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Credentialing Administrator Jobs (NOW HIRING)

University of Rochester

$27.16 - $38.03/hr

Develops and/or updates applicable governing documents (bylaws, credentialing policies and procedures, privileging polices, etc.) that support and direct organizational practices and ensure ...

PDS Health

Coordinator, Credentialing

Irving, TX · On-site

$17 - $22.20/hr

Credentialing Administrator Now is the time to join PDS Health. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to take your career to the ...

PDS Health

Temporary Coordinator, Credentialing

Irving, TX · On-site

$17 - $22.20/hr

Credentialing Administrator Now is the time to join PDS Health. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to take your career to the ...

University of Rochester

Credentialing Administrator I

$27.16 - $38.03/hr

Develops and/or updates applicable governing documents (bylaws, credentialing policies and procedures, privileging polices, etc.) that support and direct organizational practices and ensure ...

PDS Health

Coordinator, Credentialing

Irving, TX · On-site

$17/hr

As a Credentialing Administrator at PDS Health you will be coordinating credentials for Dentists with various dental insurance carriers. Being a part of the Contracts Department which is responsible ...

PDS Health

Temporary Coordinator, Credentialing

Irving, TX · On-site

$17 - $22.20/hr

Overview As a Credentialing Administrator at PDS Health you will be coordinating credentials for Dentists with various dental insurance carriers. Being a part of the Contracts Department which is ...

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Credentialing Administrator information

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How much do credentialing administrator jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for credentialing administrator 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 administrator?

A Credentialing Administrator is a professional responsible for managing and verifying the qualifications, licenses, and certifications of healthcare providers within an organization. Their role ensures that all medical staff meet regulatory and organizational standards before they are allowed to provide care. This process includes collecting, reviewing, and maintaining documentation, as well as communicating with licensing boards and accrediting agencies. By ensuring providers are properly credentialed, Credentialing Administrators help maintain patient safety and compliance with industry regulations.

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

To thrive as a Credentialing Administrator, you need strong organizational skills, attention to detail, and an understanding of credentialing processes, typically supported by a background in healthcare administration or business. Familiarity with credentialing management software, databases, and compliance systems such as CAQH is commonly required, along with knowledge of relevant regulations. Excellent communication, problem-solving abilities, and the capacity to manage deadlines make someone stand out in this position. These skills ensure accurate processing, regulatory compliance, and efficient onboarding of healthcare professionals, which are crucial for patient safety and organizational success.

What are some common challenges faced by credentialing administrators, and how can they be managed effectively?

Credentialing Administrators often encounter challenges such as tracking multiple provider applications, keeping up with ever-changing regulatory requirements, and ensuring timely communication with healthcare providers and insurance companies. Managing tight deadlines and coordinating between various departments can also be demanding. To address these challenges, it's helpful to use robust credentialing software, maintain clear documentation, and establish strong organizational systems. Additionally, building positive relationships with both internal teams and external stakeholders can greatly improve workflow and reduce delays.

What is the difference between Credentialing Administrator vs Credentialing Specialist?

AspectCredentialing AdministratorCredentialing Specialist
Required CredentialsTypically includes certifications like Certified Provider Credentialing Specialist (CPCS)Often requires similar certifications, such as CPCS or equivalent
Work EnvironmentWorks in healthcare organizations, hospitals, clinics, or insurance companiesWorks in healthcare facilities, credentialing firms, or insurance providers
Employer & Industry UsageCommonly employed by healthcare organizations managing provider credentialsUsed interchangeably in healthcare credentialing departments, focusing on provider verification

The Credentialing Administrator and Credentialing Specialist roles share similar credentials and work environments, often overlapping in healthcare settings. The main difference lies in scope; administrators may handle broader credentialing processes and team coordination, while specialists focus on detailed provider verification tasks.

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What job categories do people searching Credentialing Administrator jobs look for?

The top searched job categories for Credentialing Administrator jobs are:

Credentialing Administrator jobs near you
Infographic showing various Credentialing Administrator job openings in the United States as of August 2026, with employment types broken down into 6% Locum Tenens, 2% As Needed, 62% Full Time, 8% Part Time, and 22% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $50,665 per year, or $24.4 per hour.

