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Credentialing Analyst Jobs (NOW HIRING)

HealthRIGHT 360

The EHR Billing Credentialing Analyst is responsible for coordinating, maintaining, and monitoring provider credentialing and enrollment processes within the electronic health record (EHR) system and ...

New

ApolloMD

AR Credentialing Analyst ABOUT APOLLOMD ApolloMD is a leading Medical Billing company for Emergency, Hospitalist, Anesthesiology, and Radiology Medical services, conveniently located off I-285 in ...

ApolloMD

Analyst, AR Credentialing (57790)

Atlanta, GA · On-site

AR Credentialing Analyst ABOUT APOLLOMD ApolloMD is a leading Medical Billing company for Emergency, Hospitalist, Anesthesiology, and Radiology Medical services, conveniently located off I-285 in ...

CertifyOS

Operations Analyst, Credentialing

$40K - $45K/yr

As an Operations Analyst, you will work closely with your team lead to manage the day-to-day tasks of processing provider credentials, licenses and payor enrollment applications. You will work cross ...

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How much do credentialing analyst jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for credentialing analyst in the United States is $25.42, according to ZipRecruiter salary data. Most workers in this role earn between $18.75 and $27.40 per hour, depending on experience, location, and employer.

What is a credentialing analyst?

As a credentialing analyst, your primary responsibilities are to monitor physicians and healthcare facilities to evaluate their compliance with industry regulations. Your duties include keeping records on insurance contracts and staff credentials. You are in charge of informing them of any changes to policies. You coordinate all information and remind medical staff when they need to update credentials and practitioners' applications. You verify and validate that all information is correct and up to date, aiming to maintain the highest standards of record keeping. You also assist auditors, prepare reports, and check eligibility for providers and insurances. You can work in a hospital, clinic, or private practice.

What are the key skills and qualifications needed to thrive as a credentialing analyst?

To thrive as a Credentialing Analyst, you need strong attention to detail, analytical skills, and knowledge of healthcare regulations, typically supported by a relevant degree or experience in healthcare administration. Familiarity with credentialing software systems, databases, and compliance platforms such as CAQH, NPPES, and state licensure portals is essential. Effective communication, organizational skills, and the ability to manage confidential information make someone stand out in this role. These skills ensure accurate verification of provider credentials, regulatory compliance, and smooth onboarding processes for healthcare organizations.

What are some common challenges faced by credentialing analysts during the provider onboarding process?

Credentialing Analysts often encounter challenges such as incomplete or inconsistent provider documentation, tight deadlines for credentialing verifications, and navigating varying requirements from different healthcare organizations or insurance networks. These challenges require strong attention to detail, excellent communication skills to follow up with providers, and the ability to efficiently manage multiple cases simultaneously. Building relationships with both internal teams and external contacts can help streamline the process and ensure compliance with regulatory standards.

What is the difference between Credentialing Analyst vs Credentialing Coordinator?

AspectCredentialing AnalystCredentialing Coordinator
Required CredentialsTypically a bachelor's degree; certifications like Certified Provider Credentialing Specialist (CPCS) are commonSimilar educational background; often holds certifications such as CPCS or Certified Medical Staff Coordinator (CMSC)
Work EnvironmentHealthcare organizations, insurance companies, or credentialing firmsHospitals, clinics, or healthcare networks
Employer & Industry UsageUsed across healthcare and insurance sectors for credentialing rolesPrimarily in healthcare settings managing provider credentialing processes

The Credentialing Analyst and Credentialing Coordinator roles share similar educational backgrounds and certifications. While both work in healthcare environments, Credentialing Analysts often focus on analyzing credentialing data and compliance, whereas Credentialing Coordinators handle the day-to-day coordination of provider documentation and credentialing processes. Both roles are essential for ensuring healthcare providers meet licensing and credentialing standards.

What does a credentialing analyst do?

A credentialing analyst reviews and verifies the credentials, licenses, and certifications of healthcare providers or other professionals to ensure compliance with industry standards and regulations. They manage documentation, update databases, and coordinate with licensing boards, often using credentialing software, to facilitate provider onboarding and maintain accurate records.
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Credentialing Analyst jobs near you
Infographic showing various Credentialing Analyst job openings in the United States as of September 2026, with employment types broken down into 58% Full Time, 14% Part Time, 14% Temporary, and 14% Contract. Highlights an 43% In-person, and 57% Remote job distribution, with an average salary of $52,870 per year, or $25.4 per hour.

Credentialing Compliance Analyst

Camden, NJ • On-site

Cooper University Hospital
Health Care and Social Assistance • 5 - 10K employees
Learn more about Cooper University Hospitalexternal

$53/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 11 days ago

Cooper University Health Care rating

7.5

Company rating: 7.5 out of 10

Based on 133 frontline employees who took The Breakroom Quiz

Job description

About Us
At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.
Discover why Cooper University Health Care is the employer of choice in South Jersey.
Short Description
Provide key support and analysis to the provider enrollment credentialing process which directly impact the ability of CUHC to bill for services rendered by billable providers, thereby directly impacting CUHC revenue generation for providers.
The framework for provider enrollment credentialing includes compliance in an increasingly complex regulatory environment defined by The Joint Commission, Department of Health, National Committee for Quality Assurance and Centers for Medicare and Medicaid standards.
The Compliance Analyst will audit 100% of credentialing and reappointment (recredentialing) files submitted by Credentialing Analysts to ensure compliance with National Committee for Quality Assurance (NCQA), The Joint Commission (TJC) accreditation and other regulatory standards, internal policies and procedures and managed care plan requirements.
The Analyst will also audit data entered in the Credentialing database for completeness, accuracy, consistency, gaps, etc.
This position will perform all necessary follow-up activities related to audit errors to ensure that corrections have been made appropriately and will serve as subject matter expert and coach for the Credentialing Analysts.
Experience Required
Computer spreadsheet, database, and audit software literacy.
Analytical skills, ability to define problems, collect data, establish facts, and draw valid conclusions.
Strong written and verbal communication. Proficiency in application of audit theory, standards, procedures and techniques.
Ability to interpret and apply department policies and procedures. 5+ years of experience in healthcare or managed care environment and/or related experience.
Education Requirements
High School Diploma Required
Bachelors Degree Preferred
Special Requirements
Ability to interact and work well with others.
Proficiency with Microsoft Office applications (Excel, Word).
Salary Min ($)
USD $31.00
Salary Max ($)
USD $53.00

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