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Credentialing Jobs in New Mexico (NOW HIRING)

VTP Holdings

Credentialing Specialist

Albuquerque, NM · On-site

The Credentialing Specialist is responsible for managing the credentialing process for members of the clinical team, ensuring all required documentation is complete, accurate, and compliant with ...

Phsorg

$41K - $71K/yr

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 ...

Phsorg

$41K - $71K/yr

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 ...

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All JobsCredentialing JobsCredentialing Jobs in New Mexico

Credentialing information

See New Mexico salary details

$13

$23

$37

How much do credentialing jobs pay per hour?

As of Aug 2, 2026, the average hourly pay for credentialing in New Mexico is $23.60, according to ZipRecruiter salary data. Most workers in this role earn between $18.65 and $26.78 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.

Is credentialing a hard job?

Credentialing can be challenging because it involves detailed verification of healthcare providers' qualifications, licenses, and certifications, often requiring attention to accuracy and compliance with regulations. The job typically demands strong organizational skills, attention to detail, and familiarity with credentialing software or databases. The difficulty level varies depending on the complexity of the credentialing process and the specific industry or organization.

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 do you need to become a credentialing specialist?

To become a credentialing specialist, candidates typically need a high school diploma or equivalent, along with experience in healthcare administration or office management. Knowledge of credentialing processes, insurance requirements, and familiarity with credentialing software or databases are also important. Certifications such as the Certified Provider Credentialing Specialist (CPCS) can enhance job prospects.

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 does a credentialing specialist do?

A credentialing specialist is responsible for verifying the qualifications, licenses, and certifications of healthcare providers or other professionals to ensure they meet industry standards and regulatory requirements. They review and process application documents, maintain accurate records, and coordinate with licensing boards or accreditation organizations. Strong attention to detail and knowledge of credentialing software are essential for this role.

How to get in credentialing entry level?

To start an entry-level credentialing role, candidates typically need a high school diploma or equivalent, strong organizational skills, and attention to detail. Relevant experience in healthcare, insurance, or administrative support can be beneficial, and familiarity with credentialing software or databases is often preferred.
What are the most commonly searched types of Credentialing jobs in New Mexico? The most popular types of Credentialing jobs in New Mexico are:
What are popular job titles related to Credentialing jobs in New Mexico? For Credentialing jobs in New Mexico, the most frequently searched job titles are:
What job categories do people searching Credentialing jobs in New Mexico look for? The top searched job categories for Credentialing jobs in New Mexico are:
What cities in New Mexico are hiring for Credentialing jobs? Cities in New Mexico with the most Credentialing job openings:
Credentialing jobs near you
Infographic showing various Credentialing job openings in New Mexico as of July 2026, with employment types broken down into 86% Full Time, and 14% Part Time. Highlights an 86% In-person, and 14% Remote job distribution, with an average salary of $49,098 per year, or $23.6 per hour.

Payer Credentialing Specialist - Staff Credentialing

CHRISTUS Health

Santa Fe, NM • On-site

Full-time

Posted 13 days ago

CHRISTUS Health rating

6.7

Company rating: 6.7 out of 10

Based on 526 frontline employees who took The Breakroom Quiz

530th of 887 rated healthcare providers

Job description

Summary:
Provides assistance and support to the Credentialing Coordinator with the day to day operations and functions of payer enrollment.
Responsibilities:
  • Assists in the management and successful implementation of the entire payer enrollment credentialing and re-credentialing process for all providers participating at Payer Enrollment at CHRISTUS St. Vincent. Assists with maintaining timelines for enrollment/credentialing, communicates with providers and other departments to update as needed, clarify carrier information requirements, and maintain a strict level of confidentiality for all matters pertaining to provider credentials.
  • Develops effective working relationships with 3rd party payers and other outside entities involved in credentialing process.
  • Tracks expiration data for all licensure, certificates, insurance, etc. for employed providers and ensures that items are current.
  • Maintains current credentialing/re-credentialing status with third party payers. Provides prompt response to inquiries made from third party payers, institutions, and others requesting information regarding enrollment applications for processing. Follows up with the carriers on documentation submitted.
  • Assist in the ongoing management of the Managed Care database. Responsible for the accuracy and integrity of all computerized information related to appointment, reappointment, and any necessary additional data regarding enrollment.
  • Maintains provider information via Payer enrollment Spreadsheet and the provider enrollment software (MD Staff). Responsible for overseeing the migration of Payer Enrollment processes from the Payer Enrollment spreadsheet to MD Staff.
  • Assists to obtain credentialing data needed for enrollment, contracting, and other related purposes. Credentialing data includes but is not limited to medical degree verification, Drug Enforcement Administration (DEA) certificate, state licenses, Board certifications, Curricula Vitae (CV), malpractice insurance, and state insurance. Monitors and ensures that all documentation is current. Ensures file confidentiality and easy retrievability.
  • Responsible for overseeing the enrollment and re-enrollment/re-attestation for both the CAQH (Council for Affordable Quality Healthcare) system, and New Mexico Medicaid.
  • Works closely with the enrolled providers, and clinic managers to obtain missing documentation for providers pertaining to provider enrollment. Obtains required signatures and follows up with the carriers on documentation submitted.
  • Assists in the payer enrollment re-credentialing process for enrolled providers, which occurs every three years.
  • Assists with the execution of malpractice insurance applications with the outside carrier.
  • Prepares written reports, correspondence and technical reports of a highly confidential nature, utilizing personal computer for word processing, spreadsheet, graphic and other applications as needed.
  • Assists in responding to internal and external inquiries regarding routine enrollment and contract matters, as appropriate. Interfaces regularly with internal staff, clinic managers, and billing representatives.
  • Interfaces regularly and builds relationships with internal staff such as clinic managers, billing representatives, etc.
  • Maintains Delegated Payer Rosters, and send out rosters in a monthly cadence, and as needed.
  • Ensures Enrollment remains active for all employed providers, for both Delegated and Non-Delegated payers. Responsible for maintaining documentation for both Delegated and Non-Delegated Payers.

Requirements:
Education:
  • High school diploma or equivalent required.

Experience:
  • Two years secretarial or administrative experience. Experience with Microsoft Word and Excel.
  • Strong English reading and writing skills
  • Ability to communicate effectively utilizing strong written and verbal communication skills
  • Strong organizational skills
  • Ability to learn new software programs and operate general office equipment
  • Excellent telephone skills, with ability to transmit and receive information accurately
  • Ability to work independently with minimal supervision and in stressful situations and perform multiple tasks simultaneously

Certifications, Registrations, or Licenses:
  • N/A

Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time

What CHRISTUS Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About CHRISTUS Health

Sourced by ZipRecruiter

CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.

Industry

Outpatient health care

Company size

1,001 - 5,000 Employees

Headquarters location

Irving, TX, US

Year founded

1999

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