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Credentialing Specialist Jobs in Rio Rancho, NM (NOW HIRING)

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Credentialing Coordinator

Albuquerque, NM · On-site

$21 - $22/hr

Credentialing Coordinator Location: 9670 Eagle Ranch Rd, Albuquerque, New Mexico 87114 Employment Type: Full-Time Hourly Rate: $21 -$22 per hour Benefits: Medical, Dental, and Vision (with company ...

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Credentialing Coordinator

Albuquerque, NM · Remote

$22/hr

Credentialing Coordinator Location: 9670 Eagle Ranch Rd, Albuquerque, New Mexico 87114 Employment Type: Full-Time Hourly Rate: $21 -$22 per hour Benefits: Medical, Dental, and Vision (with company ...

Chenega Corporation

Badging Specialist

Albuquerque, NM · On-site

Badging Specialist Chenega Sentinel 360 is seeking a Badging Specialist to support visitor control and credentialing operations at a government facility in Albuquerque, NM. This role is responsible ...

U.S. Navy

OPERATIONS SPECIALIST

Albuquerque, NM · On-site

Professional credentials and certifications * College credit hours toward a bachelor's or associate ... Specialist. Serving part−time as a Navy Reserve Sailor, your duties will be carried out during ...

U.S. Navy

RETAIL SERVICES SPECIALIST

Albuquerque, NM · On-site

As a Retail Services Specialist, you'll learn very quickly just how important the comforts of home ... Professional credentials and certifications * College credit hours toward a bachelor's or associate ...

Giving Home Health Care

HR Specialist

Albuquerque, NM · On-site

The HR Specialist works under the direction of the Regional Human Resources Business Partner and is ... Monitor ongoing licensure, certifications, credentials, and other required documentation necessary ...

Giving Home Health Care

HR Specialist

Albuquerque, NM · On-site

$55K - $60K/yr

The HR Specialist works under the direction of the Regional Human Resources Business Partner and is ... Monitor ongoing licensure, certifications, credentials, and other required documentation necessary ...

Giving Home Health Care

HR Specialist

Albuquerque, NM

The HR Specialist works under the direction of the Regional Human Resources Business Partner and is ... Monitor ongoing licensure, certifications, credentials, and other required documentation necessary ...

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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 Aug 12, 2026, the average hourly pay for credentialing specialist in Rio Rancho, NM is $22.91, according to ZipRecruiter salary data. Most workers in this role earn between $18.08 and $26.01 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.

More about Credentialing Specialist jobs
What are the most commonly searched types of Credentialing Specialist jobs in Rio Rancho, NM? The most popular types of Credentialing Specialist jobs in Rio Rancho, NM are:
What are popular job titles related to Credentialing Specialist jobs in Rio Rancho, NM? For Credentialing Specialist jobs in Rio Rancho, NM, the most frequently searched job titles are:
What job categories do people searching Credentialing Specialist jobs in Rio Rancho, NM look for? The top searched job categories for Credentialing Specialist jobs in Rio Rancho, NM are:
What cities near Rio Rancho, NM are hiring for Credentialing Specialist jobs? Cities near Rio Rancho, NM with the most Credentialing Specialist job openings:
Credentialing Specialist jobs near you
Infographic showing various Credentialing Specialist job openings in Rio Rancho, NM as of August 2026, with employment types broken down into 69% Full Time, and 31% Part Time. Highlights an 100% In-person job distribution, with an average salary of $47,656 per year, or $22.9 per hour.

Medical Staff Credential Coordinator

Presbyterian Healthcare Services

Albuquerque, NM • On-site

$41K - $71K/yr

Full-time

Medical, Dental, Vision, Life

Re-posted 4 days ago

Presbyterian Healthcare Services rating

7.2

Company rating: 7.2 out of 10

Based on 164 frontline employees who took The Breakroom Quiz

349th of 887 rated healthcare providers

Job description

Location Address:
1100 Central Ave SEAlbuquerque, NM 87106-4930
Compensation Pay Range:
Minimum Offer $41,808.00Maximum Offer $71,156.80Now Hiring: Medical Staff Credential Coordinator
Summary:
Build your Career. Make a Difference. Presbyterian is hiring a skilled Medical Staff Credential Coordinator to support the Medical and Allied Health Staff credentialing/primary sourcing verification program by coordinating and developing internal processes in order to meet requirements of federal and state regulatory and national accreditation agencies. Monitors timeliness of processes and provides feedback and/or reports to the appropriate manager. Audits accuracy of data entry in the credentialing database and provides feedback to appropriate internal and external customers. This position requires in-depth knowledge of medical and allied health staff credentialing processes and requirements. Investigates issues of concern and conducts follow-up as needed, generates reports and presents findings to the Manager of Medical Staff Affairs (MSA) or Manager of Credentials Verification Organization (CVO). Serves as a subject matter expert to other PHS departments and facilities as it relates to the processing of initial and/or reappointment applications and/or privileging.Type of Opportunity: Full timeJob Exempt: YesJob is based: Presbyterian HospitalWork Shift: Days (United States of America)
Responsibilities:
This person will be responsible for assigned duties and responsibilities to ensure compliance with the Medical Staff Bylaws, Rules/Regulations and/ or the daily work flow of the CVO. Works with the appropriate manager in the development of policies and procedures to meet regulatory and accreditation requirements. Manages special projects as assigned
  • Assists the Medical Director Department leadership in managing activities to ensure a coordinated effort to fulfill departmental responsibilities within its long-range plans and goals
  • Exercises discretion and independent judgment involving the comparison and the evaluation of possible courses of action related to meeting primary source verification and credentialing requirements. Acts or reaches decisions independently after the various possibilities have been considered. * Investigates discrepancies in data submittal related to applications and privileging and formulates appropriate course of action.
  • Provides excellent customer service by responding to provider, client, and customer inquiries within specified timeframes, as required by the department
  • Maintains statistical information relative to the department s quality indicators
  • Responsible for orientation/training of new and current employees as it relates to departmental procedures, credentialing database, and daily work
  • Serves as a subject matter expert on appropriate national accreditation agencies and federal/state regulations pertaining to required credentialing processes
  • Maintains knowledge base of appropriate national accrediting agencies

Qualifications:
  • Associate s Degree/Diploma in medical staff services studies, or a related field preferred.
  • Three to five years experience in medical staff affairs/credentialing, credentials verification organization, or related field preferred.
  • Public relation skills required in order to be effective and behave in a professional manner when dealing with practitioners and customers.
  • Requires excellent time management and organizational skills in order to handle multiple projects simultaneously.
  • Certification or eligibility for certification as a Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) preferred.

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.
Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services

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About Presbyterian Healthcare Services

Sourced by ZipRecruiter

Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1,600 providers and nearly 4,700 nurses.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Albuquerque, NM, US

Year founded

1908

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