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Credentialing Associate Jobs in Hackensack, NJ (NOW HIRING)

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Associates degree or 1 years related experience Knowledge, Skills & Abilities: * Great attention to ... Experience with Credentialing Accreditation by Joint Commission or National Committee for Quality ...

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Associates/Bachelor 's Degree, and/or equivalent work experience. Experience: - A minimum of three (3+) years of credentialing experience. - Required: Provider Credentialing - Preferred:

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Associates/Bachelor 's Degree, and/or equivalent work experience. Experience: - A minimum of three (3+) years of credentialing experience. - Required: Provider Credentialing - Preferred:

Litigation Legal Assistant

Greenwich, CT ยท On-site

$70K - $90K/yr

Education and Credentials: * Associate's degree or paralegal certificate preferred; equivalent experience considered. * Notary Public in CT/NY a plus. Ability to commute to Greenwich, CT office;

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Credentialing Associate information

See Hackensack, NJ salary details

$14

$26

$42

How much do credentialing associate jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for credentialing associate in Hackensack, NJ is $26.57, according to ZipRecruiter salary data. Most workers in this role earn between $20.96 and $30.14 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 Hackensack, NJ?

The most popular types of Credentialing jobs in Hackensack, NJ are:

What cities near Hackensack, NJ are hiring for Credentialing Associate jobs?

Cities near Hackensack, NJ with the most Credentialing Associate job openings:

Infographic showing various Credentialing Associate job openings in Hackensack, NJ as of August 2026, with employment types broken down into 1% As Needed, 65% Full Time, 31% Part Time, 2% Temporary, and 1% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $55,257 per year, or $26.6 per hour.

Provider Credentialing Specialist (Healthcare)

Ophthalmic Consultants Of Long Island

Garden City, NY โ€ข On-site

Other

This job post hasย expired 1 day ago.ย Applications are no longer accepted.


Job description

Provider Credentialing Specialist

Spectrum Vision Partners (SVP) and OCLI Vision work together to provide world-class eye care that improves lives. SVP, our management services organization, supports one of the nation's largest multi-specialty ophthalmology networks.

With nearly 1,400 employees, we support more than 50 ophthalmology clinics and five state-licensed ambulatory surgery centers across New York, New Jersey, Connecticut, Pennsylvania, and West Virginia. Our network includes more than 110 physicians, surgeons, and advanced practice providers delivering exceptional eye care to our patients.

We're looking for a detail-oriented Credentialing & Provider Enrollment Specialist to join our Central Business Office team. If you thrive in a fast-paced healthcare environment, enjoy managing complex processes, and have experience with provider credentialing and payer enrollment, we'd love to hear from you.

Job Summary

The Credentialing & Provider Enrollment Specialist is responsible for managing the full lifecycle of provider credentialing and enrollment to ensure providers are credentialed, enrolled, and reimbursable with commercial insurance plans, Medicare, Medicaid, and other payers.

This role partners closely with providers, practice leadership, payers, and internal departments to maintain compliance, prevent enrollment delays, and support uninterrupted patient care and revenue cycle operations.

What You'll Do
  • Manage provider credentialing, recredentialing, and enrollment with commercial, Medicare, Medicaid, and government payers.
  • Prepare, submit, and track credentialing and enrollment applications through approval.
  • Verify provider licenses, certifications, education, training, work history, malpractice coverage, and other required documentation.
  • Monitor expiration dates and coordinate timely renewals for licenses, certifications, DEA registrations, and payer participation.
  • Maintain accurate provider records within credentialing databases and internal systems.
  • Serve as the primary liaison between providers, insurance carriers, credentialing organizations, and internal departments.
  • Research and resolve credentialing and enrollment issues to minimize reimbursement delays.
  • Ensure compliance with NCQA, CMS, state regulations, and payer credentialing requirements.
  • Maintain organized documentation and audit-ready credentialing files.
  • Support provider onboarding by completing credentialing requirements prior to start dates.
  • Assist with special projects and process improvement initiatives as assigned.
Minimum Qualifications
  • High school diploma or equivalent required.
  • Associate's or Bachelor's degree in Healthcare Administration or a related field preferred.
  • Minimum 2 years of healthcare credentialing and provider enrollment experience.
  • Working knowledge of commercial insurance, Medicare, and Medicaid credentialing processes.
  • Proficiency with Microsoft Office, including Excel and Outlook.
  • Strong organizational skills with exceptional attention to detail.
  • Ability to prioritize multiple projects while meeting deadlines.
Preferred Qualifications
  • Experience within a Central Business Office (CBO) or multi-site healthcare organization.
  • Experience credentialing physicians, advanced practice providers, and ancillary providers.
  • Familiarity with CAQH, PECOS, NPPES, and payer portals.
  • Knowledge of NCQA, CMS, and state credentialing regulations.
  • Excellent customer service and communication skills.
Skills for Success
  • Provider Credentialing & Enrollment
  • CAQH, PECOS & NPPES Management
  • Medicare, Medicaid & Commercial Payer Enrollment
  • Credentialing Compliance
  • Documentation Management
  • Attention to Detail
  • Time Management
  • Problem Solving
  • Microsoft Office Suite
  • Relationship Building
  • Written & Verbal Communication
  • Multi-tasking in a Fast-Paced Environment