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Credentials Specialist Jobs (NOW HIRING)

Sunbelt Healthcare

Credentialing Specialist

Tucson, AZ · On-site

The Credentialing Specialist position requires an organized individual with good time management skills and related industry experience, (both facility and clinic credentialing / privileging). The ...

Armada Ltd

Credentialing Specialists

Phoenix, AZ · On-site

... credentials to the Security Officer for destruction Credentialing Specialists shall keep a log of Cards issued and collected Perform Registrar and Activator duties as required Credentialing ...

Armada Ltd

Credentialing Specialists

Las Vegas, NV

Issue Pocket Commission Credentials Collect SmartID Cards and PAC Cards; return terminated credentials to the Security Officer for destruction * Credentialing Specialists shall keep a log of Cards ...

Armada Ltd

Credentialing Specialists

Kansas City, MO · On-site

... credentials to the Security Officer for destruction Credentialing Specialists shall keep a log of Cards issued and collected Perform Registrar and Activator duties as required Credentialing ...

Armada Ltd

Credentialing Specialists

Franklin, TN · On-site

... credentials to the Security Officer for destruction Credentialing Specialists shall keep a log of Cards issued and collected Perform Registrar and Activator duties as required Credentialing ...

Armada Ltd

Credentialing Specialists

Franklin, TN

Issue Pocket Commission Credentials Collect SmartID Cards and PAC Cards; return terminated credentials to the Security Officer for destruction * Credentialing Specialists shall keep a log of Cards ...

Armada Ltd

Credentialing Specialists

Kansas City, MO

Issue Pocket Commission Credentials Collect SmartID Cards and PAC Cards; return terminated credentials to the Security Officer for destruction * Credentialing Specialists shall keep a log of Cards ...

Armada Ltd

Credentialing Specialists

Covington, KY · On-site

... credentials to the Security Officer for destruction Credentialing Specialists shall keep a log of Cards issued and collected Perform Registrar and Activator duties as required Credentialing ...

Armada Ltd

Credentialing Specialists

Milwaukee, WI

Issue Pocket Commission Credentials Collect SmartID Cards and PAC Cards; return terminated credentials to the Security Officer for destruction * Credentialing Specialists shall keep a log of Cards ...

Armada Ltd

Credentialing Specialists

Boston, MA

Issue Pocket Commission Credentials Collect SmartID Cards and PAC Cards; return terminated credentials to the Security Officer for destruction * Credentialing Specialists shall keep a log of Cards ...

Armada Ltd

Credentialing Specialists

Lake Forest, CA

Issue Pocket Commission Credentials Collect SmartID Cards and PAC Cards; return terminated credentials to the Security Officer for destruction * Credentialing Specialists shall keep a log of Cards ...

Armada Ltd

Credentialing Specialists

New Windsor, NY · On-site

$40K - $75K/yr

... credentials to the Security Officer for destruction Credentialing Specialists shall keep a log of Cards issued and collected Perform Registrar and Activator duties as required Credentialing ...

Armada Ltd

Credentialing Specialists

Tampa, FL

Issue Pocket Commission Credentials Collect SmartID Cards and PAC Cards; return terminated credentials to the Security Officer for destruction * Credentialing Specialists shall keep a log of Cards ...

Armada Ltd

Credentialing Specialists

Andover, MA

Issue Pocket Commission Credentials Collect SmartID Cards and PAC Cards; return terminated credentials to the Security Officer for destruction * Credentialing Specialists shall keep a log of Cards ...

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How much do credentials specialist jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for credentials specialist in the United States is $24.36, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $27.64 per hour, depending on experience, location, and employer.

What is a credentials specialist?

A Credentials Specialist is a professional responsible for verifying, processing, and maintaining the credentials and qualifications of employees, typically within healthcare, education, or other regulated industries. They ensure that staff meet organizational, legal, and accreditation requirements by managing documentation, conducting background checks, and liaising with licensing boards. Credentials Specialists play a crucial role in maintaining compliance and upholding standards for staff qualifications.

