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Credentialing Jobs in Raleigh, NC (NOW HIRING)

Freedom House Recovery Center

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Credentialing Support Specialist

Chapel Hill, NC · On-site

$15 - $18/hr

The Credentialing & Contracting Specialist supports the agency's credentialing and payer contracting processes to ensure clinicians and programs are enrolled accurately and in a timely manner. This ...

NVA

Veterinary Technician - Credentialed

Chapel Hill, NC · On-site

Registered Veterinary Technician Needed! Cole Park Veterinary Hospital in Chapel Hill, NC is looking for a Registered Veterinary Technician with a positive, up-beat attitude and genuine love for pets ...

NVA

Veterinary Technician - Credentialed

Chapel Hill, NC · On-site

Registered Veterinary Technician Needed! Cole Park Veterinary Hospital in Chapel Hill, NC is looking for a Registered Veterinary Technician with a positive, up-beat attitude and genuine love for pets ...

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All JobsCredentialing JobsCredentialing Jobs in Raleigh, NC

Credentialing information

See Raleigh, NC salary details

$13

$23

$37

How much do credentialing jobs pay per hour?

As of Jul 10, 2026, the average hourly pay for credentialing in Raleigh, NC is $23.68, according to ZipRecruiter salary data. Most workers in this role earn between $18.70 and $26.88 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 Raleigh, NC? The most popular types of Credentialing jobs in Raleigh, NC are:
What are popular job titles related to Credentialing jobs in Raleigh, NC? For Credentialing jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Credentialing jobs in Raleigh, NC look for? The top searched job categories for Credentialing jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Credentialing jobs? Cities near Raleigh, NC with the most Credentialing job openings:
Credentialing jobs near you
Infographic showing various Credentialing job openings in Raleigh, NC as of July 2026, with employment types broken down into 68% Full Time, and 32% Part Time. Highlights an 96% In-person, and 4% Remote job distribution, with an average salary of $49,250 per year, or $23.7 per hour.
Credentialing Support Specialist

Credentialing Support Specialist

Freedom House Recovery Center

Chapel Hill, NC • On-site

$15 - $18/hr

Full-time

Medical, Dental, Vision, PTO

Re-posted 9 days ago

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Job description

The Credentialing & Contracting Specialist supports the agency’s credentialing and payer contracting processes to ensure clinicians and programs are enrolled accurately and in a timely manner. This role focuses on Medicaid and commercial provider enrollment, facility credentialing, tracking revalidations, and maintaining accurate documentation. The position supports organizational growth, compliance, and timely billing.

Responsibilities

  • Complete payer enrollments and support onboarding of new licensed staff
  • Track and maintain licenses, certifications, and credentialing documents
  • Collaborate with Utilization Management to ensure staff and sites are properly credentialed
  • Maintain credentialing systems (CAQH, NCTracks, commercial payers) and ensure data accuracy
  • Follow up with payers on application status, resolve issues, and monitor progress
  • Communicate updates with leadership, billing, finance, and clinical teams
  • Track revalidation deadlines and ensure compliance
  • Maintain reliable attendance and adherence to schedule


Requirements


High school diploma or equivalent required; Bachelor’s degree preferred.

Minimum of 1–2 years of experience in credentialing or commercial payor contracting, preferably in behavioral health.

Working knowledge of commercial insurance networks (e.g., BCBS, UHC, Aetna, Cigna) and associated credentialing processes.

Experience with CAQH, NC Tracks, NPPES, and various payer portals preferred.

In-depth understanding of Tailored Plan Medicaid, Medicare, and provider credentialing based on behavioral health service definitions.

Strong organizational skills with ability to track multiple deadlines, follow up with payors, and maintain accurate licensed provider databases.

Company Description

Freedom House Recovery Center (FHRC) is a non-profit behavioral health care agency that provides a broad continuum of person-centered, comprehensive services for children, adolescents, adults, and families managing behavioral health disorders or addiction. Freedom House has provided hope and healing to people of all ages, from all walks of life, for over 40 years.