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The C&P Program Manager provides Credentialing Management for the Air National Guard Centralized Credentialing and Privileging Program Management Services at Joint Base Andrews. The Program Manager ...

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The C&P Program Manager provides Credentialing Management for the Air National Guard Centralized Credentialing and Privileging Program Management Services at Joint Base Andrews. The Program Manager ...

Orlando Health

Credentialing Specialist

Orlando, FL · On-site

Initial Credentialing (Hospital Level -Medical Staff Credentialing and Privileging)** At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help ...

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How much do credentialing privileging jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for credentialing privileging 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 are some common challenges faced by professionals in credentialing and privileging roles, and how can they be managed?

Professionals in credentialing and privileging often encounter challenges such as managing complex documentation requirements, navigating varying state and facility regulations, and ensuring timely verification of provider credentials. Keeping up with frequent changes in healthcare compliance standards and maintaining accurate, up-to-date records can also be demanding. These challenges can be managed by utilizing credentialing software, staying informed about regulatory updates, and fostering strong communication with providers and medical staff to streamline the process and prevent delays.

What is the difference between Credentialing Privileging vs Credentialing Privileging?

AspectCredentialing Privileging

Since the question compares the same job title, Credentialing Privileging, there is no difference between the two terms. Credentialing Privileging involves verifying healthcare providers' qualifications and granting specific clinical privileges within a healthcare organization. It is essential for ensuring provider competence and compliance with industry standards. Both terms are often used interchangeably in healthcare settings to describe the process of credentialing providers and granting privileges to perform certain procedures or services.

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

To thrive as a Credentialing and Privileging Specialist, you need a strong understanding of healthcare compliance, credential verification, and regulatory requirements, often supported by a background in healthcare administration or a related field. Familiarity with credentialing software, databases like CAQH, and knowledge of accreditation standards such as The Joint Commission are typically required. Excellent attention to detail, organizational skills, and effective communication are critical soft skills for ensuring accuracy and timely processing. These skills ensure that healthcare providers are properly vetted, reducing organizational risk and maintaining high standards of patient care.

What are credentialing and privileging?

Credentialing and privileging are processes used in healthcare organizations to ensure that medical professionals have the necessary qualifications and authority to provide specific patient care services. Credentialing involves verifying a provider’s education, training, licensure, and work history. Privileging is the process of authorizing a healthcare professional to perform specific procedures or services based on their credentials and demonstrated competence. These steps help ensure patient safety and compliance with regulatory standards.
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Credentialing Privileging jobs near you
Infographic showing various Credentialing Privileging job openings in the United States as of June 2026, with employment types broken down into 14% Locum Tenens, 64% Full Time, 17% Part Time, 1% Temporary, 3% Contract, and 1% Summer. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $50,665 per year, or $24.4 per hour.
Credentialing & Privileging Specialist

Credentialing & Privileging Specialist

People's Community Clinic

Austin, TX • On-site

$21 - $26/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 27 days ago

Job description

Overview
Supports the mission of People's Community Clinic by coordinating all aspects of the credentialing and/or re-credentialing process, as well as changes in privileges/specialty or demographic information for health care professionals practicing with People's Community Clinic health centers. This position ensures health care professionals are appropriately credentialed and have privileges, including ongoing maintenance and verification of current information on file and within the credentialing database, and other duties required to maintain compliance with regulatory agencies and People's Community Clinic policies and procedures.
Location: 1101 Camino La Costa, Austin, Texas, 78752
Compensation: $21.00- $26.00 per hour based on experience and qualifications
Responsibilities
Under the supervision of the Clinical Quality & Risk Management Director, this individual's primary responsibilities include:
Internal Credentialing & Privileging:
  • Reviews, screens, and completes initial credentialing and/or re-credentialing, and additional privilege request applications for completeness, accuracy, and compliance with federal, state, local, and People's Community Clinic policies and procedures.
  • Perform and collect primary source verifications (PSV) of all credentialing elements and validate the information for accuracy.
  • Maintain credentialing and privileging files for all licensed and certified staff in compliance with Federal Tort Claims Act (FTCA) requirements.
  • Maintain and enter new applications in the credentialing database.
  • Work with the Chief Medical Officer to process applications for appointment and reappointment of privileges.
  • Track expirations and maintain current copies of licenses, certifications, DEA, board certifications, CPR training, and professional liability.
  • Provide consistent and timely follow-up on all outstanding credentialing/re-credentialing files.
  • Report issues in a timely manner to the Clinical Quality & Risk Management Director and the Chief Medical Officer, as necessary, for decision-making in accordance with credentialing and privileging policies.
  • Conduct required National Databank and OIG searches for new and current providers and coordinate with human resources for completion of required criminal background checks.
  • Identify opportunities to improve workflow, work processes, and patient care, and work cooperatively to implement those improvements.
  • Assist with the development and revision of relevant policies and procedures.

Other Job Responsibilities:
  • Responsible for the monthly ongoing monitoring of licenses and sanctions.
  • Respond to emails timely and effectively.
  • Provide support to physicians, physician office staff, and company departments as necessary.
  • Responsible for ensuring practitioners' credentials are sent to the third-party payor enrollment contractor.
  • Prepare and maintain credentialing files and reports for all individual providers, including maintenance of credentialing software, provider rosters, and spreadsheets to comply with group delegation requirements, as required.
  • Answer questions, process requests from staff/providers related to credentialing information, and provide support as needed in all aspects of the credentialing process.

HIPAA:
  • Adhere to HIPAA guidelines.

Qualifications
Education:
  • High School Diploma/GED
  • Bachelor's or associate degree from an accredited college/university with a major in a related field may substitute for two years of the required experience.

Experience:
  • Two years of relevant credentialing experience; FQHC experience is a plus.

Knowledge, Skills, and Abilities:
  • Knowledge and understanding of the credentialing process.
  • Ability to organize and prioritize work and manage multiple priorities.
  • Excellent verbal and written communication skills, including letters, memos, and emails.
  • Excellent attention to detail.
  • Strong organizational, problem-solving, and critical thinking skills, and proactively prioritizes needs and effectively manages resources.
  • Ability to work independently with minimal supervision.
  • Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
  • Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources.
  • Ability to function effectively in a remote work environment.

Certification/Licensure:
  • Certified Provider Credentialing Specialist (CPCS) within the first 3 years of employment if not already certified upon hire.

Our Benefits Include:
  • 18 PTO days per year & 11 paid holidays
  • Major Medical Health Insurance Coverage. Most employees experience $0 in out-of-pocket medical expenses.
  • Dental & Vision
  • Flexible Spending Accounts
  • Employer-paid Life Insurance
  • Employer-paid Short-Term and Long-Term Disability
  • Annual Training
  • 403(b) with 5% employer matching

People's Community Clinic is committed to equal employment opportunity regardless of race, color, national origin, religion, gender, sexual orientation, age, language, disability, pregnancy, gender identity or sex stereotyping.

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