

Employment at Wasatch Behavioral Health is contingent upon successful completion of a drug screen, motor vehicle record review and criminal background check. After hire you must complete and receive a Criminal Background Clearance (BCI) from Utah State Office of Licensing. Upon receipt of a conditional offer of employment in the position, you must provide an official copy of licensure or certification.