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Credentialing Jobs in Minnesota (NOW HIRING)

Verified Credentials

Accounting Clerk

Lakeville, MN · On-site

$19.25 - $24.50/hr

About Us At Verified Credentials, our mission is to provide a remarkable client experience with a spirit of service, commitment, and excellence in all that we do. As a leading background screening ...

Amerivet

Credentialed Veterinary Technician

Eyota, MN · On-site

About us: Eyota Veterinary Clinic is reopening, and we are looking for our next staff members to support our vision of providing high quality care to the patients and their families. We are actively ...

AmeriVet

Credentialed Veterinary Technician

Eyota, MN · On-site

About us: Eyota Veterinary Clinic is reopening, and we are looking for our next staff members to support our vision of providing high quality care to the patients and their families. We are actively ...

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All JobsCredentialing JobsCredentialing Jobs in Minnesota

Credentialing information

See Minnesota salary details

$13

$23

$38

How much do credentialing jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for credentialing in Minnesota is $23.86, according to ZipRecruiter salary data. Most workers in this role earn between $18.85 and $27.07 per hour, depending on experience, location, and employer.

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.

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 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.

How do you get into credentialing?

To get into credentialing, individuals typically need to complete relevant education such as a healthcare administration or related degree, gain experience in healthcare or administrative roles, and obtain certifications like Certified Provider Credentialing Specialist (CPCS). Strong organizational skills and attention to detail are essential for managing credentialing processes and maintaining compliance with industry standards.

Is credentialing a hard job?

Credentialing can be challenging as it involves detailed verification of qualifications, licenses, and certifications, often requiring strong attention to detail and organizational skills. The job may involve repetitive tasks and strict compliance standards, but it also offers clear procedures and tools to assist in the process.

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

The most popular types of Credentialing jobs in Minnesota are:

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

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

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

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

What cities in Minnesota are hiring for Credentialing jobs?

Cities in Minnesota with the most Credentialing job openings:

Credentialing jobs near you
Infographic showing various Credentialing job openings in Minnesota as of September 2026, with employment types broken down into 89% Full Time, and 11% Part Time. Highlights an 95% In-person, and 5% Remote job distribution, with an average salary of $49,622 per year, or $23.9 per hour.

Medical Billing & Insurance Credentialing Specialist

Saint Paul, MN • On-site

Nutritional Weight & Wellness
Fitness and Sports Centers • 11 - 50 employees
Learn more about Nutritional Weight & Wellnessexternal

$18.50 - $23.75/hr

Other

Medical, Life, Retirement, PTO

Posted 2 days ago

New

Job description

Benefits:
  • 401(k)
  • Employee discounts
  • Health insurance
  • Paid time off
Company: Nutritional Weight & Wellness Job Type: Full-Time Location: St. Paul, MN (Hybrid) First, a little about us. We help people build healthier lives — and we think that starts with our own team. Weight & Wellness is a small, people-first nutrition practice where work/life balance is real, every team member matters, and no one is just a job title. If you've worked at a place where your effort went unnoticed, this will feel different. Now, the role. We're bringing insurance billing in-house and need a skilled billing and credentialing specialist to own it. You'll work inside Healthie (EHR) and ClaimMD (EDI) — modern tools that handle a lot of the heavy lifting — but this role still requires a sharp, experienced person who knows how to read a denial, fix a claim, credential a provider, and talk to a client about their benefits without making their eyes glaze over. What You’ll Own:
  • Submitting claims from Healthie to ClaimMD and staying on top of what comes back
  • Resolving denied or rejected claims — ClaimMD surfaces the reason codes, you take it from there (corrections, resubmissions, or formal appeals)
  • Eligibility verification before appointments — ClaimMD covers most payers; you'll handle the rest through payer portals
  • Invoicing clients for copays and coinsurance once the insurance payment is received
  • Managing accounts receivable and following up on aging balances
  • Tracking referral requirements and coordinating with clients and referring providers when needed
  • Handling prior authorizations for the occasional plan that requires it (not common for MNT, but it does come up with some Medicaid and HMO plans)
  • Credentialing new providers and keeping everything current — CAQH profiles, revalidations, payer enrollments, expiring documents
  • Being the person the front desk staff, clients and providers turn to when they have an insurance question — and actually helping them understand the answer
What We’re Looking For:
  • 4+ years of medical billing experience (nutrition or wellness setting is a bonus)
  • ClaimMD or equivalent clearinghouse experience
  • Solid CPT/ICD-10 coding knowledge, especially MNT codes (97802, 97803, 97804)
  • Credentialing experience — CAQH, payer enrollment, the whole process
  • Comfortable with payer portals (Availity, NaviNet, etc.)
  • A communicator who can explain insurance in plain English
  • Someone who runs their own work, hits their own deadlines, and doesn't need to be managed
What You’ll Get:
  • A team that actually respects your personal time
  • Recognition for the work you do — in a small practice, good work doesn't go unnoticed
  • Room to make this role your own and improve how things run
  • Competitive pay based on your experience
  • Health Insurance, Paid Time Off, 401K, Life Insurance, Employee Discount

Flexible work from home options available.
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