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Credentialing Jobs in Kentucky (NOW HIRING)

360care

Senior Credentialing Specialist

Louisville, KY · Remote

The Senior Credentialing Specialist is an experienced, hands-on credentialing professional who manages complex provider credentialing, recredentialing, payer enrollment and related onboarding work ...

Dean Dorton

Credentialing Services Specialist

Louisville, KY · On-site

  • Medical

  • Retirement

  • PTO

About the Role The Credentialing Services Specialist plays a vital role in ensuring that healthcare providers are accurately credentialed and enrolled with payers, enabling efficient reimbursements ...

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How much do credentialing jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for credentialing in Kentucky is $21.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.68 and $23.99 per hour, depending on experience, location, and employer.

How do you get into credentialing?

To enter credentialing, individuals typically need relevant education such as a healthcare or administrative degree, along with experience in healthcare administration or compliance. Certification programs like the Certified Provider Credentialing Specialist (CPCS) can enhance job prospects, and familiarity with credentialing software is often required. Entry-level roles may require strong organizational skills and attention to detail.

What is credentialing?

Credentialing is the process by which organizations verify the qualifications, experience, and professional standing of healthcare providers, such as doctors and nurses. This ensures that providers meet specific standards required to deliver care within a healthcare facility or insurance network. The process typically involves checking education, licenses, certifications, work history, and any disciplinary actions. Credentialing is essential for patient safety and regulatory compliance, and it is a key step before providers can practice or receive reimbursement from insurers.

Is credentialing a hard job?

Credentialing is a detail-oriented role that involves verifying qualifications, licenses, and certifications of healthcare providers or professionals. It requires strong organizational skills, attention to accuracy, and knowledge of industry standards, but the difficulty varies depending on the complexity of the credentialing process and the environment. Some find it challenging due to the administrative workload and compliance requirements, while others find it manageable with experience and proper tools.

What is the difference between Credentialing vs Medical Assistant?

AspectCredentialingMedical Assistant
Required credentialsCertifications, licenses, or accreditation for healthcare providersCertification (e.g., CMA), training programs, or on-the-job training
Work environmentHealthcare facilities, clinics, hospitals, insurance companiesDoctor's offices, clinics, outpatient facilities
Employer and industry usageUsed by healthcare providers and organizations to verify credentialsUsed by healthcare providers to assist with clinical and administrative tasks

Credentialing involves verifying healthcare providers' qualifications and licenses, ensuring they meet industry standards. Medical Assistants perform clinical and administrative duties under supervision. While credentialing focuses on verifying qualifications, Medical Assistants are involved in patient care and office tasks. Both roles are essential in healthcare but serve different functions.

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

To excel as a Credentialing Specialist, you need attention to detail, organizational skills, and knowledge of credentialing standards, usually supported by a relevant degree or experience in healthcare administration. Familiarity with credentialing software (such as CAQH or Verity), database management, and regulatory compliance systems is typically required. Strong communication, problem-solving abilities, and discretion stand out as essential soft skills in this role. These competencies ensure accurate provider verification, regulatory adherence, and smooth healthcare operations.

What are some common challenges faced by credentialing specialists when verifying provider information, and how can they be managed?

Credentialing specialists often encounter challenges such as incomplete or outdated provider documentation, slow response times from references, and varying requirements from different regulatory bodies. To manage these issues, it's important to maintain strong organizational skills, use credentialing software to track progress, and communicate clearly with providers about documentation needs and deadlines. Proactively following up and establishing checklists can help minimize delays and ensure compliance with industry standards.

What are the most commonly searched types of Credentialing jobs in Kentucky?

The most popular types of Credentialing jobs in Kentucky are:

What are popular job titles related to Credentialing jobs in Kentucky?

For Credentialing jobs in Kentucky, the most frequently searched job titles are:

What job categories do people searching Credentialing jobs in Kentucky look for?

The top searched job categories for Credentialing jobs in Kentucky are:

What cities in Kentucky are hiring for Credentialing jobs?

Cities in Kentucky with the most Credentialing job openings:

Credentialing jobs near you
Infographic showing various Credentialing job openings in Kentucky as of August 2026, with employment types broken down into 78% Full Time, 11% Part Time, and 11% Nights. Highlights an 100% In-person job distribution, with an average salary of $44,004 per year, or $21.2 per hour.

Credentialing Support Specialist

Med Center Health

Bowling Green, KY • On-site

$11.55/hr

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Med Center Health rating

5.4

Company rating: 5.4 out of 10

Based on 25 frontline employees who took The Breakroom Quiz

Job description

  • Position Summary
    • Performs clerical tasks for the Center Care Credentialing Program, as assigned by the Lead Credentialing Specialist, including the following: data entry, filing, typing, copying, faxing, and basic entry level credentialing tasks. 
  • Minimum Qualifications
    • Work Experience
      • Two years of clerical/administrative support experience, preferably in healthcare credentialing, healthcare administration, insurance administration, or in a legal setting required.

    • Education
      • Associate’s degree in related field (OR) equivalent work experience required.

    • Certifications/Licensure
      • None
  • Job Specific Performance Standards
    • The duties listed below are a summary of the major essential functions of this position. The position may require other duties, both major and minor, that are not mentioned, and specific functions may change from time to time.
       
      • Prepares new application folders and arranges documents in preparation for the credentialing process.
      • Enters initial credentialing data and re-credentialing data updates, as assigned.
      • Prepares and/or assists with preparation of miscellaneous correspondence, provides general clerical support, and assists with departmental mailings.
      • Pulls and re-files provider credentialing folders and maintains the integrity of the Credentialing Department file room.
      • Develops and maintains current working knowledge of NCQA credentialing standards as applicable to work assignments.

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