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Credential Specialist

Detroit, MI · On-site

$22 - $25/hr

  • Medical

  • Dental

  • Vision

  • PTO

Credential Specialist Location: Detroit, MI (Hybrid) Duration: 12 Months Will this position be required to work onsite for any reason at any time? Yes (2 days or possible more) Engagement Description ...

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TeleMed2U

Credentialing Specialist

Austin, TX · Remote

$21 - $30/hr

Credentialing Specialist I, II, III Location: Austin, Texas or Remote Reports To: Credentialing Manager FLSA Status : Non-Exempt Employment Type : Full-Time Salary Range : $21-$30 per hour The ...

Sunbelt Healthcare LLC

Credentialing Specialist

Tucson, AZ · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Description The Credentialing Specialist position requires an organized individual with good time management skills and related industry experience, (both facility and clinic credentialing ...

Sunbelt Healthcare

Credentialing Specialist

Tucson, AZ · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Credentialing Specialist position requires an organized individual with good time management skills and related industry experience, (both facility and clinic credentialing / privileging). The ...

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Credential Specialist information

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$15

$25

$33

How much do credential specialist jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for credential specialist in the United States is $25.47, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $27.88 per hour, depending on experience, location, and employer.

What does a credential specialist do?

A Credential Specialist is responsible for verifying and maintaining professional credentials, licenses, and certifications for employees, especially in regulated industries like healthcare or education. They ensure compliance with industry standards and legal requirements by managing documentation, conducting background checks, and regularly updating records. Credential Specialists typically work closely with human resources, regulatory agencies, and employees to make sure all necessary qualifications are current and valid.

What are the key skills and qualifications needed to thrive as a credential specialist, and why are they important?

To thrive as a Credential Specialist, you need strong attention to detail, organizational skills, and knowledge of credentialing standards, often supported by a background in healthcare administration or a related field. Familiarity with credentialing software, databases, and compliance systems, as well as certifications like Certified Provider Credentialing Specialist (CPCS), is highly valued. Excellent communication, problem-solving, and time management skills help you coordinate efficiently with providers and regulatory bodies. These skills are crucial to ensure accurate credential verification, maintain compliance, and support smooth operations in healthcare organizations.

What are some typical challenges faced by credential specialists, and how can they navigate them effectively?

Credential Specialists often encounter challenges such as managing tight deadlines for processing credentialing documents, staying updated with frequently changing regulatory requirements, and coordinating with various departments and external agencies. To navigate these challenges, strong organizational skills, attention to detail, and proactive communication are essential. Many teams utilize credentialing software and checklists to streamline workflows, and regular training or professional development helps keep credential specialists current with industry standards.

What is the difference between Credential Specialist vs Certification Coordinator?

AspectCredential SpecialistCertification Coordinator
Required credentialsTypically requires a high school diploma or associate degree; certifications like Certified Credentialing Specialist (CCS) are commonOften requires a bachelor's degree; certifications such as Certified Professional Certification Coordinator (CPCC) are advantageous
Work environmentHealthcare, education, or corporate settings managing credentialing processesEducational institutions, healthcare organizations, or professional associations coordinating certification programs
Employer and industry usageUsed by hospitals, clinics, and licensing agenciesUsed by universities, professional bodies, and certification boards

The main difference is that Credential Specialists focus on verifying and managing individual credentials and licenses, while Certification Coordinators oversee the planning and administration of certification programs. Both roles require knowledge of credentialing processes but serve different functions within organizations.

More about Credential Specialist jobs

What cities are hiring for Credential Specialist jobs?

Cities with the most Credential Specialist job openings:

What states have the most Credential Specialist jobs?

States with the most job openings for Credential Specialist jobs include:

Credential Specialist jobs near you
Infographic showing various Credential Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $52,983 per year, or $25.5 per hour.

Credential Specialist II

Exceptional Healthcare Inc.

Dallas, TX • On-site

Full-time

Re-posted 12 days ago

Job description

Job Summary:
The Credentialing Specialist II is responsible for managing the end-to-end credentialing and privileging process for physicians across a multi-state hospital system. This mid-level role requires strong knowledge of regulatory requirements and the ability to work independently while ensuring compliance with state-specific regulations, accreditation standards, and organizational policies. The specialist collaborates with medical staff leadership, providers, and administrative teams to ensure timely and accurate credentialing operations.
Job Responsibilities/Duties:
Key Responsibilities
  • Manage full-cycle credentialing and recredentialing processes for physicians across multiple hospital locations and states to ensure compliance with payors.
  • Perform thorough primary source verification of licensure, board certifications, education, training, work history, and malpractice coverage
  • Ensure compliance with federal, state-specific, and accreditation standards (e.g., Joint Commission, NCQA, CMS) across all facilities
  • Maintain and update provider credentialing files and databases with a high degree of accuracy
  • Monitor and track expiration dates for licenses, certifications, DEA registrations, and privileges; ensure timely renewals
  • Ensure that both facility and provider are credentialed with all payors to ensure proper payment from the payor.
  • Interpret and apply medical staff bylaws, rules, and regulations across multiple facilities
  • Serve as a liaison between providers, department leaders, and administrative teams to resolve credentialing issues
  • Assist with payer enrollment and revalidation for multiple states as needed
  • Participate in internal audits, regulatory surveys, and accreditation reviews; ensure readiness at all times
  • Identify process improvement opportunities and support standardization across the health system
  • Maintain strict confidentiality and compliance with HIPAA and data security standards
Knowledge, Skills & Abilities
  • Strong working knowledge of credentialing standards (Joint Commission, NCQA, CMS)
  • Understanding of multi-state licensure requirements, credentialing variations, and regulatory compliance
  • Familiarity with medical staff bylaws and privileging processes across multiple facilities
  • High attention to detail with strong organizational and time management skills
  • Ability to work independently and manage a high-volume workload with competing priorities
  • Strong analytical and problem-solving skills
  • Excellent written and verbal communication skills
  • Proficiency with credentialing software systems and Microsoft Office Suite (especially Excel)
  • Ability to maintain professionalism and discretion when handling sensitive provider information
EDUCATION / EXPERIENCE
Education:
  • High school diploma or equivalent required
  • Associate’s or Bachelor’s degree in Healthcare Administration, Business Administration, or related field preferred
Experience:
  • 3–5 years of credentialing experience in a hospital or multi-facility healthcare system
  • Demonstrated experience with physician credentialing and privileging required
  • Experience working with multi-state licensure and regulatory requirements strongly preferred
Certifications (Preferred):
  • Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM)
PHYSICAL DEMANDS
  • Prolonged periods of sitting and computer use
  • Ability to lift up to 15 pounds occasionally
WORK CONDITIONS
  • On-site role within the corporate office
  • May require occasional travel between facilities within the health system
  • Regular interaction with physicians, leadership, and administrative staff
  • Occasional early morning or late afternoon meetings for medical staff committees

Additional Information
This role is critical in supporting a geographically diverse healthcare system by ensuring providers meet all credentialing and privileging standards across multiple states. The Credentialing Specialist II helps maintain regulatory compliance, supports patient safety, and contributes to efficient provider onboarding and retention.
 

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