Part Time Credentialing Specialist

Wasatch; Provo (UT); Sur place; USD 29 000 - 37 000; Temps partiel

Résumé du poste

Wasatch Behavioral Health in Provo, Utah is seeking an in-office Credentialing Specialist to support Medicaid enrollment, NPI registration, and credentialing for selected private networks at our Westpark Family Clinic. This part-time role offers a wage of $21.36–$27.08 per hour and opportunities to ensure compliant, timely credentialing and reimbursement.

You will assist the full-time Credentialing Specialist with file creation, verification, and maintenance, while collaborating with providers

Qualifications

• High school diploma or GED required; bachelor's degree preferred.
• Experience in administrative support, healthcare credentialing, billing or related field preferred.
• Strong attention to detail, organization and time management.
• Proficiency with Microsoft Office and database systems.
• Ability to maintain confidentiality and work independently or in a team.

Responsabilités

• Assist with provider enrollment, credentialing and recredentialing for Medicaid, NPI and private networks.
• Review credentialing applications for accuracy, completeness and compliance.
• Verify licenses, certifications, NPIs and other documents via primary sources.
• Create, maintain and audit credentialing files and databases.
• Track application statuses and follow up to meet deadlines.
• Support funding coordination and determine client out-of-pocket costs.
• Update provider and client data in EMR and internal systems as changes occur.
• Provide funding information to providers about clients for scheduled appointments.

Connaissances

Administrative support

Detail-oriented

Time management

Communication skills

Formation

High school diploma or GED

Bachelor's degree preferred

Outils

Microsoft Office

Database systems

Description du poste

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.