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Credentialing information

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$14

$25

$40

How much do credentialing jobs pay per hour?

As of Jul 6, 2026, the average hourly pay for credentialing in Silver Spring, MD is $25.23, according to ZipRecruiter salary data. Most workers in this role earn between $19.90 and $28.65 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 Silver Spring, MD? The most popular types of Credentialing jobs in Silver Spring, MD are:
What are popular job titles related to Credentialing jobs in Silver Spring, MD? For Credentialing jobs in Silver Spring, MD, the most frequently searched job titles are:
What job categories do people searching Credentialing jobs in Silver Spring, MD look for? The top searched job categories for Credentialing jobs in Silver Spring, MD are:
What cities near Silver Spring, MD are hiring for Credentialing jobs? Cities near Silver Spring, MD with the most Credentialing job openings:
Credentialing jobs near you
Infographic showing various Credentialing job openings in Silver Spring, MD as of July 2026, with employment types broken down into 7% Locum Tenens, 2% As Needed, 55% Full Time, 22% Part Time, and 14% Contract. Highlights an 91% Physical, 5% Hybrid, and 4% Remote job distribution, with an average salary of $52,477 per year, or $25.2 per hour.
Credentialing Quality Analyst

Credentialing Quality Analyst

Johns Hopkins Health System

Hanover, MD • On-site

Full-time

Posted 9 days ago

Job description

Excel. Empower. Advance. Shine. Belong. Explore. Flourish. Champion.
Make It Happen At Hopkins!
Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine, one of the premier health delivery, academic, and research institutions in the United States. JHHP is a $2.5B business serving over 400,000 lives with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP has become a leader in provider-sponsored health plans and is poised for future growth.
The Quality Management Analyst - Credentialing & Legal Appeals is a highly visible role that reports directly to the Credentialing Supervisor. The incumbent is responsible for processing high-risk credentialing files and ensuring accuracy, compliance, and timely completion of all related activities.
Key responsibilities include coordinating meetings with the Chairman of the Special Credentials Review Committee (SCRC), board members, and legal counsel; creating, preparing, and presenting reports to the SCRC; and developing risk assessment packets for review. The role also involves preparing additional reports as needed, scheduling and attending legal meetings and appeal hearings, and creating meeting agendas and minutes.
This position requires the ability to manage a demanding workload while meeting strict deadlines. The ideal candidate will possess exceptional written, verbal, and interpersonal communication skills, with the ability to effectively engage with internal and external stakeholders, including attorneys, medical directors, and healthcare providers.
Strong analytical skills are essential for coordinating information from multiple sources, identifying errors, and detecting subtle inconsistencies in documentation. This role maintains high visibility across the Health System and plays a critical role in supporting credentialing quality and risk management processes.
Requirements
Experience:
Quality Management Analyst I:
Requires 3 years of experience in a managed care, business or healthcare environment with proven skills in data analysis, reporting and meeting coordination.
Quality Management Analyst II:
Minimum 5 years of experience in a managed care, business or healthcare environment with proven skills in data analysis, reporting and project coordination.
Additional Experience:
Requires thorough knowledge of provider credentialing principles, methods, and procedures, typically acquired through a minimum of three (3) years of credentialing experience. Demonstrated experience managing the process of challenging rejected healthcare provider applications in a managed care credentialing environment is required, such as a Credentials Verification Organization (CVO), Managed Care Organization (MCO), Health Maintenance Organization (HMO), or hospital-based credentialing setting (MSO).
Education:
Quality Management Analyst I -
Associates degree required; Bachelor's degree preferred. Course of study should relate to job function.
Quality Management Analyst II -
Bachelor's degree in business or health related field or Certified Coder with Associates degree.
Licensure/Certification:
CPMSM (Certified Professional Medical Services Management) or CPCS (Certified Provider Credentialing Specialist) certification preferred but not required.
Salary Range: Minimum 26.51/hour - Maximum 43.76/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.
The Hospital reserves the right to modify employee schedules as needed.
We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.

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