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Credentialing Specialist Jobs (NOW HIRING)

TeleMed2U

Credentialing Specialist

Austin, TX · Remote

$21 - $30/hr

Credentialing Specialist I, II, III Location: Austin, Texas or Remote Reports To: Credentialing Manager FLSA Status : Non-Exempt Employment Type : Full-Time Salary Range : $21-$30 per hour The ...

Sunbelt Healthcare

Credentialing Specialist

Tucson, AZ · On-site

The Credentialing Specialist position requires an organized individual with good time management skills and related industry experience, (both facility and clinic credentialing / privileging). The ...

ASM Global

Credentialing Specialist

New Orleans, LA · On-site

Credentialing Specialist Department: Human Resources Reports To: Human Resources Manager (or designated department leader) Position Summary: The Credentialing Specialist is responsible for managing ...

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How much do credentialing specialist jobs pay per hour?

As of Aug 4, 2026, the average hourly pay for credentialing specialist 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 typical challenges a credentialing specialist faces when coordinating with healthcare providers and insurance companies?

Credentialing Specialists often encounter challenges such as managing incomplete or inconsistent provider documentation, meeting strict deadlines, and navigating varying requirements from different insurance companies or healthcare facilities. Effective communication and organizational skills are essential, as the role requires frequent follow-up with providers and close coordination with multiple internal departments. Staying updated on regulatory changes and ensuring all files remain compliant can also be demanding but is critical for maintaining smooth healthcare operations.

Is credentialing a hard job?

Credentialing specialists are responsible for verifying healthcare providers' qualifications and licenses, which requires attention to detail, organization, and knowledge of regulations. The job can be challenging due to the need for accuracy, managing multiple cases, and meeting deadlines, but it is generally manageable with proper training and experience.

What is a credentialing specialist?

Credentialing specialists verify the qualifications of the staff in healthcare organizations for healthcare organizations. This verification process ensures that doctors and other medical professionals provide accurate education and work histories, and confirms that they meet all local and federal licensing and regulation requirements before they are hired or contracted with a medical facility. Credentialing specialists are part of an organization's administrative staff; they review medical policies, process contracts, and facilitate audit reports to validate that certified medical professionals comply with credentialing procedures. They also update medical databases with information about a physician’s training or license and document when credentials must be renewed.

What is the difference between Credentialing Specialist vs Medical Biller?

AspectCredentialing SpecialistMedical Biller
Required CredentialsCertification in healthcare credentialing, knowledge of insurance and provider databasesCertification in medical billing, coding, or related areas often preferred
Work EnvironmentHealthcare facilities, insurance companies, or credentialing agenciesMedical offices, billing companies, healthcare providers
Employer & Industry UsageUsed in healthcare to verify provider credentials for insurance and licensingUsed in healthcare to process and submit medical claims for reimbursement

The Credentialing Specialist focuses on verifying healthcare providers' credentials to ensure compliance and eligibility, while the Medical Biller handles billing and claims processing for healthcare services. Both roles are essential in healthcare administration but serve different functions within the industry.

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Credentialing Specialist jobs near you
Infographic showing various Credentialing Specialist job openings in the United States as of July 2026, with employment types broken down into 6% Locum Tenens, 1% As Needed, 56% Full Time, 12% Part Time, and 25% Contract. 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 Specialist

TeleMed2U

Austin, TX • Remote

$21 - $30/hr

Other

Posted 21 days ago

Job description

Job Title: Credentialing Specialist I, II, III 
Location: Austin, Texas or Remote 
Reports To: Credentialing Manager
FLSA Status: Non-Exempt  
Employment Type: Full-Time
Salary Range: $21-$30 per hour

The primary role of this position is to assist physicians and support the Credentialing team with preparing and submitting credentialing, enrollment, recredentialing applications and follow up on the status of applications for Physicians and Payers and keep a detailed log of all tasks. The Credentialing Specialist will be responsible for supporting all aspects of credentialing and recredentialing and any other administration duties assigned by management. 

Credentialing Specialist I: 

  • Supports the TeleMed2U Provider Network's credentialing process for all TeleMed2U clinical providers, in accordance with NCQA, URAC, Joint Commission and CMS accreditation standards, Federal and State laws, and TeleMed2U's policies. 
  • Assists with the management of TeleMed2U Provider Network's credentialing applications, to ensure distribution, receipt, processing, and timely management through our credentialing process. 
  • Ensures all credentialing and enrollment applications accuracy prior to submission 
  • Monitors provider enrollment application status, follow up with the payors 
  • Manage CAQH profiles for TeleMed2U's Provider Network. 
  • Prepare and submit rosters to health insurance plans to ensure provider participation. 
  • Update various databases to ensure proper tracking of payor enrollments, credentialing and update requests. 
  • Maintain necessary records of outstanding enrollment applications and requests. 
  • Coordinate all managed care credentialing activities to ensure provider participation status. 
  • Credentialing activities require substantial contact with outside agencies 
  • Maintain Credentialing database. 
  • Follow-up with managed care companies to ensure expedient credentialing. 
  • Remains current on policies affecting provider enrollment credentials & delegated clients/payers.  

Credentialing Specialist II: 

  • All Credentialing Specialist I responsibilities 
  • Serve as a liaison for training new team members 
  • Identify conflicting or questionable information while processing applications and 

highlight sensitive information for committee members 

Credentialing Specialist III: 

  • All Credentialing Specialist I and II responsibilities 
  • Acts a mentor to other Credentialing Specialist 
  • Provides support and assistance within the department 
  • Leads with minimal supervision 
  • Prepare specialized reports as requested, including analysis and presentation findings. 
  • Other duties as assigned 

 Required 

Credentialing Specialist I 

  • Credentialing experience 
  • High School Diploma or equivalent 

Credentialing Specialist II 

  • 3 years of experience in credentialing  
  • 1 year minimum healthcare experience 
  • High school diploma or equivalent 

Credentialing Specialist III 

  • Credentialing Specialist II w/ TeleMed2U min 1 year  
  • 4 years experience minimum in Credentialing and/or Licensing.  
  • Top performer at current level, who has demonstrated proficiency in all areas of Credentialing. 
  • Excellent verbal and written communication skills 
  • Ability to multitask and work independently 
  • Excellent attention to detail 
  • Experience with state licensure application submission process for multiple states 
  • High school diploma required/GED 

Preferred 

  • Medicare and Medicaid enrollment experience preferred 
  • Bachelor's degree preferred 
  • 1-3 years of experience in licensing, payor enrollment and credentialing preferred 

Physical Requirements 

  • Prolonged periods of desk work and computer use 
  • Ability to lift 15 lbs 

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