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Credentialing Consultant information

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How much do credentialing consultant jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for credentialing consultant in the United States is $24.36, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $27.64 per hour, depending on experience, location, and employer.

What is a credentialing consultant?

Credentialing Consultants are professionals who assist healthcare organizations and providers in verifying and maintaining the necessary credentials, licenses, and certifications required to provide medical services. They ensure compliance with regulatory standards and help navigate the complex credentialing process with insurance companies, hospitals, and other medical entities. Their role is crucial in preventing administrative delays, reducing risk, and supporting providers in maintaining up-to-date qualifications.

What are some common challenges a credentialing consultant faces when onboarding new healthcare providers?

Credentialing Consultants often encounter challenges such as managing tight deadlines, gathering complex or incomplete documentation from providers, and keeping up with the evolving requirements of various insurance payers and regulatory bodies. Clear communication and organization are essential, as consultants must frequently coordinate among providers, healthcare organizations, and credentialing entities. Staying updated on changing industry standards and maintaining meticulous attention to detail help ensure a smooth onboarding process and compliance with all necessary regulations.

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

To thrive as a Credentialing Consultant, you need a strong understanding of healthcare credentialing processes, regulatory requirements, and attention to detail, typically supported by a background in healthcare administration or related certification (such as CPCS or CPMSM). Familiarity with credentialing software, databases, and compliance management systems is essential. Excellent organizational skills, effective communication, and problem-solving abilities are crucial soft skills for managing complex documentation and liaising with multiple stakeholders. These competencies ensure accurate provider onboarding, regulatory compliance, and the smooth operation of healthcare organizations.

What is the difference between Credentialing Consultant vs Credentialing Specialist?

AspectCredentialing ConsultantCredentialing Specialist
Required CredentialsCertifications in healthcare compliance, healthcare administration, or related fields; experience in credentialing processesCertifications in healthcare administration or credentialing; familiarity with credentialing software
Work EnvironmentConsulting firms, healthcare organizations, or as independent consultantsHospitals, clinics, insurance companies, or healthcare provider offices
Employer & Industry UsageUsed by organizations seeking external expertise or project-based supportUsed internally within healthcare facilities for ongoing credentialing tasks

While both roles focus on credentialing processes, Credentialing Consultants typically provide expert advice and project-based support externally, whereas Credentialing Specialists handle daily credentialing tasks within healthcare organizations. The roles overlap in required credentials and work environment but differ mainly in scope and employment setting.

Is credentialing a hard job?

Credentialing consultants are responsible for verifying healthcare providers' qualifications and ensuring compliance with licensing and accreditation standards. The job requires attention to detail, organizational skills, and knowledge of industry regulations, which can make it challenging but manageable with experience. It often involves working with multiple stakeholders and managing complex documentation processes.
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What are popular job titles related to Credentialing Consultant jobs?

For Credentialing Consultant jobs, the most frequently searched job titles are:

Credentialing Consultant jobs near you
Infographic showing various Credentialing Consultant job openings in the United States as of September 2026, with employment types broken down into 1% Locum Tenens, 1% As Needed, 90% Full Time, 6% Part Time, and 2% Contract. Highlights an 68% Physical, 3% Hybrid, and 29% Remote job distribution, with an average salary of $50,665 per year, or $24.4 per hour.

Credentialing Coordinator

Farmers Branch, TX • On-site

ASK Consulting
See more jobs at ASK Consultingexternal

$18.45/hr

Full-time

Posted 4 days ago

Job description

Description
Job Title: Credentialing Coordinator
Location: Open for Remote but preferring local candidate - Farmers Branch, TX
Duration: 3 months
Pay rate is $18.45/hr. on W2
Position Summary:
The Credentialing Coordinator is responsible for ensuring all providers meet required qualifications and receive approval to participate in client health plans.
This role plays a critical part in maintaining compliance with credentialing standards and works closely with internal teams to support timely provider onboarding.
The Credentialing Coordinator will maintain strong cross-functional relationships with Recruiting, Production, and Education teams and will report directly to the Manager of Credentialing.
Key Responsibilities
Review and monitor provider credentialing files to ensure completeness, accuracy, and compliance with quality standards, accreditation requirements, and organizational policies.
Enter, update, and maintain provider data in the credentialing database, ensuring accuracy and adherence to defined data field requirements and internal procedures.
Prepare, issue, electronically track, and follow up on required credentialing verifications to support efficient, high-volume application processing.
Ensure all credentialing activities are completed in accordance with applicable credentialing standards, established guidelines, and strict turnaround timelines.
Proactively follow up with payers to confirm application receipt, track revalidations through approval, and resolve requests for additional information (RFIs).
Communicate clearly and professionally with providers, internal and external clients, payers, and client staff regarding day-to-day credentialing matters.
Prepare and provide credentialing-related information to internal and external stakeholders as needed.
Assist with special projects and additional duties on an as-needed basis.
Preferred Qualifications
Experience with CAQH
Experience using MD-Staff
Proficiency with Google Workspace (G Suite)
Experience with Medicaid and Medicare credentialing processes

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