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Credentialing Specialist Jobs (NOW HIRING)

Sunbelt Healthcare

Credentialing Specialist

Tucson, AZ · On-site

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

AdvantixxRCM

Credentialing Specialist

Las Vegas, NV · On-site

The Credentialing Specialist is responsible for ensuring providers and healthcare organizations are appropriately enrolled and maintained with government and commercial insurance payers. The ideal ...

New

RWJBarnabas Health

Credentialing Specialist

West Orange, NJ · On-site

$52K - $79K/yr

Credentialing Specialist Location: SBC Corporation Department Name: Medical Staff Req #: 0000260700 Status: Salaried Shift: Day Pay Range: $52,600.00 - $79,000.00 per year Pay Transparency: The above ...

Empath Health

Credentialing Specialist

Sarasota, FL · On-site

The Credentialing Specialist will ensure providers are credentialed, appointed, and privileged with health plans, hospitals, and patient care facilities. In addition, the Credentialing Specialist ...

RWJBarnabas Health

Credentialing Specialist

West Orange, NJ · On-site

$52K - $79K/yr

Credentialing Specialist Location: SBC Corporation Department Name: Medical Staff Req #: 0000260700 Status: Salaried Shift: Day Pay Range: $52,600.00 - $79,000.00 per year Pay Transparency: The above ...

RWJBarnabas Health

Credentialing Specialist

West Orange, NJ · On-site

$52K - $79K/yr

Credentialing Specialist Location: SBC Corporation Department Name: Medical Staff Req #: 0000260700 Status: Salaried Shift: Day Pay Range: $52,600.00 - $79,000.00 per year Pay Transparency: The above ...

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Credentialing Specialist information

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How much do credentialing specialist jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for credentialing specialist in the United States is $24.36, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $27.64 per hour, depending on experience, location, and employer.

What is a credentialing specialist?

Credentialing specialists verify the qualifications of the staff in healthcare organizations for healthcare organizations. This verification process ensures that doctors and other medical professionals provide accurate education and work histories, and confirms that they meet all local and federal licensing and regulation requirements before they are hired or contracted with a medical facility. Credentialing specialists are part of an organization's administrative staff; they review medical policies, process contracts, and facilitate audit reports to validate that certified medical professionals comply with credentialing procedures. They also update medical databases with information about a physician’s training or license and document when credentials must be renewed.

What are some typical challenges a credentialing specialist faces when coordinating with healthcare providers and insurance companies?

Credentialing Specialists often encounter challenges such as managing incomplete or inconsistent provider documentation, meeting strict deadlines, and navigating varying requirements from different insurance companies or healthcare facilities. Effective communication and organizational skills are essential, as the role requires frequent follow-up with providers and close coordination with multiple internal departments. Staying updated on regulatory changes and ensuring all files remain compliant can also be demanding but is critical for maintaining smooth healthcare operations.

What is the difference between Credentialing Specialist vs Medical Biller?

AspectCredentialing SpecialistMedical Biller
Required CredentialsCertification in healthcare credentialing, knowledge of insurance and provider databasesCertification in medical billing, coding, or related areas often preferred
Work EnvironmentHealthcare facilities, insurance companies, or credentialing agenciesMedical offices, billing companies, healthcare providers
Employer & Industry UsageUsed in healthcare to verify provider credentials for insurance and licensingUsed in healthcare to process and submit medical claims for reimbursement

The Credentialing Specialist focuses on verifying healthcare providers' credentials to ensure compliance and eligibility, while the Medical Biller handles billing and claims processing for healthcare services. Both roles are essential in healthcare administration but serve different functions within the industry.

Is credentialing a hard job?

Credentialing specialists are responsible for verifying healthcare providers' qualifications and licenses, which requires attention to detail, organization, and knowledge of regulations. The job can be challenging due to the complexity of credentialing processes and the need for accuracy, but it is generally manageable with proper training and experience.
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Credentialing Specialist jobs near you
Infographic showing various Credentialing Specialist job openings in the United States as of September 2026, with employment types broken down into 78% Full Time, 20% Part Time, and 2% Contract. Highlights an 77% Physical, 2% Hybrid, and 21% Remote job distribution, with an average salary of $50,665 per year, or $24.4 per hour.

Credentialing Specialist

Tucson, AZ • On-site

Sunbelt Healthcare LLC
Health Care and Social Assistance • 51 - 200 employees
Learn more about Sunbelt Healthcare LLCexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 14 days ago

Job description

Description

The Credentialing Specialist position requires an organized individual with good time management skills and related industry experience, (both facility and clinic credentialing / privileging). The Credentialing Specialist will be responsible for the initial credentialing and enrollment of providers for a variety of specialties. Additionally, maintenance of licenses, certifications, privileges, malpractice coverage, and contract specifications (addresses, re-validations, etc.) will be monitored and administrated by the Credentialing Specialist. The Credentialing Specialist is also required to notify providers and work with practice / office managers to facilitate completion of tasks. Professionalism in communication with clients, insurers, and industry contacts is a key component of this position. Duties can vary daily but are expected to be performed within a set period as determined by management. 


This position may also support our in-house Contracting Team by taking on overflow.

Requirements

Experience:

  • Primary Source Verification (PSV): 1 year (Preferred)
  • Medical Provider Credentialing: 1 year minimum (Required)

Work Location: Hybrid, or in-person available


Pay: DOE; with semi-monthly pay schedule.


Job Type: W2 Employee, Full-time (40-hours / week)


Full-time Benefits:

  • 401(k)  
  • AD&D insurance  
  • Dental insurance 
  • Disability insurance  
  • Employee assistance program (EAP)  
  • Flexible schedule  
  • Health insurance  
  • Health savings account (HSA)  
  • Life insurance  
  • Paid time off  
  • Vision insurance 


Schedule:

  • Day shift
  • Monday to Friday

Ability to commute/relocate:

  • Hybrid, or In-person available in Tucson, Arizona 85716
  • Relocation not available / provided.

Apply