Payor Credentialist, Full Time
Libby, MTFull-time$18.05–25.27/hrSeen 1w agoSeen in employer's feed 1w ago
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At a glance
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Job overview
Cabinet Peaks Medical Center seeks a Payor Credentialist for its Revenue Cycle Team. The role facilitates provider enrollment with commercial and government insurance networks, maintains credentialing and provider data, and supports billing operations. It also includes charge description master updates, account reviews, resolving credit balances, and collecting on client aging. The schedule is typically Monday through Friday during day-shift hours.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
Cabinet Peaks Medical Center is looking for a Payor Credentialist to join the Revenue Cycle Team!
The Payor Credentialist is responsible for facilitating the enrollment of all healthcare providers with commercial and government insurance networks (payers). This position ensures that all physicians, mid-level providers, and clinical staff are fully credentialed, contracted, and active within the required networks to guarantee seamless billing operations and uninterrupted revenue cycle performance. Additionally maintaining up to date charge description master items. Performing account review and resolving credit balance accounts.
Major Job Duties & Responsibilities
Prepare, submit, and track complex initial and recredentialing applications for both government (Medicare, Medicaid) and commercial insurance plans.
Update and maintain provider profiles on centralized industry databases, including the CAQH ProView portal, PECOS, and NPPES (NPI registry).
Authenticate all clinical provider credentials, including state medical licenses, DEA certificates, board certifications, educational background, and malpractice insurance coverage.
Proactively track and monitor expiration dates for all medical licenses, certifications, and insurance policies to ensure zero gaps in provider network participation.
Actively follow up with insurance payers on pending applications, successfully troubleshooting delays, credentialing denials, or network alignment issues.
Partner closely with the medical billing team to research and resolve credentialing-related claim denials or billing holds.
Enter and update all provider data within internal electronic medical records (EMR) or dedicated credentialing software systems to ensure enterprise-wide accuracy.
Process charge rejection in the current EMR software, this includes contacting departments and resolving outstanding charge entry items.
Updating the CDM with new codes, price increases/decreases, as approved through Fin Thrive and administration request.
Reviewing and updating Anesthesia waste
Works and actively collects on Client aging. Developing a strong working relationship with the clients, the CPMC OHS department.
Participates in necessary meetings related to credentialing, client/OHS billing, and CDM items across the revenue cycle and facility.
Maintains a professional “team player” attitude in all communications.
Reviews accounts with current credit balances and resolves the balance issuing a refund, initiating a pull back, submitting correction to adjustments, etc.
Other duties as assigned by supervisor/administration.
Skills, Knowledge, & Abilities
Ability to establish and maintain effective working relationships with patients, CPMC staff members, and the public.
Proficient computer skills including word processing and spreadsheet software; Meditech knowledge preferred.
Basic Knowledge of accounting and ten-key by touch
Verbal and written communication skills
Ability to work independently and collaboratively
Knowledge of medical terminology
Ability to operate basic office equipment
High attention to detail, strong organizational and multitasking abilities.
Schedule
Typically Monday – Friday day shift hours.
Education Requirements
High school diploma or equivalent education.
Experience
2-5 years of experience in medical billing, provider enrollment, or healthcare administration preferred.
CPCS(Certified Provider Credentialing Specialist) credentials preferred.
Benefits Package Available
Full-time benefits package includes medical, dental, vision, long-term disability (LTD), and life & accidental death and dismemberment (AD&D) insurance for you and your eligible family members, plus a 403(b) retirement plan with employer match.
Cabinet Peaks Medical Center is committed to providing a safe, efficient, and productive work environment for all employees. To help ensure a safe and healthful working environment, each applicant to whom an offer of employment has been made will be required as a condition of employment to undergo a substance test. Additional pre-employment items may be required. Please contact Human Resources for details.
Department
CPMC Patient Business Services
Employment Type
FTREG
Minimum Experience
Entry-level
Compensation
$18.05-$25.27 DOE
How this job compares
Set against the 545 open Revenue Cycle jobs on Olive Jobs, counted November 7, 2026.
- Pay
- This posting$18.05–25.27/hr
- US median$21–31/hr164 hourly ranges
This range's midpoint, $21.66/hr, is 18% below the US median midpoint ($26/hr) — in the lowest quarter of Revenue Cycle hourly ranges across the US.
- Openings
- Olive Jobs lists 10 open Revenue Cycle jobs in Montana and 545 across the US. 15% of them nationwide are listed as remote or flexible.
- Hiring the most across the US
- PwC63 open
- Cardinal Health39 open
- Oracle31 open
- Experience
- This posting asks for at least 2 years of experience; Revenue Cycle postings that state a minimum ask for 4 years at the median (465 postings).
- Education
- This posting asks for a high school diploma; 323 of the 545 open Revenue Cycle jobs (59%) ask for a high school diploma or higher.
Counted across the open, public US postings on Olive Jobs on November 7, 2026. Pay medians are the middle values of the low ends and of the high ends of postings that list both ends of a range in the same cadence (a yearly salary or an hourly rate); a range's midpoint is halfway between its ends. Pay and experience figures resting on fewer than 20 postings are left out.
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