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Credentialing Associate Jobs in Pennsylvania (NOW HIRING)

WellSpan Health

Credentialing Coordinator

Red Lion, PA · On-site

Associates Degree Preferred Work Experience: * 2 years Relevant experience. Required * Hospital/physician office/insurance claims or credentialing experience. Preferred Licenses: * Certified Provider ...

WellSpan Health

Credentialing Coordinator

York, PA · On-site

Associates Degree Preferred Work Experience: * 2 years Relevant experience. Required * Hospital/physician office/insurance claims or credentialing experience. Preferred Licenses: * Certified Provider ...

WellSpan Health

Credentialing Coordinator

York, PA · On-site

Associates Degree Preferred Work Experience: * 2 years Relevant experience. Required * Hospital/physician office/insurance claims or credentialing experience. Preferred Licenses: * Certified Provider ...

Select Medical

Credentialing Specialist

Mechanicsburg, PA · On-site

$20/hr

Overview Credentialing Specialist Supporting both our Critical Illness and Inpatient Rehabilitation ... Associate degree or higher * 1-2 years of experience working in a hospital * Advanced proficiency ...

WellSpan Health

Credentialing Coordinator

York, PA · On-site

Associates Degree Preferred Work Experience: * 2 years Relevant experience. Required * Hospital/physician office/insurance claims or credentialing experience. Preferred Licenses: * Certified Provider ...

Merakey

Credentialing Specialist

Lafayette Hill, PA · Remote

$21/hr

We areseeking a Credentialing Specialist to join our team. Remote Position available for candidates ... Associate's or Bachelor's degree OR two years equivalent experience required. * Minimum two years ...

Elwyn

Credentialing Coordinator QI

Media, PA · On-site

High school diploma or graduate equivalency diploma (GED); associate's degree in administrative ... Knowledge of staff credentialing regulations preferred * Ability to work in a fast-paced ...

Elwyn

Credentialing Coordinator QI

Media, PA · On-site

High school diploma or graduate equivalency diploma (GED); associate's degree in administrative ... Knowledge of staff credentialing regulations preferred * Ability to work in a fast-paced ...

Elwyn

Credentialing Coordinator QI

Media, PA · On-site

High school diploma or graduate equivalency diploma (GED); associate's degree in administrative ... Knowledge of staff credentialing regulations preferred * Ability to work in a fast-paced ...

Elwyn

Credentialing Coordinator QI

Media, PA · On-site

High school diploma or graduate equivalency diploma (GED); associate's degree in administrative ... Knowledge of staff credentialing regulations preferred * Ability to work in a fast-paced ...

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All JobsCredentialing Associate JobsCredentialing Associate Jobs in Pennsylvania

Credentialing Associate information

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$13

$24

$39

How much do credentialing associate jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for credentialing associate in Pennsylvania is $24.42, according to ZipRecruiter salary data. Most workers in this role earn between $19.28 and $27.69 per hour, depending on experience, location, and employer.

What is a credentialing associate?

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 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 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 Pennsylvania?

The most popular types of Credentialing jobs in Pennsylvania are:

What cities in Pennsylvania are hiring for Credentialing Associate jobs?

Cities in Pennsylvania with the most Credentialing Associate job openings:

Credentialing Associate jobs near you
Infographic showing various Credentialing Associate job openings in Pennsylvania as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 22% Part Time, 1% Temporary, and 1% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $50,786 per year, or $24.4 per hour.

Credentialing Coordinator

WellSpan Health

Red Lion, PA • On-site

Other

Medical, Retirement, PTO

Posted 18 days ago

WellSpan Health rating

7.6

Company rating: 7.6 out of 10

Based on 307 frontline employees who took The Breakroom Quiz

192nd of 898 rated healthcare providers

Job description

Job Title

Credentialing Specialist

Job Description

Maintains close communication with providers, practice managers and the medical staff office to ensure timely initial credentialing, recredentialing and reappointments through the different entities, Credentials Committee and Board of Directors Meetings.

Responsibilities

Duties and Responsibilities Essential Functions:

  • Processes initial provider enrollment with payers, initial credentialing and recredentialing: • Creates, assembles and prepares application packet for providers to complete, reappointment applications for WellSpan Health entities and submits applications to payers. • Completes primary source verifying provider credentials per established policies and procedures. • Enters provider credentials and application requirements into Cactus, CAQH. • Initiates mandated queries, both federal and state, for all initial applicants and those due for recredentialing with the National Practitioner Data Bank. • Adheres to all policies and procedures regarding mandated queries and reporting mechanisms. • Maintains close communication with provider, practice managers, medical staff office, insurance reps, locum tenens agencies, office administrators to ensure timely credentialing through the different entities. • Reviews and conducts QA checks on the applications prior to medical director's review. • Reattests provider information every 120 days in CAQH. • Runs reports and complete Medicare and Medicaid revalidations for WellSpan Medical Group (WSMG) & Hospital Based providers. • Maintains confidentiality of provider information.
  • Data Management • Follows up, receives and documents confirmations on all initial enrollment status and changes for health plan providers with which WellSpan participates. • Runs weekly Credentialing Update reports to IS Department for billing system update. • Runs expiring provider credentials reports, notifies practices and updates Cactus accordingly. • Assists with helping resolve claim issues by contacting applicable provider reps.
  • Change letters • Creates and submits letters to update payers, Cactus, CAQH, NPI and other stakeholders of any changes and terms to provider data per 25 payer requirements.

Common Expectations:

  • Maintains established policies and procedures, objectives, quality assessment and safety standards.
  • Maintains professional growth and development.
  • Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
Qualifications

Minimum Education:

  • High School Diploma or GED Required
  • Associates Degree Preferred

Work Experience:

  • 2 years Relevant experience. Required
  • Hospital/physician office/insurance claims or credentialing experience. Preferred

Licenses:

  • Certified Provider Credentialing Specialist Upon Hire Preferred

Knowledge, Skills, and Abilities:

  • Ability to multi-task and work independently by prioritizing work load.
  • High level of organizational skills.
  • Proficiency in data entry.
  • Ability to handle interruptions such as phone calls, emails and meetings.
  • Excellent computer skills.
  • Excellent communication/interpersonal skills.

Benefits Offered:

  • Comprehensive health benefits
  • Retirement savings plan
  • Paid time off (PTO)
  • Education assistance
  • Financial education and support, including DailyPay
  • Expanded Paid Parental Leave

For additional details: Benefits & Incentives | WellSpan Careers

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