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Credentialing Jobs in New Port Richey, FL (NOW HIRING)

Truman Medical Centers

Credentialist II

Tampa, FL · On-site

Credentialing & Compliance * Perform all phases of credentialing for initial appointments and reappointments * Verify licensure, BNDD, DEA, privileges, OPPE, FPPE, PI data, and other regulatory ...

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Credentialing information

See New Port Richey, FL salary details

$12

$21

$34

How much do credentialing jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for credentialing in New Port Richey, FL is $21.70, according to ZipRecruiter salary data. Most workers in this role earn between $17.12 and $24.62 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Credentialing specialists often encounter challenges such as incomplete or outdated provider documentation, slow response times from references, and varying requirements from different regulatory bodies.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 New Port Richey, FL?

The most popular types of Credentialing jobs in New Port Richey, FL are:

What are popular job titles related to Credentialing jobs in New Port Richey, FL?

For Credentialing jobs in New Port Richey, FL, the most frequently searched job titles are:

What job categories do people searching Credentialing jobs in New Port Richey, FL look for?

The top searched job categories for Credentialing jobs in New Port Richey, FL are:

What cities near New Port Richey, FL are hiring for Credentialing jobs?

Cities near New Port Richey, FL with the most Credentialing job openings:

Credentialing jobs near you
Infographic showing various Credentialing job openings in New Port Richey, FL as of August 2026, with employment types broken down into 4% Locum Tenens, 2% As Needed, 58% Full Time, 15% Part Time, and 21% Contract. Highlights an 95% Physical, 2% Hybrid, and 3% Remote job distribution, with an average salary of $45,127 per year, or $21.7 per hour.

Provider Enrollment & Credentialing Coordinator

Florida Orthopaedic Institute

Temple Terrace, FL • On-site

Full-time

Re-posted 12 days ago

Florida Orthopaedic Institute rating

8.7

Company rating: 8.7 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

Job Summary:
The Provider Enrollment & Credentialing Coordinator is responsible for all aspects of provider enrollment, credentialing, recredentialing, and privileging processes for employed and contracted practitioners. This includes maintaining accurate provider data in credentialing databases, ensuring timely submission and renewal of required documentation and supporting compliance standards. The Coordinator will work closely with providers, payers, and internal departments to ensure practitioners are appropriately credentialed and enrolled to support timely patient access and reimbursement.
Responsibilities:
  • Coordinate initial credentialing and recredentialing for physicians, physician assistants, and advanced practice providers across Medicare, Medicaid, commercial insurers, and delegated payers.
  • Obtain and maintain NPI provider numbers utilizing the PECOS, Medicaid, Availity and NPPES websites.
  • Prepare Credentialing files for FOI Credentialing Committee. This would include completing all required primary source verifications.
  • Track and maintain provider insurance participation status and effective dates in Athena.
  • Maintain timely and accurate data entry in credentialing databases and payer portals; update provider rosters and profiles as needed.
  • Process facility privilege applications and reappointments of privileges.
  • Monitor and manage expirable documents (licenses, DEA, board certifications, malpractice insurance), alerting providers and escalating unresolved expirations to the Manager.
  • Submit and update provider information in the CAQH ProView system as required by participating health plans.
  • Ensure compliance with NCQA, URAC, CMS, and payer requirements for provider credentialing and enrollment.
  • Assist with issue resolution and communication with payers regarding credentialing/enrollment status and delays.
  • Upload and track CME documentation in relevant databases (e.g., CE Broker).
  • Communicate credentialing or enrollment issues and application delays to the Manager in a timely manner.
  • Participate in internal audits, special projects, and process improvements as directed.
  • Perform other duties as assigned by department leadership.

Education And Experience:
  • Healthcare administration, business, or a related field preferred.
  • Minimum 2 years of experience in provider credentialing or enrollment, preferably in a healthcare, medical group, or managed care environment.
  • Working knowledge of:
  • Credentialing standards (NCQA, URAC, CMS)
  • Credentialing software and payer enrollment systems
  • Proficiency in Microsoft Excel and Office Suite; comfort with electronic databases and file management systems.
  • Strong attention to detail, organization, and ability to manage multiple tasks and deadlines.
  • Effective verbal and written communication skills, especially in provider-facing interactions.
  • Ability to handle sensitive data with a high level of confidentiality and accuracy.

Prefferred Qualifications & Skills
  • Prior experience with delegated credentialing or payer audit support
  • Experience using Athenahealth and VerityStream platforms
  • Basic understanding of medical terminology and healthcare regulations
  • CPCS (Certified Provider Credentialing Specialist) certification preferred but not required

Orthopaedic Solutions Management is a Drug Free Workplace
We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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