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Credentialing Verifier Jobs (NOW HIRING)

Anders

Credentialing Specialist

Saint Louis, MO · On-site

A5 Healthcare (Anders Affiliate) one of one of the fastest-growing Credentialing Verification Organizations in the country is seeking a Credentialing Specialist who is motivated to learn, excited to ...

Washington University of St. Louis

$20.57 - $30.84/hr

Serves as accountable for initial and continuous verification of credentials of medical staff members, health care/allied health providers for medical staff and managed care providers. Serves as ...

Akido

Credentialing Lead

Pomona, CA

Act as a liaison for external partners, including payers, hospitals, and credentialing verification organizations. * Support MSO operations by processing credentialing applications and performing ...

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How much do credentialing verifier jobs pay per hour?

As of Jun 17, 2026, the average hourly pay for credentialing verifier 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 Credentialing Verifiers, and how can they be addressed?

Credentialing Verifiers often encounter challenges such as navigating complex documentation requirements, keeping up with changing regulations, and managing tight deadlines for provider onboarding. To address these, it helps to stay organized using tracking systems, maintain up-to-date knowledge of regulatory changes, and foster clear communication with providers and internal teams. Building strong attention to detail and time management skills is key to ensuring accuracy and timely completion of credentialing processes.

What is the difference between Credentialing Verifier vs Credentialing Specialist?

AspectCredentialing VerifierCredentialing Specialist
Primary RoleVerify credentials and licenses of healthcare providersManage entire credentialing process, including application submission and approval
Work EnvironmentHealthcare organizations, insurance companiesHospitals, clinics, healthcare networks
Required CertificationsNone typically required, but familiarity with healthcare credentials helpsOften requires certifications like Certified Provider Credentialing Specialist (CPCS)

While both roles involve credential verification, Credentialing Verifiers focus primarily on checking credentials, whereas Credentialing Specialists oversee the full credentialing process. The Verifier role is more task-specific, often supporting Credentialing Specialists in healthcare settings.

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

To thrive as a Credentialing Verifier, you need strong attention to detail, organizational skills, and knowledge of credentialing standards, typically supported by a high school diploma or equivalent and sometimes additional certification in medical staff services. Familiarity with credentialing management software, databases, and document verification systems is essential. Excellent communication, time management, and problem-solving abilities are important soft skills for efficiently handling sensitive information and coordinating with healthcare providers. These skills ensure accurate and timely verification processes, supporting regulatory compliance and patient safety in healthcare organizations.

What are Credentialing Verifiers?

Credentialing Verifiers are professionals responsible for verifying the qualifications and credentials of healthcare providers, such as doctors, nurses, and therapists. They review documents such as licenses, certifications, education, and work history to ensure all providers meet the necessary standards and regulatory requirements. This process is essential for maintaining patient safety, compliance with laws, and the reputation of healthcare organizations. Credentialing Verifiers often work for hospitals, insurance companies, or third-party credentialing agencies.
More about Credentialing Verifier jobs
What cities are hiring for Credentialing Verifier jobs? Cities with the most Credentialing Verifier job openings:
What job categories do people searching Credentialing Verifier jobs look for? The top searched job categories for Credentialing Verifier jobs are:
Credentialing Verifier jobs near you
Infographic showing various Credentialing Verifier job openings in the United States as of June 2026, with employment types broken down into 31% Locum Tenens, 4% As Needed, 2% Full Time, 23% Part Time, 39% 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 Specialist

Credentialing Specialist

Anders

Saint Louis, MO • On-site

Other

Posted just now

Job description

A5 Healthcare (Anders Affiliate) one of one of the fastest-growing Credentialing Verification Organizations in the country is seeking a Credentialing Specialist who is motivated to learn, excited to collaborate and passionate about delivering outstanding results. This individual will have a direct impact on our firm's mission of serving as a catalyst for those striving to achieve their highest potential. 

The Credentialing Specialist will be accountable for performing all the duties related to the requesting, receiving, processing, and primary source verifying applications for initial and reappointment for multiple facilities. This position will exemplify a culture of excellence, effective communication and collaboration, and customer service with CVO leadership and staff, internal and external customers and providers. Must handle, with discretion, issues that are significant, complex, multidisciplinary, sensitive, and confidential.

What You'll Do: 

  • Application management and verification activities, preliminary analysis of application and verification information, and analyzing verification information, to include identifying red flag and/or adverse information.
  • Ability to research and analyze documents utilizing strong documentation skills with high attention to detail.
  • Maintain timely communication with applicants and member organizations on the status of the application files and any required documents or information needed to complete the medical credentialing process.
  • Monitoring expiring information such as, but not limited to, federal and state DEA, state professional license(s), professional liability insurance, and specialty board certification status.
  • Timely and accurately prepare credential files for audit and submission to assigned facilities.
  • Compliance with standard turn-a-round times.
  • Maintain a working knowledge of relevant regulatory standards (i.e., TJC, AAAHC, DNV and NCQA), state and federal requirements and CMS.
  • Assist with the development and implementation of credentialing and re-credentialing workflows to ensure efficient and effective alignment of processes and assist in the development or revision of credentialing related forms.
  • Participation in special project teams as assigned.

What We're Looking For: 

  • Knowledge of credentialing software and associated applications.
  • Experience with credentialing verification and application audit process.
  • Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance.
  • Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents.
  • Ability to follow policies and procedures. May set priorities and organize work within general guidelines. Seeking assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager.
  • Ability to communicate clearly and effectively with internal and external customers.
  • Ability to comprehend and converse to communicate effectively assigned facilities.
  • Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.
  • Ability to work collaboratively in small teams to improve the operations of immediate work groups by offering ideas, identifying issues, and respecting team members.

Your Qualifications: 

  • Associate Degree preferred, High School diploma or GED required.
  • 3-5 years related work experience required in CVO or other credentialing setting.
  • Certified Provider Credentialing Specialist (CPCS) required.
  • Experience with computer systems required, including web-based applications and some Microsoft Office applications which may include Outlook, Word, -Excel, and credentialing database.

Applicants to the Credentialing Specialist position must be located within the Greater St. Louis, MO area.

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