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Credentialing Coordinator Jobs in Boca Raton, FL

Brightwing

Credentialing Specialist

Davie, FL · On-site

The Credentialing Specialist is responsible for credentialing and re-credentialing of practitioners as well as ensuring enrollment with participating client health plans. Credentialing functions ...

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Credentialing Coordinator information

See Boca Raton, FL salary details

$15

$22

$30

How much do credentialing coordinator jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for credentialing coordinator in Boca Raton, FL is $22.16, according to ZipRecruiter salary data. Most workers in this role earn between $18.41 and $25.72 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 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 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.

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.

How much does a credentialing coordinator make?

The average salary for a credentialing coordinator in Florida is approximately $45,000 to $55,000 per year, depending on experience, certifications, and the employer. Salaries can vary based on the healthcare setting and the complexity of credentialing tasks involved.
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Credentialing Coordinator jobs near you

Credentialing Specialist

PRM Management Company LLC

West Palm Beach, FL • Remote

$24 - $28/hr

Full-time

Medical, Dental, Vision, PTO

Re-posted 21 days ago

Job description

Description

Pelvic Rehabilitation Medicine is a physician-led specialty health care organization whose core business is to provide evidence-based, individualized treatment services for those suffering with chronic pelvic pain. Approximately 15-25% of men and women suffer from pelvic discomfort. In the US chronic pelvic pain impacts 28 million women and is projected to grow to 43.6 million by 2050 according to the NICHD.

Persistent pelvic pain is often overlooked, untreated, and misguided. At PRM, our mission is to decrease the time patients are suffering from pelvic pain symptoms. Pelvic Rehabilitation Medicine has positioned itself at the center of the pelvic pain ecosystem. We are nationally recognized experts dedicated to reducing the number of people suffering from this affliction. Our unique outpatient, non-operative, minimally invasive ultrasound-guided approach to the pelvis is the first of its kind in the country. Our team focuses on diagnosing and treating chronic pelvic pain in women and men with a procedure that is safe, effective, and more comfortable than what has been offered by pelvic pain providers in the past.

Pelvic Rehabilitation Medicine was formed in 2017 and is headquartered in West Palm Beach, FL. Since its inception PRM has experienced rapid growth and routinely attracts patients from across the US and internationally. Pelvic Rehabilitation Medicine's fast-paced success has garnered the attention of the investment community positioning it to expand into new markets.

JOB TITLE: Credentialing Specialist 

LOCATION: Remote- This is a remote opportunity; candidates must reside in the US.

DEPARTMENT: Operations

SALARY: $55-60K annually

BENEFITS: Health, Vision and Dental, Paid holiday and PTO, FSA, High-income potential, etc.

ROLE OVERVIEW: 

PRM is seeking a detail-oriented and highly organized individual to join our team as a Credentialing Specialist. In this role, you will be responsible for reviewing and processing applications for provider privileges, ensuring compliance with stringent deadlines. You will analyze provider credentialing files for completeness and accuracy while addressing any issues or changes that may arise. Additionally, you will respond to inquiries from providers through various communication channels and administer the re-credentialing process for Physicians and CRNAs while adhering to HIPAA regulations. The ideal candidate will have a minimum of 2 years of experience in provider credentialing, along with proficiency in credentialing/enrollment software. Strong communication skills are essential, as you will engage with multiple stakeholders across different organizations. The ability to thrive in a fast-paced, high-volume environment while utilizing problem-solving, critical thinking, and analytical skills is crucial for success in this position. You will also have the opportunity to assist with special projects and process redesign initiatives as requested.

JOB RESPONSBILITIES:

  • Reviews and processes applications for provider privileges
  • Focuses on follow-up, follow through and achievement of stringent deadlines
  • Reviews and analyzes provider credentialing file for completeness, accuracy, issues, and changes
  • Responds to provider inquiries received by letter, phone, or internal departments
  • Administers re-credentialing of Physicians and CRNAs
  • Complies with HIPAA regulations
  • Assists with other special projects and process redesign initiatives as requested

Requirements

REQUIRED QUALIFICATIONS:

  • High School Diploma required; Bachelor's Degree preferred
  • Minimum 2+ years' experience in provider credentialing
  • Previous experience with provider credentialing/enrollment software 
  • Proficient in Microsoft Office suite
  • Highly effective communicator with the ability to engage multiple stakeholders in various organizations
  • Must be able to work well under pressure in a very fast-paced, high-volume environment
  • Possess strong problem solving, critical thinking and analytical skills

At Pelvic Rehabilitation Medicine, we value, welcome, appreciate, and celebrate differences. PRM is proud to be an equal opportunity employer. Employment at PRM is based solely on a person's qualifications directly related to professional competence. We do not discriminate based on race, color, ancestry, national origin, religion, or religious creed, mental or physical disability, medical condition, genetic information, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity, gender expression, age, marital status, military or veteran status, citizenship, or other characteristics protected by state or federal law or local ordinance.

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