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Credentialing Team Lead Jobs (NOW HIRING)

BetterHelp

Associate Credentialing Team Lead

OR · On-site +1

The Associate Team Lead, Credentialing Committee is responsible for coordinating and supporting the organization's credentialing committee operations for flagged provider credentialing and ...

Network Temp Inc

Credentialing Specialist

Manhattan, NY · On-site

$30 - $32/hr

Performs other related tasks as directed by the Deputy Chief Operating Officer or her designee, the Credentialing Director or Credentialing Team Lead. Required Education, Training & Professional ...

Network Temp Inc

Credentialing Specialist

Manhattan, NY

$30 - $32/hr

... Team Lead. Required Education, Training & Professional Experience High school Degree required; Bachelor's Degree preferred 2 years of previous experience with provider credentialing processes and ...

UCLA Health

Credentialing Manager

Los Angeles, CA · On-site

$80K - $168K/yr

Lead, develop, and manage the Credentialing team, including hiring, training, performance management, and goal setting. * Oversee end-to-end credentialing and recredentialing operations, including ...

Aspirion

Manager, Credentialing

Las Vegas, NV · On-site

Lead and support the implementation of new credentialing processes, payer requirements, systems, and client initiatives. * Conduct regular one-on-one meetings, team meetings, coaching sessions, and ...

Aspirion

Manager, Credentialing

Las Vegas, NV · On-site

$70K - $85K/yr

Lead and support the implementation of new credentialing processes, payer requirements, systems, and client initiatives. * Conduct regular one-on-one meetings, team meetings, coaching sessions, and ...

Aspirion

Manager, Credentialing

Las Vegas, NV · On-site

Lead and support the implementation of new credentialing processes, payer requirements, systems, and client initiatives. * Conduct regular one-on-one meetings, team meetings, coaching sessions, and ...

Aspirion

Manager, Credentialing

Las Vegas, NV · On-site

Lead and support the implementation of new credentialing processes, payer requirements, systems, and client initiatives. * Conduct regular one-on-one meetings, team meetings, coaching sessions, and ...

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Credentialing Team Lead information

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$16

$25

$42

How much do credentialing team lead jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for credentialing team lead in the United States is $25.42, according to ZipRecruiter salary data. Most workers in this role earn between $19.47 and $28.61 per hour, depending on experience, location, and employer.

What is a credentialing team lead?

Credentialing Team Leads are professionals who oversee the credentialing process within healthcare organizations, ensuring that medical staff and providers meet all required qualifications and standards. They supervise credentialing specialists, review applications, verify credentials, and maintain compliance with accreditation and regulatory requirements. Their role is crucial in maintaining patient safety and organizational integrity by ensuring only qualified providers are allowed to practice. Credentialing Team Leads also coordinate audits, implement process improvements, and serve as the primary point of contact for credentialing issues.

What are the key skills and qualifications needed to thrive as a credentialing team lead?

To thrive as a Credentialing Team Lead, you need strong organizational skills, attention to detail, and experience with credentialing processes, often supported by a bachelor's degree or equivalent experience in healthcare administration. Familiarity with credentialing management software (such as CAQH or MedTrainer) and knowledge of regulatory standards like NCQA or Joint Commission is typically required. Excellent leadership, communication, and problem-solving skills help you manage teams effectively and resolve complex credentialing issues. These qualifications are essential to ensure compliance, minimize operational risks, and maintain high standards in provider onboarding and healthcare quality.

What are the main challenges a credentialing team lead might face when managing a credentialing team, and how can they be addressed?

A Credentialing Team Lead often encounters challenges such as balancing high volumes of applications, ensuring compliance with evolving regulations, and maintaining clear communication within the team and with healthcare providers. To address these, it's important to implement efficient workflows, provide ongoing training to staff, and use technology to track deadlines and documentation. Regular team meetings and open lines of communication also help identify issues early and foster a collaborative environment.

What is the difference between Credentialing Team Lead vs Credentialing Specialist?

AspectCredentialing Team LeadCredentialing Specialist
CertificationsOften requires certifications like Certified Provider Credentialing Specialist (CPCS)Typically requires similar certifications, but less emphasis on leadership
Work EnvironmentLeads teams in healthcare or insurance organizations, overseeing credentialing processesPerforms credentialing tasks individually or in small teams within healthcare or insurance settings
ResponsibilitiesSupervises credentialing staff, manages workflows, ensures complianceVerifies provider credentials, maintains databases, processes applications

The Credentialing Team Lead and Credentialing Specialist roles share similar certifications and work environments, but the Team Lead focuses on supervising staff and managing processes, while the Specialist handles credentialing tasks directly. Both roles are essential in healthcare and insurance industries for ensuring provider compliance and credential accuracy.

More about Credentialing Team Lead jobs

What are popular job titles related to Credentialing Team Lead jobs?

For Credentialing Team Lead jobs, the most frequently searched job titles are:

Credentialing Team Lead jobs near you
Infographic showing various Credentialing Team Lead job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, and 3% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $52,868 per year, or $25.4 per hour.

Credentialing Team Lead

Des Plaines, IL • On-site

Orthodontic Experts LTD
1 - 10 employees
Learn more about Orthodontic Experts LTDexternal

$25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 28 days ago

Key responsibilities

  • Lead the credentialing and recredentialing process for orthodontic providers to ensure uninterrupted payer participation.

  • Coordinate and manage provider enrollment applications from preparation and submission through approval and implementation.

  • Organize and maintain provider credentialing records, ensuring all supporting documentation, renewal dates, and compliance requirements remain current.

