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How much do entry level credentialing specialist jobs pay per hour?

As of Jul 29, 2026, the average hourly pay for entry level credentialing 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 an Entry Level Credentialing Specialist job?

An Entry Level Credentialing Specialist is responsible for verifying the qualifications, licenses, and certifications of healthcare providers to ensure they meet industry and regulatory standards. They assist in processing applications, maintaining credentialing databases, and communicating with providers, insurance companies, and regulatory agencies. This role requires strong attention to detail, organizational skills, and an understanding of compliance requirements. It is an essential position in healthcare organizations to ensure providers meet necessary qualifications before delivering patient care.

What are the key skills and qualifications needed to thrive in the Entry Level Credentialing Specialist position, and why are they important?

To thrive as an Entry Level Credentialing Specialist, you need strong organizational skills, attention to detail, and familiarity with administrative processes, often supported by a high school diploma or associate degree. The role often utilizes credentialing management software, databases, and standard office programs, and some employers may prefer knowledge of healthcare compliance systems. Excellent communication, problem-solving abilities, and the capacity to manage time effectively help candidates stand out. These skills are crucial for accurately verifying credentials and maintaining compliance in fast-paced healthcare or corporate environments.

What does a typical day look like for an Entry Level Credentialing Specialist?

A typical day for an Entry Level Credentialing Specialist involves reviewing and verifying professional credentials, updating and maintaining databases, and ensuring all documents are compliant with organizational or regulatory standards. You’ll often collaborate with licensing boards, healthcare providers, or internal departments to obtain or clarify required information. The work is a blend of independent administrative tasks and regular communication with team members and external contacts. It’s a detail-oriented role where efficiency and accuracy are highly valued, and you’ll have opportunities to learn about broader compliance and healthcare operations.

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Entry Level Credentialing Specialist jobs near you
Infographic showing various Entry Level Credentialing Specialist job openings in the United States as of July 2026, with employment types broken down into 6% Locum Tenens, 1% As Needed, 56% Full Time, 12% Part Time, and 25% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $50,665 per year, or $24.4 per hour.

Associate Specialist, National Credentialing

Molina Healthcare

Long Beach, CA • On-site

Full-time

Re-posted 22 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 197 frontline employees who took The Breakroom Quiz

160th of 299 rated insurance

Job description

JOB DESCRIPTION 

Job Summary

Provides entry level support for Molina enterprise credentialing activities.  Ensures that the Molina provider network consists of providers that meet all regulatory and risk management criteria - effectively minimizing liability to the company and maximizing safety for members.  Responsible for initial credentialing, recredentialing and ongoing monitoring of sanctions and exclusions process for practitioners and health delivery organizations in the Molina network.

Essential Job Duties

Evaluates credentialing applications for accuracy and completeness based on differences in provider specialty and obtains required verifications as outlined in Molina policies/procedures and regulatory requirements, while meeting production goals.
Communicates with health care providers to clarify questions and request any missing information.
Updates credentialing software systems with required information.
Requests recredentialing applications from providers and conducts follow-up on application requests, following department guidelines and production goals.
Collaborates with internal and external contacts to ensure timely processing or termination of recredentialing applicants.
Completes data corrections in the credentialing database necessary for processing of recredentialing applications.
Reviews claims payment systems to determine provider status, as necessary.
Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals.
Reviews and processes daily alerts for federal/state and license sanctions and exclusions reports to determine if providers have sanctions/exclusions.
Reviews and processes daily alerts for Medicare opt-out reports to determine if any provider has opted out of Medicare.
Reviews and processes daily National Practitioner Data Bank (NPDB) continuous query reports and takes appropriate action when new reports are found.
Maintains a high level of confidentiality related to provider information.
 

Required Qualifications

At least 1 year of experience in a data processing, production, and/or administrative role - preferably in a health care setting, or equivalent combination of relevant education and experience. 
Data entry skills.
Self-direction and logical thinking abilities.  
Internet research experience.    
Ability to work cross-collaboratively in a highly matrixed organization with internal/external stakeholders.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency.
 

Preferred Qualifications

Health care industry experience.
Production-related experience.
 

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

What Molina Healthcare employees say

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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