Credentialing Specialist - PartTime

Join Wasatch Behavioral Health and make a meaningful impact in your community as a Credentialing Specialist at our Westpark Family Clinic in Provo, Utah. This part-time position offers a competitive wage of $21.15–$26.8/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

• Wednesday-Friday, 8:00 AM–5:00
• PM
• Compensation: $21.15–$26.81 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.