Job description

Job Type
Full-time
Description
About us:
At Orthodontic Experts, we are committed to delivering exceptional patient care and setting the standard for orthodontic excellence. With 32 locations across the greater Chicagoland area, Wisconsin, and Indiana, and continued growth ahead, we are focused on transforming smiles and making a meaningful impact in the communities we serve.
We are looking for team members who are passionate about high-quality care and align with our Core Values:
  • Accountability
  • Continuous Improvement
  • Inclusion
  • Integrity
  • Respect
  • Teamwork
  • Transparency

If you are seeking an opportunity to grow your career in a purpose-driven, patient-centered organization, we encourage you to apply.
Job Description:
We are seeking an experienced Orthodontic Provider Credentialing Team Lead to support provider enrollment, credentialing, recredentialing, payer maintenance, and provider data management for a growing orthodontic healthcare organization. This role helps ensure providers are enrolled accurately and efficiently with commercial insurance plans, Medicaid, and other third-party payers so providers can begin seeing patients without unnecessary delays.
The right candidate is detail-oriented, organized, proactive with payer follow-up, and comfortable managing multiple applications, deadlines, and provider documentation at the same time.
Duties include but are not limited to:
  • Serve as the primary resource for credentialing inquiries from internal departments, providers, insurance payers, and external partners.
  • Lead the credentialing and recredentialing process for orthodontic providers to ensure uninterrupted payer participation.
  • Coordinate and manage provider enrollment applications from preparation and submission through approval and implementation.
  • Facilitate credentialing and payer enrollment for newly affiliated practices and providers to support timely onboarding.
  • Organize and maintain provider credentialing records, ensuring all supporting documentation, renewal dates, and compliance requirements remain current.
  • Maintain and update provider documentation, including professional licenses, NPI records, malpractice insurance, curriculum vitae (CV), specialty certifications, CPR/BLS certifications, W-9 forms, and other required credentials.
  • Create, maintain, and attest CAQH profiles, upload required documentation, and authorize payer access as necessary.
  • Administer provider enrollment and ongoing participation with commercial insurance carriers, Medicare, Medicaid, managed Medicaid plans, and other assigned payers.
  • Manage provider lifecycle updates, including new enrollments, terminations, demographic changes, ownership transitions, tax identification updates, and practice location changes.
  • Ensure compliance with payer-specific enrollment requirements and maintain all required documentation for commercial and government health plans.
  • Maintain Illinois Medicaid enrollment through the iMPACT system or other applicable state enrollment platforms.
  • Manage the credentialing database and related software systems by entering, validating, and maintaining provider information, enrollment status, credentialing milestones, expiration dates, payer communications, and supporting documentation to ensure data accuracy, regulatory compliance, and timely reporting.
  • Track credentialing applications, document payer correspondence, monitor approval timelines, and identify outstanding requirements to ensure timely completion.
  • Proactively communicate with insurance payers to obtain status updates, resolve issues, and keep credentialing applications moving through the approval process.
  • Provide regular updates on credentialing progress, milestones, risks, and potential delays to leadership and other key stakeholders.
  • Present credentialing status, trends, key metrics, and insights to internal stakeholders and external partners to support informed decision-making.
  • Build and maintain strong working relationships among Business Development support teams, practice leadership, office staff, Human Resources, Revenue Cycle, Operations, and insurance payers to promote efficient credentialing workflows.
  • Collaborate cross-functionally to ensure providers are credentialed, enrolled, and participating with payers in alignment with organizational onboarding timelines.
  • Develop, implement, and maintain standard operating procedures (SOPs), process documentation, and workflow guidelines for the credentialing department to promote consistency, regulatory compliance, operational efficiency, and continuous process improvement.
  • Stay informed of evolving credentialing regulations, payer requirements, and developments within the dental industry to ensure ongoing compliance and adherence to best practices.
  • Identify opportunities to enhance credentialing workflows, improve turnaround times, streamline provider enrollment processes, leverage technology, and support the organization's continued growth and operational excellence.

Requirements
  • High school diploma or equivalent.
  • At least 2 years of healthcare credentialing, provider enrollment, or payer enrollment experience.
  • Experience with practice management and provider enrollment systems
  • Ability to manage deadlines, documentation, follow-up, and multiple payer applications at once.
  • Strong written and verbal communication skills.
  • Proficiency with Microsoft Office, including Excel, Word, and Outlook.
  • Previous Team Lead experience required

Preferred Qualifications
  • Associate's or bachelor's degree in healthcare administration, Business Administration, or a related field.
  • Experience in multi-location healthcare practices, specialty practices, or a healthcare services organization.
  • Experience with Illinois Medicaid iMPACT, CAQH, payer portals, EFT/ERA enrollment, and insurance contract management.

Working Hours/ Location:
  • Location: 1700 W Higgins Rd Des Plaines, IL 60018
  • Full-Time/Non-exempt
  • Hours: 8:00 AM to 5:00 PM

Benefits (for our full-time employees):
  • Paid Training
  • Paid Time Off
  • Holiday Pay
  • Medical, Dental, Vision, and Life Insurance
  • Accident Insurance
  • Short-Term Disability
  • Long-Term Disability
  • Employee Assistance Program
  • Health Savings Account
  • Dependent Care Account
  • 401(k) and matching
  • Pet Insurance
  • Tuition Assistance Program
  • Identity Theft Protection
  • MetLife MetLaw Legal Insurance
  • Transit Reimbursement - Commuter Account
  • Free and discounted Orthodontic Treatments

Salary Description
$25.00 per hour

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