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Credentialing Jobs in Miramar, FL (NOW HIRING)

Armada Ltd

Credentialing Specialists

Plantation, FL

Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through ...

Armada

Credentialing Specialists

Plantation, FL

Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through ...

NuView Health

Credentialing Specialist

Boca Raton, FL · On-site

The Credentialing Specialist ensures the accuracy and integrity of the credentialing database and related applications while maintaining compliance with all applicable standards and regulations.

Gastromed, LLC

Credentialing Specialist

Miami, FL · On-site

$19 - $25/hr

Credentialing Specialist REPORTS TO: Revenue Cycle Manager FLSA STATUS: Non-Exempt QUALIFICATIONS/EDUCATION: * AA Degree required. * Minimum two years of experience in healthcare credentialing.

CCP Cares

Credentialing Coordinator

Sunrise, FL · Remote

The Credentialing Coordinator is responsible for the timely and compliant re-credentialing (renewal) of physicians and allied providers according to state and federal requirements, NCQA accreditation ...

Chen Medical

Credentialing Manager

Miami Gardens, FL · On-site

The Credentialing Manager is responsible for managing a team of credentialing professionals and is accountable for systems and processes that ensure compliance with organizational credentialing ...

Chen Medical

Credentialing Manager

Miami Gardens, FL · On-site

The Credentialing Manager is responsible for managing a team of credentialing professionals and is accountable for systems and processes that ensure compliance with organizational credentialing ...

Brightwing

Credentialing Specialist

Davie, FL

The Credentialing Specialist is responsible for credentialing and re-credentialing of practitioners as well as ensuring enrollment with participating client health plans. Credentialing functions ...

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Credentialing information

See Miramar, FL salary details

$12

$22

$36

How much do credentialing jobs pay per hour?

As of May 28, 2026, the average hourly pay for credentialing in Miramar, FL is $22.57, according to ZipRecruiter salary data. Most workers in this role earn between $17.84 and $25.62 per hour, depending on experience, location, and employer.

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 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 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 most commonly searched types of Credentialing jobs in Miramar, FL? The most popular types of Credentialing jobs in Miramar, FL are:
What are popular job titles related to Credentialing jobs in Miramar, FL? For Credentialing jobs in Miramar, FL, the most frequently searched job titles are:
What job categories do people searching Credentialing jobs in Miramar, FL look for? The top searched job categories for Credentialing jobs in Miramar, FL are:
What cities near Miramar, FL are hiring for Credentialing jobs? Cities near Miramar, FL with the most Credentialing job openings:
Credentialing jobs near you
Infographic showing various Credentialing job openings in Miramar, FL as of May 2026, with employment types broken down into 8% Locum Tenens, 2% As Needed, 64% Full Time, 15% Part Time, and 11% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $46,954 per year, or $22.6 per hour.
Manager, Credentialing

Manager, Credentialing

Independent Living Systems

Miami, FL • On-site

Full-time

Posted 29 days ago

Independent Living Systems rating

6.5

Company rating: 6.5 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

We are seeking a Manager, Credentialing to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

About the Role:

The Manager, Credentialing plays a critical leadership role in overseeing the credentialing processes for healthcare providers within the organization. This position ensures that all practitioners meet the necessary regulatory, accreditation, and organizational standards to deliver safe and compliant care. The manager will lead a team responsible for verifying qualifications, licenses, certifications, and professional backgrounds, maintaining accurate and up-to-date records. They will collaborate closely with internal departments and external agencies to streamline credentialing workflows and resolve any compliance issues promptly. Ultimately, this role safeguards the integrity of the provider network and supports the organization's commitment to quality and patient safety.

Minimum Qualifications:

  • Bachelor’s degree in healthcare administration, business, or a related field.
  • Minimum of 5 years of experience in healthcare credentialing or provider enrollment.
  • Strong knowledge of credentialing standards, including NCQA, The Joint Commission, and CMS requirements.
  • Experience managing teams and coordinating cross-functional projects.
  • Proficiency with credentialing software and Microsoft Office Suite.
  • Relevant experience may substitute for educational requirement on a year-for-year basis.

Preferred Qualifications:

  • Master’s degree in healthcare administration, business, or a related field.
  • Certified Provider Credentialing Specialist (CPCS) or equivalent certification.
  • Experience working within a large healthcare system or managed care organization.
  • Familiarity with electronic health record (EHR) systems and provider data management.
  • Advanced degree in healthcare administration or related discipline.
  • Demonstrated success in process improvement and regulatory compliance initiatives.

Responsibilities:

  • Lead and manage the credentialing team to ensure timely and accurate processing of provider applications and re-credentialing activities.
  • Develop, implement, and maintain credentialing policies and procedures in compliance with regulatory requirements and accreditation standards.
  • Coordinate with internal stakeholders such as HR, compliance, and medical staff offices to facilitate credentialing and privileging processes.
  • Monitor and audit credentialing files to ensure completeness, accuracy, and adherence to organizational and regulatory standards.
  • Serve as the primary point of contact for external credentialing bodies, licensing boards, and healthcare networks.
  • Analyze credentialing data and generate reports to inform leadership on compliance status and operational performance.
  • Provide training and guidance to staff on credentialing best practices and regulatory changes.
  • Manage vendor relationships related to credentialing software and verification services.


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