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Credentialing Administrator Jobs (NOW HIRING)

PDS Health

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 ...

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 ...

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How much do credentialing administrator jobs pay per hour?

As of Jul 14, 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 does a credentialing administrator do?

A credentialing administrator manages the process of verifying and maintaining the credentials, licenses, and certifications of healthcare providers or other professionals. They ensure compliance with industry standards, maintain accurate records, and coordinate with licensing boards and insurance companies. Strong organizational skills and familiarity with credentialing software are essential for this role.

What degree do you need to be a credentialing specialist?

A credentialing specialist typically needs at least a high school diploma or equivalent; however, many employers prefer candidates with a bachelor's degree in healthcare administration, business, or a related field. Relevant skills include attention to detail, knowledge of healthcare regulations, and experience with credentialing software or databases.

Is credentialing specialist a stressful job?

Credentialing specialists often work in fast-paced healthcare or insurance environments, managing multiple provider files and ensuring compliance with regulations. The job can be stressful during busy periods or when facing tight deadlines, but it also involves routine tasks and the use of credentialing software to streamline processes. Overall, stress levels vary based on workload and organizational support.

How much does a credentialing assistant make?

A credentialing assistant typically earns between $35,000 and $50,000 annually, depending on experience, location, and the size of the organization. They often work with credentialing software and verify professional credentials to ensure compliance with industry standards.

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.

More about Credentialing Administrator jobs
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 July 2026, with employment types broken down into 1% As Needed, 85% Full Time, 11% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $50,665 per year, or $24.4 per hour.

Credentialing Administrator

Pediatrics Plus Website

Conway, AR • On-site

Full-time

Medical, Dental, Vision, PTO

Posted 19 days ago

Job description

We are currently seeking a Credentialing Administrator to join our team of highly qualified professionals that share our mission of Empowering Children to Conquer their World! This role is responsible for responsible for managing and maintaining provider credentialing with all contracted insurance carriers to ensure providers are properly enrolled and eligible for reimbursement. The Credentialing Administrator will oversee the credentialing process from initial application through ongoing maintenance and recredentialing, ensuring compliance with payer requirements, all applicable laws and regulations, and organizational policies minimizing disruptions to billing and revenue cycle operations.
What we offer:
  • Competitive Pay
  • 15 Days of Paid Time Off
  • Medical, Dental, & Vision Insurance
  • Company Discounts & Incentives
  • Professional Development and Leadership Growth Opportunities
  • State of the Art Facilities & Technology

What you will do:
  • Maintain credentialing and recredentialing of all Therapy, Developmental Preschool, Management, and RISE team members.
  • Implement and utilize the HR database, including ways to improve efficiency by use of the database.
  • Compile and maintain current and accurate data for all providers in HCM and deTASO.
  • Maintain and update Council for Affordable Quality Healthcare (CAQH) online credentialing application for all providers quarterly.
  • Coordinate credentialing with RehabNet for all insurances they cover.
  • Monitor expirations of providers' (RBTs and BCBAs) CPR certification for Tricare.
  • Complete provider credentialing and recredentialing applications; monitor applications and follow-up as needed.
  • Maintain documentation and reporting regarding provider enrollments in process.
  • Maintain copies of malpractice coverage, current state licenses, and any other required credentialing documents for all providers.
  • Maintain updated roster of providers for Professional Liability Insurance.
  • Notify applicable insurance companies of provider terminations.
  • Track license and certification expirations for all providers to ensure timely renewals and updates health plans accordingly.
  • Ensure practice addresses are current with health plans.
  • Maintain confidentiality of provider information.
  • Update job knowledge by some or all of the following: participating in educational opportunities; reading professional publications; maintaining personal networks and/or participating in professional networks.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
What you have:
  • Ability to communicate effectively and professionally with a wide variety of people.
  • Strong organizational skills with attention to detail and accuracy.
  • Computer skills which include a working knowledge of databases, word processing, spreadsheets, and internet software.
  • Ability to handle multiple tasks in a very busy environment.
  • Ability to read and interpret documents such as safety rules, policies, and other company documents.
  • Ability to write routine reports and correspondence.
  • Ability to effectively present information in one-on-one and small group situations.
  • Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
  • Reports for work dressed appropriately and complies with company policies regarding the dress code.
  • Ability to maintain regular and punctual attendance.
  • Ability to complete tasks in a timely manner.

Required Qualifications:
  • High School Diploma or equivalent.

Physical Demands:
While performing the duties of this job, the employee is frequently required to accurately communicate information and ideas so others will understand through sight and hearing. The employee is regularly required to move including walking, running, jumping, and sitting. The employee is regularly required to use hands and fingers to handle, lift, reach, and feel. The employee is frequently required to stand and stoop, twist, bend, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 50 pounds. Specific vision abilities required by this job include near and distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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