What are the key skills and qualifications needed to thrive as a credentials specialist?

To thrive as a Credentials Specialist, you need attention to detail, strong organizational skills, and a background in administrative or compliance work, often supported by a high school diploma or associate’s degree. Familiarity with credentialing software, databases, and industry standards such as NCQA or Joint Commission is typically required. Excellent communication, problem-solving abilities, and discretion are vital soft skills for interacting with stakeholders and handling sensitive information. These competencies ensure accurate credential verification, regulatory compliance, and efficient onboarding processes in organizations.

What are some typical challenges a credentials specialist might face when verifying professional licenses and certifications?

Credentials Specialists often encounter challenges such as incomplete or outdated documentation, discrepancies between applicant-provided information and official records, and varying verification processes across different institutions and states. Keeping up with changing regulations and credentialing standards can also add complexity to the role. Effective communication and attention to detail are essential for resolving issues quickly and ensuring compliance with industry and organizational requirements.

What is the difference between Credentials Specialist vs Credentialing Coordinator?

CriteriaCredentials SpecialistCredentialing Coordinator
Required credentialsCertifications in healthcare administration, compliance, or related fieldsCertifications in healthcare administration, credentialing, or compliance
Work environmentHealthcare facilities, hospitals, clinicsHealthcare organizations, insurance companies, hospitals
Employer and industry usageUsed in healthcare settings to manage staff credentialsUsed in healthcare to coordinate provider credentialing processes
Common search intentUnderstanding roles related to credential managementDistinguishing between credentialing roles in healthcare

The Credentials Specialist and Credentialing Coordinator roles both focus on managing healthcare credentials, often requiring similar certifications. The Credentials Specialist typically handles verifying and maintaining individual credentials, while the Credentialing Coordinator manages the overall credentialing process for providers. Both roles are essential in healthcare settings to ensure compliance and provider eligibility.

Do you need a degree to be a credentials specialist?

A credentials specialist typically does not require a college degree, but relevant certifications, attention to detail, and knowledge of credentialing processes are important. Many employers value experience and specialized training in areas like healthcare, education, or licensing. Having strong organizational skills and familiarity with credential management systems can also be beneficial.

How much does a Credentials Specialist make in the US?

A Credentials Specialist in the US typically earns between $40,000 and $60,000 annually, depending on experience, location, and employer. The role often requires attention to detail, familiarity with credentialing software, and knowledge of healthcare or educational standards.

Is a credentials specialist a stressful job?

A credentials specialist's job can be stressful due to the need for accuracy and attention to detail when verifying and managing sensitive information. Deadlines, compliance requirements, and the importance of data security can contribute to work-related stress, but the level varies depending on the work environment and workload.
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Credentials Specialist jobs near you
Infographic showing various Credentials Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, and 2% Contract. Highlights an 79% Physical, 2% Hybrid, and 19% Remote job distribution, with an average salary of $50,665 per year, or $24.4 per hour.

Credentialing and Privileging Specialist

Bancroft

Cherry Hill, NJ • Hybrid

$47K - $62K/yr

Full-time

Posted 17 days ago

Bancroft rating

6.5

Company rating: 6.5 out of 10

Based on 19 frontline employees who took The Breakroom Quiz

Job description

Overview

We're Hiring: Credentialing and Privileging Specialist

Location: Cherry Hill, NJEmployment Type: Hybrid Department: Finance

Salary Range: $47,840-$62,400

Bancroft is a leading service-provider for children and adults with autism, other intellectual or developmental disabilities or those in need of neurological rehabilitation.We provide a full continuum of highly effective services - for people of all ages and every level of abilities - based on best practices and scientifically proven techniques. Our services include special education, vocational training, supported employment, structured day programs, group home and apartment programs both on-campus and in the community, short-term behavioral stabilization services for children, and in-home and outpatient rehabilitation services.As a nonprofit organization, we are solely committed to supporting people with special needs and their families, to help make it One World. For Everyone. Bancroft is currently seeking a Credentialing and Privileging Specialist to work in our corporate headquarters located in Cherry Hill, NJ.  The hybrid position will be 3 days in office and 2 days work from home.

