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Credentialing Administrator Jobs (NOW HIRING)

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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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.
Medical Staff Credentialing Administrator

Medical Staff Credentialing Administrator

Atlantic Health System

Morristown, NJ

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

Atlantic Health System rating

8.0

Company rating: 8.0 out of 10

Based on 275 frontline employees who took The Breakroom Quiz

88th of 884 rated healthcare providers

Job description

Responsibilities:

    Develop, build, and maintain clinician delineation of privileges (DOP) forms within the credentialing and privileging software system.
    Translate approved Medical Staff Rules & Regulations, bylaws, policies, and specialty criteria into structured, standardized electronic privilege forms.
    Ensure privilege language reflects current clinical practice, regulatory requirements, and accreditation standards (e.g., Joint Commission, CMS).
    Perform regular review and updates of privilege forms to reflect changes in scope of practice, technology, clinical standards, or organizational initiatives.
    Monitor and track special, advanced, and condition-based privileges across specialties.
    Ensure required qualifications, proctoring, focused professional practice evaluation (FPPE), and ongoing professional practice evaluation (OPPE) elements are built into the privileging framework.
    In collaboration with the department of Quality, carries out the FPPE & OPPE review and approval with Medical Staff leaders, including Chiefs, Chairs, Service Line Leaders, Medical Executive Committees, and Chief Medical Officers.
    Track and ensure timely review
    Prepare draft proposals, revisions, comparison documents, and summary materials to support informed physician leadership decision-making.
    Coordinate privilege form review and approval with Medical Staff leaders, including Chiefs, Chairs, Service Line Leaders, Medical Executive Committees, and Chief Medical Officers.
    Prepare draft proposals, revisions, comparison documents, and summary materials to support informed physician leadership decision-making.
    Facilitate feedback, revisions, and consensus-building across multiple specialties and stakeholders.
    Track approvals and ensure timely implementation of newly adopted or revised privilege forms.
    Work collaboratively with Medical Staff leadership to define, refine, and document specialty-specific privileging parameters and performance metrics and requirements.
    Support consistent application and compliance with privileging criteria across departments and locations
    Monitor privileging practices for compliance with regulatory, accreditation, and internal policy requirements.
    Conduct routine audits and data reviews related to privilege assignments, expirations, and special privilege tracking including robotic surgery, sedation, fluoroscopy, and laser use, ensuring adherence to medical staff governance requirements, regulatory expectations, and patient safety standards.
    Prepare reports, dashboards, and analyses to support leadership oversight, quality initiatives, and accreditation readiness.
    Identify trends, gaps, or risks and recommend 
    Serve as a content expert for privileging data within the credentialing system.
    Ensure data accuracy, integrity, and consistency related to privileges and scope of practice.
    Collaborate with Medical Staff Services, IT, and vendor partners on system enhancements, template updates, and optimization of privileging workflows.
    Maintain documentation of privileging processes, standards, and governance decisions.
    Serve as a backup to the Lead Credentialing Specialist.
    Participate in department projects, policy development, education, and process improvement initiatives.
    Perform other duties as assigned in support of Medical Staff Services operations.
 

At Atlantic Health, our promise to our communities is; Anyone who enters one of our facilities will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 22,000 team members. Headquarters in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include:

  • Atlantic Health Morristown Medical Center, Morristown, NJ
  • Atlantic Health Overlook Medical Center, Summit, NJ
  • Atlantic Health Newton Medical Center, Newton, NJ
  • Atlantic Health Chilton Medical Center, Pompton Plains, NJ
  • Atlantic Health Hackettstown Medical Center, Hackettstown, NJ
  • Atlantic Health Goryeb Children's Hospital, Morristown, NJ
  • Atlantic Health CentraState Healthcare System, Freehold, NJ
  • Atlantic Medical Group
  • Atlantic Visiting Nurse
  • Atlantic Mobile Health
  • Atlantic Rehabilitation

We have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group.

We have received awards and recognition for the services we have provided to our patients, team members and communities. Below are just a few of our accolades:

  • Chosen for 17 years by Fortune as one of the magazine's "100 Best Companies to Work For." 
  • Atlantic Health Morristown and Atlantic Health Overlook Named by Newsweek as two of the "World's Best Hospitals" in 2026.
  • Atlantic Health Morristown and Atlantic Health Overlook ranked within the top three hospitals in New Jersey by U.S. News & World Report's 2025-2026 Best Hospital rankings. 
  • Atlantic Health scored four "A" grades by The Leapfrog Group in its Fall 2025 Hospital Safety Grades, performance measures reflecting errors, accidents, injuries and injections, as well as systems hospitals have in place to prevent harm. 
  • Atlantic Health Morristown and Atlantic Health Overlook are New Jersey's only hospitals to be named among America's 50 Best hospitals by Healthgrades in 2026.
  • Named by Becker's Healthcare as one of the "165 Top Places to Work in Healthcare - 2026.
  • Atlantic Health Morristown, Atlantic Health Overlook, Atlantic Health Chilton and Atlantic Health Newton all Forbes Top Hospitals for 2026.
  • Named by Newsweek as one of America's Greatest Workplaces for Inclusion & Diversity 2025.
  • Atlantic Health rated LEVEL 9 - 2025 CHIME Digital Health Most Wired. 

Atlantic Health offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted:

Team Member Benefits

  • Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
  • Life & AD&D Insurance.
  • Short-Term and Long-Term Disability (with options to supplement)
  • 403(b) Retirement Plan: Employer match, additional non-elective contribution
  • PTO & Paid Sick Leave
  • Tuition Assistance, Advancement & Academic Advising
  • Parental, Adoption, Surrogacy Leave
  • Backup and On-Site Childcare
  • Well-Being Rewards
  • Employee Assistance Program (EAP)
  • Fertility Benefits, Healthy Pregnancy Program
  • Flexible Spending & Commuter Accounts
  • Pet, Home & Auto, Identity Theft and Legal Insurance

____________________________________________

Note: In Compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job postings will include the hourly wage or salary (or a range), as well as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer.

EEO STATEMENT

Atlantic Health, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran 


Atlantic Health System is at the forefront of medicine, setting standards for quality health care powered by a workforce of more than 18,000 team members and 4,800 affiliated physicians dedicated to building healthier communities, the system offers more than 400 sites of care, including eight award-winning medical centers. Specializing in cardiovascular care, cancer care, orthopedics, neuroscience, pediatrics, women's health and rehabilitation medicine. Atlantic Medical Group, comprised of 1,000 physicians and advanced practice providers, represents one of the largest multi-specialty practices in New Jersey and includes finance, legal, marketing, human resources, talent acquisition, ISS and more. Caring for our patients, our team members and the communities we serve is our central mission. 

Education/Experience

o    Associate's degree in healthcare administration, business, or a related field required
o    Bachelor's degree preferred
o    Equivalent combination of education and experience considered
o    Minimum of 3-5 years of experience in Medical Staff Services, credentialing, or privileging required
o    Demonstrated experience with delineation of privileges, special privileging, or physician governance processes strongly preferred
o    Experience working directly with physician leaders and executive medical staff committees preferred
 

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About Atlantic Health System

Sourced by ZipRecruiter

Atlantic Health System aims to deliver the highest quality, safety and care combined the best experience for our patients and their families. We are confident that you will find success within Atlantic Health System, which has been named for the 14th year in a row to Fortune's "Top 100 Best U.S. Companies to Work For" list. We believe you will find that our culture of collaboration and care exemplifies the value we place on our patients, their families and our employees.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Morristown, NJ, US

Year founded

1996

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