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Credentialing Specialist Jobs in Lakeland, FL (NOW HIRING)

Armada Ltd

Credentialing Specialists

Tampa, FL

Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through ...

CICONIX, LLC

Medical Care Specialist

Tampa, FL · On-site

Medical Care Specialist About CICONIX: CICONIX LLC is a Veteran Owned Small Business specializing ... Must be a board-certified medical professional and have current, acceptable credentials for a ...

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Credentialing Specialist information

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$12

$22

$36

How much do credentialing specialist jobs pay per hour?

As of May 27, 2026, the average hourly pay for credentialing specialist in Lakeland, FL is $22.71, according to ZipRecruiter salary data. Most workers in this role earn between $17.93 and $25.77 per hour, depending on experience, location, and employer.

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

To thrive as a Credentialing Specialist, you need a strong understanding of credentialing processes, attention to detail, and familiarity with healthcare regulations, typically supported by a relevant associate’s or bachelor’s degree. Proficiency with credentialing software, databases, and document management systems is commonly required, along with knowledge of standards such as NCQA or Joint Commission. Exceptional organizational skills, effective communication, and the ability to manage deadlines help professionals excel in this role. These competencies ensure accurate provider verification and compliance, which are critical for patient safety and institutional accreditation.

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.

What are Credentialing Specialists?

Credentialing Specialists are professionals responsible for verifying the qualifications and backgrounds of healthcare providers and ensuring they meet the standards required by hospitals, insurance companies, and regulatory bodies. They collect, review, and process documentation such as licenses, certifications, education, and work history. Their work ensures that only properly qualified professionals are allowed to provide care, helping maintain patient safety and organizational compliance. Credentialing Specialists often work in healthcare facilities, insurance companies, or third-party credentialing organizations.

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.

More about Credentialing Specialist jobs
What are the most commonly searched types of Credentialing Specialist jobs in Lakeland, FL? The most popular types of Credentialing Specialist jobs in Lakeland, FL are:
What are popular job titles related to Credentialing Specialist jobs in Lakeland, FL? For Credentialing Specialist jobs in Lakeland, FL, the most frequently searched job titles are:
What job categories do people searching Credentialing Specialist jobs in Lakeland, FL look for? The top searched job categories for Credentialing Specialist jobs in Lakeland, FL are:
What cities near Lakeland, FL are hiring for Credentialing Specialist jobs? Cities near Lakeland, FL with the most Credentialing Specialist job openings:
Credentialing Specialist jobs near you
Infographic showing various Credentialing Specialist job openings in Lakeland, FL as of May 2026, with employment types broken down into 84% Full Time, and 16% Part Time. Highlights an 95% In-person, and 5% Remote job distribution, with an average salary of $47,231 per year, or $22.7 per hour.
Credentialing Specialist

Credentialing Specialist

Healthcare Support Staffing

Tampa, FL • Remote

Full-time

Medical, Dental, Vision

Posted 20 days ago

Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Are you an experienced Credentialing Specialist looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the position for you!

Daily Responsibilities of a Credentialing Specialist:

  • Review new applications and supporting documents in a virtual environment and apply policy and criteria required for credentialing processing.
  • Perform all required primary source verifications.
  • Contact hospitals. licensing agencies. malpractice carriers. and medical schools to obtain credentialing verifications.

Hours for this Credentialing Specialist Position:

Mon-Fri 8am-5pm

Qualifications

Requirements:

  • 1 - 3 years of previous experience as a Credentialing Specialist
  • Knowledge of credentialing regulatory and accreditation requirements 
  • Insurance verification experience can be considered
  • Computer proficiency (Microsoft Word, Excel, Outlook)
Additional Information

Advantages of this Opportunity:

  • Competitive salary, negotiable based on relevant experience
  • Benefits offered, Medical, Dental, and Vision
  • Fun and positive work environment

Interested in being considered?

If you are interested in being considered for this Credentialing Specialist position, please click the apply button. Phone screens are being held immediately!

Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

Social media

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