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Credentialing Coordinator Jobs (NOW HIRING)

VIVA Health

Credentialing Coordinator

Birmingham, AL · On-site

Credentialing Coordinator Location: Birmingham, AL Work Schedule: Hybrid - after a 5-6 month training period that will be completed 100% onsite at our downtown Birmingham office, this position can ...

Viva Health

Credentialing Coordinator

Birmingham, AL · On-site

Credentialing Coordinator Location: Birmingham, AL Work Schedule: Hybrid - after a 5-6 month training period that will be completed 100% onsite at our downtown Birmingham office, this position can ...

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How much do credentialing coordinator jobs pay per hour?

As of Jun 14, 2026, the average hourly pay for credentialing coordinator in the United States is $23.42, according to ZipRecruiter salary data. Most workers in this role earn between $19.47 and $27.16 per hour, depending on experience, location, and employer.

What Is a Credentialing Coordinator?

A credentialing coordinator ensures that all employees at a medical center, hospital, or other healthcare facility have the proper certification, license, or credential to practice. In this career, you make sure that, for example, a physician is board-certified and legally able to practice medicine at the facility. You act as a conduit between a healthcare provider and medical staff and administrators to verify legal compliance and to maintain accurate records of all staff. Your duties and responsibilities also include answering questions from staff, providers, and customers about the credentialing process and what credentials staff members possess.

What are Credentialing Coordinators?

Credentialing Coordinators are professionals responsible for managing and verifying the credentials of healthcare providers within medical organizations. They ensure that doctors, nurses, and other practitioners meet required qualifications and comply with state, federal, and organizational regulations. Their duties include gathering and reviewing licenses, certifications, education, and work history, as well as maintaining up-to-date records and liaising with licensing boards and insurance companies. This role is essential for maintaining compliance, reducing risks, and ensuring patient safety within healthcare facilities.

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

To thrive as a Credentialing Coordinator, you need strong organizational skills, attention to detail, and knowledge of credentialing standards, often supported by a relevant associate's or bachelor's degree. Proficiency with credentialing management software, databases, and understanding of regulations such as NCQA or Joint Commission standards is typically required. Excellent communication, problem-solving abilities, and the capacity to multitask help you effectively coordinate with providers and regulatory bodies. These skills ensure accurate credentialing processes, regulatory compliance, and smooth onboarding of healthcare professionals.

What is the difference between Credentialing Coordinator vs Credentialing Specialist?

AspectCredentialing CoordinatorCredentialing Specialist
CertificationsTypically requires certifications like Certified Provider Credentialing Specialist (CPCS)Often holds similar certifications, such as CPCS or Certified Medical Staff Coordinator (CMSC)
Work EnvironmentWorks in healthcare facilities, insurance companies, or credentialing firmsSimilar settings, focusing on provider credentialing and verification
Job ResponsibilitiesManages provider credentialing, maintains databases, ensures compliancePerforms credential verification, updates provider records, processes applications

Both roles involve credential verification and compliance within healthcare organizations. The main difference lies in job scope and specific responsibilities, with Credentialing Coordinators often overseeing broader credentialing processes and team coordination, while Credentialing Specialists focus more on verification and data entry tasks.

What are some common challenges faced by Credentialing Coordinators, and how can they be managed effectively?

Credentialing Coordinators often encounter challenges such as managing tight deadlines, ensuring accuracy with large volumes of provider data, and navigating complex regulatory requirements. Staying organized by using credentialing software and maintaining detailed checklists can help manage these tasks efficiently. Clear communication with healthcare providers and other departments is also essential to address missing information or resolve discrepancies promptly. Proactively keeping up with changing regulations and payer requirements can further minimize delays and promote a smooth credentialing process.
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Credentialing Coordinator jobs near you
Infographic showing various Credentialing Coordinator job openings in the United States as of June 2026, with employment types broken down into 20% Locum Tenens, 2% As Needed, 58% Full Time, 15% Part Time, 2% Temporary, and 3% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $48,722 per year, or $23.4 per hour.
Credentialing Coordinator

Credentialing Coordinator

Independent Living Systems

Miami, FL • On-site

Full-time

Posted 8 days ago

Independent Living Systems rating

6.5

Company rating: 6.5 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

We are seeking a Credentialing Coordinator to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

About the Role:

The Credentialing Coordinator plays an essential role in ensuring that all provider partners within the organization’s contracted networks meet the necessary professional and regulatory standards to deliver safe and effective care. The Credentialing Coordinator is responsible for handling the credentialing process from application through verification, re-credentialing, and ongoing monitoring, ensuring compliance with internal policies and external regulatory requirements. The Credentialing Coordinator collaborates closely with healthcare providers, administrative teams, and regulatory bodies to maintain accurate and up-to-date credentialing records. By maintaining rigorous credentialing standards, the Credentialing Coordinator supports the organization's commitment to quality member care and risk management. Ultimately, the Credentialing Coordinator ensures that all contracted providers are properly qualified and authorized to provide health and social care services, thereby safeguarding the organization's reputation and operational integrity.

Minimum Qualifications:

  • Associate’s degree or equivalent experience in healthcare administration, business, or a related field.
  • 1 years of experience in credentialing or a related administrative role within a healthcare setting.
  • Strong knowledge of healthcare credentialing standards, regulatory requirements, and accreditation processes.
  • Proficiency with credentialing software and Microsoft Office Suite.
  • Relevant experience may substitute for educational requirement on a year-for-year basis.

Preferred Qualifications:

  • Bachelor’s degree in healthcare administration, business, or a related discipline.
  • Certification in credentialing such as Certified Provider Credentialing Specialist (CPCS) or equivalent.
  • Experience working with electronic health records (EHR) systems and healthcare compliance software.
  • Familiarity with state and federal healthcare regulations including NCQA, URAC, and The Joint Commission standards.

Responsibilities:

  • Administer the end-to-end credentialing and re-credentialing process for contracted providers, including collecting, verifying, and maintaining documentation of qualifications, licenses, certifications, and work history.
  • Coordinate with providers, licensing boards, and third-party verification services to ensure timely and accurate credentialing information.
  • Maintain and update credentialing databases and records to ensure compliance with organizational policies and regulatory standards.
  • Prepare and submit credentialing reports and documentation for internal audits and external regulatory reviews.
  • Collaborate with various departments and internal teams to support credentialing-related initiatives and resolve any discrepancies or issues.