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Credentialing Assistant Jobs (NOW HIRING)

Nuvem

Pharmacy Technician

Hutchinson, KS

$15.25 - $18.50/hr

Keep abreast and stay current with HIPAA, HITECH, and FWA credentialing. * Assist Pharmacist with clinical and non-clinical operations and document and report any issues per quality to the Pharmacist ...

Nuvem

Pharmacy Technician

Hutchinson, KS · On-site

$15.25 - $18.50/hr

Keep abreast and stay current with HIPAA, HITECH, and FWA credentialing. * Assist Pharmacist with clinical and non-clinical operations and document and report any issues per quality to the Pharmacist ...

Nuvem, Inc

Pharmacy Technician

Hutchinson, KS · On-site

$15.25 - $18.50/hr

Keep abreast and stay current with HIPAA, HITECH, and FWA credentialing. * Assist Pharmacist with clinical and non-clinical operations and document and report any issues per quality to the Pharmacist ...

Network Temp Inc

Credentialing Coordinator

Bronx, NY · On-site

Audits and reporting: Assist in preparing for and participating in internal and external audits. Prepare reports on credentialing activities and submit necessary information to regulatory and ...

Network Temp Inc

Credentialing Coordinator

Bronx, NY · On-site

$30 - $35/hr

Audits and reporting: Assist in preparing for and participating in internal and external audits. Prepare reports on credentialing activities and submit necessary information to regulatory and ...

Network Temp Inc

Credentialing Coordinator

New York, NY · On-site

$30 - $35/hr

Audits and reporting: Assist in preparing for and participating in internal and external audits. Prepare reports on credentialing activities and submit necessary information to regulatory and ...

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Credentialing Assistant information

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How much do credentialing assistant jobs pay per hour?

As of Jul 10, 2026, the average hourly pay for credentialing assistant in the United States is $21.02, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $23.32 per hour, depending on experience, location, and employer.

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

To thrive as a Credentialing Assistant, you need strong organizational abilities, attention to detail, and familiarity with credentialing processes, often supported by a high school diploma or associate degree. Proficiency in credentialing software, databases, and document management systems like CAQH or NAMSS is typically required. Excellent communication, time management, and problem-solving skills help you coordinate efficiently with healthcare providers and regulatory bodies. These competencies ensure accurate, timely processing of credentials, which is critical for maintaining compliance and operational efficiency in healthcare organizations.

What is the difference between Credentialing Assistant vs Medical Office Coordinator?

AspectCredentialing AssistantMedical Office Coordinator
Primary ResponsibilitiesHandling provider credentialing, verifying licenses, and maintaining credentialing databasesManaging daily office operations, scheduling, patient communication, and administrative tasks
Required SkillsKnowledge of credentialing processes, attention to detail, familiarity with healthcare regulationsOrganizational skills, communication, multitasking abilities
Work EnvironmentHealthcare facilities, insurance companies, credentialing organizationsMedical offices, clinics, healthcare administrative settings
Common UsageUsed in healthcare provider credentialing and complianceUsed in general medical office administration

The Credentialing Assistant primarily focuses on verifying and maintaining healthcare provider credentials, ensuring compliance with industry standards. In contrast, the Medical Office Coordinator manages overall office operations, including scheduling and patient interactions. While both roles are essential in healthcare settings, they differ in scope and daily responsibilities.

What are the main challenges a Credentialing Assistant faces when coordinating provider documentation?

Credentialing Assistants often encounter challenges related to gathering complete and accurate documentation from healthcare providers, as requirements can vary by facility and payor. Ensuring timely follow-up, managing multiple deadlines, and maintaining compliance with constantly changing regulations are common hurdles. Strong organizational skills and attention to detail are essential, as missing or incorrect documentation can delay provider onboarding or cause compliance issues. Collaborating effectively with providers, internal teams, and external organizations helps mitigate these challenges and keep the credentialing process on track.

What are Credentialing Assistants?

Credentialing Assistants are administrative professionals who support the process of verifying and maintaining the qualifications of healthcare providers, such as doctors, nurses, and allied health professionals. They work with credentialing specialists and other staff to collect, review, and organize documents like licenses, certifications, and background checks. Their work ensures that healthcare providers meet regulatory and organizational standards, helping facilities maintain compliance and deliver quality care. Credentialing Assistants often communicate with providers, state boards, and insurance companies to gather necessary information and keep records up to date.
More about Credentialing Assistant jobs
What cities are hiring for Credentialing Assistant jobs? Cities with the most Credentialing Assistant job openings:
What are the most commonly searched types of Credentialing jobs? The most popular types of Credentialing jobs are:
What states have the most Credentialing Assistant jobs? States with the most job openings for Credentialing Assistant jobs include:
What job categories do people searching Credentialing Assistant jobs look for? The top searched job categories for Credentialing Assistant jobs are:
Credentialing Assistant jobs near you
Infographic showing various Credentialing Assistant job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 75% Full Time, 21% Part Time, 1% Temporary, and 2% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $43,729 per year, or $21 per hour.
Pharmacy Licensing Specialist

Pharmacy Licensing Specialist

KPH Healthcare Services

East Syracuse, NY • On-site

$18.50 - $21/hr

Full-time

Re-posted yesterday

KPH Healthcare Services rating

6.8

Company rating: 6.8 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

Overview

Scope of Responsibilities: Works under general supervision of Third-Party Administrator.  Uses experience and judgment to plan and accomplish assigned tasks and goals. Works collaboratively within the department, with Third Party Business Partners as well as Government Agencies to ensure licensing, credentialing and all necessary paperwork are in place for billing.

 

Job Summary:   Assists and supports the Third-Party Administrator in the achievement of maintaining all Pharmacy Licensing and credentialing necessary for our current business model.

This is not a remote opportunity and will be in office only.

Responsibilities

Job Duties:

  • Responsible for the submission of Medicare/Medicaid Revalidations, Change of Information applications and general compliance.
  • Responsible for notifying stores of changes to existing plans, acceptance of new plans and terminations of plans.
  • Responsible for resolving Third Party pharmacy questions received from Store Systems Help Desk.
  • Responsible for maintaining licensing and credentialing in NCPDP.
  • Responsible for maintaining NPPES application.
  • Responsible for maintaining a Master Store List of all divisions.
  • Responsible for yearly renewal process for DEA Certificates and Meth Certificates.
  • Responsible for yearly Primary Source Validations
  • Assist Third Party Administrator with licensing and credentialing.
  • Assist Third Party Administrator/Pharmacy Reimbursement Specialist in the review of plan set up within the pharmacy application.
  • Assist Third Party Administrator for tracking, maintaining, and renewing store pharmacies registrations, new store registrations, licenses, and DEA Certificates.
  • Assist Pharmacy Reimbursement Specialist with change of Supervising Pharmacist process.
  • Assist Pharmacy Reimbursement Specialist with yearly immunization Third Party configuration
  • Perform other duties as assigned
Qualifications

Experience Preferred:

  • Previous experience in retail pharmacy, Third Party operations, and/or Finance/Accounting
Educational Requirements:
  • Minimum: High School Diploma or GED
  • Preferred: AS Degree or Higher in Business Administration, or related field

Special Conditions of Employment:

  • Drug Test
  • Initial and continuous exclusion and sanction/disciplinary monitoring

Compensation:

$18.50 to $21.00 per hour

Employment Type: FULL_TIME

What KPH Healthcare Services employees say

Pay

Benefits

Hours and flexibility

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