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Credentialing Associate information

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$11

$21

$33

How much do credentialing associate jobs pay per hour?

As of Jul 17, 2026, the average hourly pay for credentialing associate in Michigan is $21.23, according to ZipRecruiter salary data. Most workers in this role earn between $16.78 and $24.09 per hour, depending on experience, location, and employer.

How much does a credentialing specialist make in the US?

A credentialing specialist in the US typically earns between $40,000 and $55,000 annually, depending on experience, location, and employer size. Salaries can increase with certifications and advanced knowledge of healthcare compliance and credentialing processes.

Is credentialing specialist a stressful job?

Credentialing specialists often work in fast-paced healthcare or insurance environments, where accuracy and meeting deadlines are critical. The job can be stressful due to the need for attention to detail, managing multiple applications, and ensuring compliance with regulations, but workload and stress levels vary depending on the organization and individual experience.

How to get in credentialing entry level?

To start as a credentialing associate at an entry-level, candidates typically need a high school diploma or equivalent, strong organizational skills, and attention to detail. Relevant experience in healthcare, insurance, or administrative roles can be beneficial, and familiarity with credentialing software or databases is often preferred.

What does a credentialing associate do?

A credentialing associate is responsible for verifying the qualifications, licenses, certifications, and credentials of healthcare providers or other professionals to ensure compliance with industry standards and regulations. They review and process application documents, maintain accurate records, and coordinate with licensing boards and insurance companies. Strong attention to detail and familiarity with credentialing software are essential for this role.

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

To thrive as a Credentialing Associate, you need strong organizational skills, attention to detail, and familiarity with credentialing processes, typically supported by a high school diploma or relevant associate degree. Proficiency in credentialing management software, databases, and knowledge of regulatory standards such as NCQA or The Joint Commission is important. Excellent communication, time management, and problem-solving abilities help you effectively interact with providers and resolve documentation issues. These skills ensure accurate and timely credentialing, compliance with regulations, and the smooth onboarding of healthcare professionals.

What are Credentialing Associates?

Credentialing Associates are professionals who manage and verify the qualifications and credentials of healthcare providers, such as doctors and nurses, to ensure they meet all necessary standards and regulations. Their responsibilities include collecting, verifying, and maintaining documentation like licenses, certifications, and work history. They play a crucial role in healthcare organizations by ensuring that only qualified providers are allowed to deliver patient care, helping maintain patient safety and regulatory compliance.

What are some common challenges Credentialing Associates face when verifying practitioner credentials, and how can they be addressed?

Credentialing Associates often encounter challenges such as missing or incomplete documentation, discrepancies in practitioner information, and delays in responses from licensing boards or references. To address these issues, it is essential to develop strong organizational skills, maintain diligent follow-ups, and utilize checklists or credentialing software to track progress. Collaborating closely with providers and other team members also helps streamline the process and resolve issues efficiently.

What is the difference between Credentialing Associate vs Credentialing Specialist?

AspectCredentialing AssociateCredentialing Specialist
Required CredentialsHigh school diploma or equivalent; some roles may prefer certificationHigh school diploma or equivalent; certification often preferred
Work EnvironmentHealthcare organizations, insurance companies, or credentialing firmsHealthcare facilities, insurance companies, or credentialing agencies
Employer & Industry UsageCommonly used in healthcare and insurance sectorsWidely used in healthcare credentialing departments
Search & Comparison IntentOften compared for entry-level roles or career progressionCompared for specialized credentialing tasks

The Credentialing Associate and Credentialing Specialist roles share similar environments and required credentials, often involving healthcare or insurance organizations. The main difference lies in scope: Credentialing Specialists typically handle more complex credentialing processes and may require more experience or certifications. Both roles are essential in ensuring providers meet licensing and credentialing standards, but the Specialist role often involves more responsibility and expertise.

What are the most commonly searched types of Credentialing jobs in Michigan? The most popular types of Credentialing jobs in Michigan are:
Credentialing Associate jobs near you
Infographic showing various Credentialing Associate job openings in Michigan as of July 2026, with employment types broken down into 1% As Needed, 69% Full Time, 27% Part Time, 1% Temporary, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $44,159 per year, or $21.2 per hour.
Credentialing Specialist

Credentialing Specialist

Judson Center

Farmington Hills, MI • On-site

Full-time

Posted 24 days ago

Job description

Position: Credentialing Specialist
Status: Full Time, Exempt
Reports to: Senior Manager of Quality and Corporate Compliance
Job Summary:
The Credentialing Specialist is responsible for preparing, submitting, and maintaining enrollment, credentialing and recredentialing, documentation for providers, clinicians and other billable providers.
Primary Duties and Responsibilities
  • Responsible for Compiling and maintaining current and accurate data for all providers
  • Responsible for Data entry and maintaining provider information in online databases and systems (CAQH, PECOS, and NPPES, Availity and any other systems as required.)
  • Responsible for Verification of State license, DEA, and Board certification
  • Ensures all required documentation is presented to government payers to receive provisional status to practice and be eligible for reimbursement
  • Responsible for Completing provider initial and recredentialing applications
  • Audits applications for accuracy and completeness
  • Responsible for revalidation requests issued by government payers
  • Responsible for Submitting completed credentialing and re-credentialing applications and supporting documentation to all requested payers
  • Compiles and maintains current data and master grid of all providers for agency roster
  • Maintains knowledge of current agency, state, county, and payor requirements for credentialing
  • Responsible for monitoring application progress and following up with necessary parties/payers as needed until confirmation of “in network” status has been received
  • Responsible for monitoring and maintaining copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers. As well as tracking all state licenses, DEA, and board certification expirations for all providers to ensure timely renewal
  • Responsible for sending monthly updates to supervisors, program leads, and providers/clinicians
  • Utilizes strong research skills to gather pertinent information regarding providers
  • Assists in compilation of documents for audits conducted by Regulatory Agencies
  • Collaborates and executes Quality Assurance and Compliance Projects and Tasks as a Quality and Compliance Assistant including support of the Council of Accreditation Re-Credentialing Process and other related Quality and Compliance Administrative Tasks.
  • Undertakes additional projects and responsibilities as assigned by management to support the overall goals of the organization
  • All other duties as assigned
Qualifications
  • Associate degree and a minimum of 2 years related experience preferred; or at least four years related experience and training
  • Working knowledge of credentialing accreditation regulations, policies, and procedures
  • Certified Professional Credentialing Specialist (CPCS) certification preferred •
  • Payer Provider Enrollment: 1 year (Preferred) • Non-Profit: 1 year (Preferred)
Skills Required
  • Familiar with provider credentialing and recredentialing requirements
  • Strong analytic computer and software skills
  • Excellent interpersonal skills including excellent verbal and written communication skills
  • Ability to demonstrate a high degree of trust and confidentiality
  • Ability to work independently and assume assigned responsibilities
  • Skilled in efficiency, organization, time management, and prioritization
  • Ability to be flexible and function well in a fast-paced environment
  • Ability to communicate effectively and relate to people of diverse cultures
  • Ability to handle confidential information
Working Conditions
  1. Able to sit and work at a computer for extended periods
  2. Able to lift and move up 15 pounds occasionally
  3. Flexible schedule required; Requires regular and on-time attendance
This description is intended to describe the type and level of work being performed by a person assigned to this job. It is not an exhaustive list of all duties and responsibilities of a person so classified. The employee is expected to adhere to all company policies and perform other duties as assigned for the good of the consumers, the program, the department and the agency.

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