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Credentialing Analyst Jobs (NOW HIRING)

ESSENTIAL DUTIES, FUNCTIONS & RESPONSIBILITIESWork directly with Credentialing staff to enhance workflows within the billing system.Analyze the accounts receivables inventory to determine ...

Work directly with Credentialing staff to enhance workflows within the billing system. * Analyze the accounts receivables inventory to determine opportunities for systemic resolutions. * Advise how ...

Work directly with Credentialing staff to enhance workflows within the billing system. * Analyze the accounts receivables inventory to determine opportunities for systemic resolutions. * Advise how ...

Greenhouse ATS Analyst Location: Remote Employment Type: Long-Term Contract Experience Level: Senior (Minimum 5 Years) Reports To: Clinical Client Talent Director Job Summary We are seeking a highly ...

$7.1K/mo

Credential Analyst II Apply now Job no: 560343 Work type: Staff Location: East Bay Categories: Unit ... A comprehensive understanding of the credentialing process; thorough knowledge of school internship ...

$7.1K/mo

Credential Analyst II Apply now Job no: 560343 Work type: Staff Location: East Bay Categories: Unit ... A comprehensive understanding of the credentialing process; thorough knowledge of school internship ...

The Credential Analyst position is to maintain continuous oversight of candidate files; interpret ... A comprehensive understanding of the credentialing process; thorough knowledge of school internship ...

This role involves thorough data analysis, primary source verification, and the monitoring of ... Credentialing Operations * Perform comprehensive application management, including requesting ...

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Credentialing Analyst information

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$15

$25

$43

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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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.

Analyst, AR Credentialing

Atlanta, GA • On-site

ApolloMD
Outpatient Health Care • 1 - 5K employees

Other

Posted 12 days ago


Job description

ABOUT APOLLOMDApolloMD is a leading Medical Billing company for Emergency, Hospitalist, Anesthesiology, and Radiology Medical services, conveniently located off I-285 in Sandy Springs. Currently serving approximately 1,000 physicians, we support the financial services for more than 2 million patients across the U.S. each year.Our mission is to maximize the efficiency and performance of our healthcare providers and deliver unparalleled billing and claim support to the patient. To achieve this, we implement leading-edge technology and provide our staff with the knowledge to be successful. As one of the nation’s largest and fastest-growing physician services provider, we offer a competitive salary, and benefit packages. This position supports PaymentsMD, the billing side of ApolloMD.PERFORMANCE EXPECTATIONSIn performance of their respective tasks and duties all employees of ApolloMD are expected to conform to the following:Uphold all principles of confidentiality and patient care to the fullest extent.Adhere to all professional and ethical behavior standards of the healthcare industry.Interact in an honest, trustworthy and dependable manner with patients, employees and vendors.Possess cultural awareness and sensitivity.Execute and enforce all organizational policies.POSITION PURPOSETo review and advise on all aspects of the revenue cycle process as it pertains to the billing system. Communicate all findings and proposed solutions to enhance the organizations ability to accelerate and increase cash collections through cleaner claim processing.ESSENTIAL DUTIES, FUNCTIONS & RESPONSIBILITIESWork directly with Credentialing staff to enhance workflows within the billing system.Analyze the accounts receivables inventory to determine opportunities for systemic resolutions.Advise how the organization can eliminate or reduce the amount of holds/tasksWork with Athena to optimize workflows within the billing system.Work with IT to automate any workflows that can be to eliminate manual workflows.Validate provider credentialing informationManage provider workflow bucketsLocate and resolve trending denial codes for paymentsContact both government and commercial payers daily to resolve provider credentialing issuesThis is a full-time, non-exempt role.REQUIRED EDUCATION AND SKILLS:High School Diploma or equivalent required.Bachelor’s Degree in Healthcare Administration or related field a plus.Prior medical billing, credentialing, or data entry experience preferred but not required.Ability to interpret Explanation of Benefits from insurance carriers.Proficiency with Microsoft Office Excel and Word a plusAthena Collector System, NaviNet, GAMMIS Portal, CAQH, Payspan, Change Healthcare (formerly Emdeon) ProviderNet and VeriNet experience a plus. #J-18808-Ljbffr