Responsibilities

Position Summary:

Responsible for leading, coordinating, monitoring and maintaining the privileging, credentialing and re-credentialing processes.  Facilitates all aspects of Bancroft credentialing; including initial appointment, reappointment, clinical privilege for Medical Staff, Allied Health Professionals and all other providers outlined in the Medical Staff bylaws, policies, or related contracts.  Ensures interpretation and compliance with the appropriate accrediting and regulatory agencies, while maintaining a working knowledge of the statues and laws relating to credentialing.  Responsible for the accuracy and integrity of the credentialing database system and related applications.  

Privileges:

  • Leads, coordinates, and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility. 
  • Independently processes requests for privileges, ensuring compliance with criteria outlined in clinical privilege policy descriptions.  Based on experience in the privileging and credentialing field, the incumbent shall exercise independent review of related data to determine if the applicant may proceed in the process or if further information is needed.
  • Independently conducts thorough background investigation, research and primary source verification of all components of the application file. 
  • Using independent judgement and discretion, actively identifies any issues that require additional investigation and evaluation, validates discrepancies and independently assures follow up with appropriate departments and staff.
  • Prepares credential files for completion and presentation to Board of Directors, ensuring file completion within time periods specified. 
  • Monitors the initial, reappointment and expiration process for all medical staff, Allied Professional staff, Other Health Professional staff, and delegated providers, ensuring compliance with regulatory bodies (Federal, State, CMS, Joint Commission, etc.)

    • Credentialing:

  • Leads organizational and individual provider credentialing to ensure participation, including but not limited to Medicare, Medicaid and managed care insurance providers.  
  • Independently establishes CAQH accounts for onboarding clinical providers and complete all CAQH applications.
  • Independently leads managed care credentialing audits; conducts internal file audits.
  • Prepare and submit enrollment applications to managed care insurance providers.  Respond to any questions and complete any related follow up.   
  • Promptly responds to inquiries from other healthcare organizations, internal and external customers.  
  • Provides education to Bancroft staff members regarding credentialing requirements. 
  • Maintain a detailed log and/or database base all pending and completed work. 
  • Research and resolve any issues relating to provider/clinician NPI numbers
  • Managed the deactivation of provider numbers, effective dates, and prepared notification of deactivation status.
  • Provide weekly updates regarding status of any outstanding practitioner applications. Indicate any cause of delay in process.  
  • Maintain and verify provider demographic information every 90 to 120 days for active clinical staff through various means and applicable payer portals, email notifications, phone calls, and facsimiles.
    • Qualifications

    Education & Experience:

    High school diploma required: at least 3 years' experience, with 2 years directly related to hospital, physician group, managed care, outpatient practice or human service field credentialing. 

    Preference: National Association Medical Staff Services (NAMSS) certification as a Certified Medical Services Manager (CPMSM), or Certified Provider Credentials Specialist (CPCS), or ability to be certified within one year. 

    Special Skills:

    Demonstrated ability to effectively communicate both verbally and in written form required. Ability to think and work independently.  Meet deadlines and assure that assigned projects are completed in a timely and efficient manner.  Effective interpersonal skills.  Operative knowledge of MS Office Word and Excel spreadsheets preferred.  Valid driver's license required in incumbent's legal name and current address with no provisional restrictions. Minimum 18 years of age required.

    EEO Statement

    Bancroft is an Equal Opportunity Employer, and supports diversity, equity and inclusion in its hiring and employment practices, so that every team member can feel a true sense of belonging, and maximize their unique potential.  To this end, all applicants will receive consideration for employment without regard to age, race, color, religion, sex, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, veteran status or any other characteristic protected by law.  

    Employment Type: OTHER

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