Provider Enrollment Specialist

Provider Enrollment Specialist

FT / PT Status Full-Time
Salary $16.29 - $24.00 Hourly Wage
Remote Work / In-Office Hybrid

Recruiter Angie Rhodes
Application Deadline 8/26/2026*

*This job posting may close at any time after the minimum advertising period of three (3) business days has passed should a sufficient applicant pool be received. Applicants are encouraged to apply as early as possible.

Key Responsibilities

Seeking candidates who excel in providing exceptional customer service to individuals over-the-phone and enjoy working in a fast-paced call center environment.

The Claims Technician position has two primary functions to answer incoming customer service calls from the medical community and public regarding provider enrollment credentialing and other related information to enroll medical providers into the Medicaid system. The technician responds to phone electronic fax and mail inquiries regarding the status of provider applications and explains and interprets Medicaid policies guidelines benefits and procedures regarding Medicaid.

The Claims Technician is required to be logged into the phone system for up to 7 hours/day and takes between 40 to 60 calls a day.

Preference may be given for the following:

• Spanish speaking skills
• prior professional working experience with provider enrollment or credentialing

Supplemental Information

• Effective July 1 2021 State of Utah Employees must either reside in Utah or be in the process of relocating to Utah within 30 days of their start date.
• This position may currently be a hybrid of both in-office and remote work days. Please note a positions eligibility for remote work is established by agency management and is subject to change at their discretion at any time and for any reason.
• Risks found in the typical office setting which is adequately lighted heated and ventilated e.g. safe use of office equipment avoiding trips and falls observing fire regulations etc.
• Typically the employee may sit comfortably to perform the work; however there may be some walking; standing; bending; carrying light items; driving an automobile etc. Special physical demands are not required to perform the work.

Qualifications

Minimum or day-one qualifications:

• Answers customer service calls regarding provider enrollment applications credentialing and validations from providers.
• Enters retrieves and/or corrects applications as needed in the PRISM system. Receives researches and responds to incoming questions or complaints; provides information explains policy and procedures and/or facilitates a resolution.
• Prepares supporting documentation for policy/procedure changes for policy review. Writes or drafts correspondence reports documents and/or other written materials.

About the Role

Location
288 North 1460 West
Salt Lake City Utah 84116
United States
Background Check Required You must successfully pass a criminal history check.
Drug Test Required No
Schedule Code TL - Time limited

Why You Should Join Our Team
In Utah we believe hard work is important but balance is essential. Finding work/life balance is a vital element to our culture. To find out more about WHY Utah click here. Other benefits may include:

• Job Stability: Enjoy the security and reliability of employment within a well-established organization.
• Career Growth: Develop valuable skills and gain opportunities for leadership within a large organization.
• Meaningful Work: Contribute to an important service that benefits the community and supports organizational goals.
• Supportive Work Environment: Be part of a team that values cooperation strong work ethics and mutual support.

The Agency
For more information on the Division of Integrated Healthcare please visit our website.

EEO Statement
The State of Utah is committed to equal employment opportunity regardless of race color ancestry religion sex national origin sexual orientation age citizenship marital status disability gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories consistent with legal requirements. For accommodations please contact .

Required Experience:

IC