CREDENTIALING ADMINISTRATOR

Scottsdale, AZ • On-site

AFFILIATED DERMATOLOGY
Outpatient Health Care • 51 - 200 employees
Learn more about AFFILIATED DERMATOLOGYexternal

Full-time

Posted 18 days ago

Job description

About the Role
Affiliated Dermatology is looking for a detail-oriented, resourceful Credentialing Administrator to join our administrative team. This role supports the credentialing, enrollment, and payer-related processes that allow our providers to care for patients across our Arizona practices.
This is a great opportunity for someone who understands the healthcare insurance world and enjoys figuring out how all the pieces fit together. While direct credentialing experience is valuable, we are particularly interested in candidates with experience in payer contracting, provider relations, health plan operations, provider enrollment, or healthcare revenue cycle functions who are interested in expanding their knowledge of credentialing.
You'll work closely with another experienced Credentialing Administrator and interact regularly with providers, health plans, payer representatives, and internal teams. Success in this role requires strong follow-through, attention to detail, and the confidence to research, question, and resolve payer issues when the answer isn't always straightforward.
What You'll Do
  • Coordinate credentialing and recredentialing for physicians and advanced practice providers.
  • Maintain accurate and complete credentialing records for new and existing providers.
  • Manage provider enrollment, additions, terminations, demographic changes, and other updates with assigned health plans.
  • Verify and maintain required provider credentials, including state licensure, board certification, DEA registration, education, and other applicable documentation.
  • Work with commercial, Medicare, Medicaid/AHCCCS, and other health plans to complete enrollment and maintenance activities.
  • Navigate payer portals and other credentialing systems to submit applications, monitor status, research requirements, and resolve outstanding issues.
  • Maintain and update provider information within systems such as CAQH and other credentialing platforms.
  • Develop strong working relationships with payer and provider representatives and know when and how to escalate an issue.
  • Research discrepancies, conflicting information, enrollment issues, and payer requirements and follow them through to resolution.
  • Monitor deadlines, recredentialing requirements, revalidations, and outstanding payer requests.
  • Participate in payer/provider forums and stay informed of changes to health plan requirements and processes.
  • Support EFT and ERA enrollment or related payer administrative functions as assigned.
  • Maintain clear documentation of payer processes, contacts, requirements, and workflow changes.
  • Partner with the Credentialing team to provide cross-coverage and ensure continuity during vacations, absences, or high-volume periods.
  • Communicate professionally with providers, medical staff, health plans, and other internal and external partners.
  • Maintain confidentiality and follow HIPAA, organizational, and applicable regulatory requirements.

What We're Looking For
We're less concerned with finding someone who has worked every plan we work with and more interested in finding someone who understands healthcare payers, knows how to research a problem, and doesn't get intimidated when the process gets complicated.
Preferred experience includes:
  • Payer contracting, provider contracting, provider relations, provider enrollment, healthcare credentialing, or health plan operations
  • Working directly with commercial insurance plans, Medicare and/or Medicaid managed care
  • Understanding payer contracts, provider participation, network enrollment, or claims/denial issues
  • Navigating payer portals and multiple healthcare information systems
  • Working with CAQH or similar credentialing systems
  • Supporting physicians or advanced practice providers in a medical practice or healthcare organization

Credentialing experience is preferred but not required for a candidate with strong payer, contracting, or healthcare insurance experience and the ability to learn credentialing processes.
You'll Be Successful Here If You Are
  • Highly organized. There are multiple providers, plans, deadlines, applications, and follow-ups moving at the same time.
  • Persistent. You don't assume an issue is resolved simply because an email was sent.
  • A strong problem-solver. When a payer gives you conflicting information, you're comfortable researching the answer and determining the appropriate next step.
  • Detail-oriented. Small errors in provider information can create much bigger problems downstream.
  • Comfortable working independently. You can manage your responsibilities without needing constant direction.
  • Collaborative. You'll have primary responsibility for assigned health plans while also learning enough about your teammate's plans to provide effective backup coverage.
  • Adaptable. Payer requirements change. Sometimes frequently. You are comfortable learning, documenting, and adjusting when they do.
  • A clear communicator. You're equally comfortable working with a physician, internal team member, payer representative, or health plan contact.
Work Structure
This position will initially work onsite at our North Scottsdale office for approximately the first 90 days to allow for hands-on training, workflow development, and integration with the Credentialing team. Following successful completion of the initial training period and demonstration of the ability to work independently, the position may transition to a remote work arrangement consistent with department expectations.
Why This Role Matters
Credentialing is one of those functions that works best when no one notices it because providers are enrolled correctly, deadlines are met, information is accurate, and problems are resolved before they affect patient care or reimbursement.
You'll join a small, experienced team where you will have ownership of your work while also building enough shared knowledge to ensure the department isn't dependent on any one person. We value documentation, cross-training, collaboration, and continuous improvement, and we're looking for someone who wants to become a trusted resource in the organization.

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