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Healthcare Credentialing Jobs (NOW HIRING)

Careington

Healthcare Credentialing Manager

Frisco, TX · On-site

  • Medical

  • Life

For more than 45 years, Careington International has been a leader in the health and wellness ... Lead, coach, and develop a team to manage credentials for members in the Careington network.

Cardinal Health

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Coordinator, Managed Care, Credentialing What Managed Care contributes to Cardinal Health Practice Operations Management oversees the business and administrative operations of a medical practice.

Cardinal Health

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Coordinator, Managed Care, Credentialing What Managed Care contributes to Cardinal Health Practice Operations Management oversees the business and administrative operations of a medical practice.

Essen Healthcare

Be Seen First

Credentialing Lead - (Healthcare)

Bronx, NY · On-site

$75K - $90K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Qualifications Required * 3-5 years of healthcare credentialing or medical staff services experience. * Bachelors or 7 years of relevant working experience required * 1-2 years of supervisory or team ...

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Healthcare Credentialing information

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How much do healthcare credentialing jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for healthcare credentialing 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.

How to get into healthcare credentialing?

To enter healthcare credentialing, candidates typically need a high school diploma or equivalent, with some roles requiring a bachelor's degree in health administration or related fields. Gaining experience in healthcare settings and obtaining certifications such as the Certified Provider Credentialing Specialist (CPCS) can improve job prospects. Strong organizational skills and knowledge of healthcare regulations are also important for success in this field.

What are the key skills and qualifications needed to thrive in healthcare credentialing?

To thrive in Healthcare Credentialing, you need meticulous attention to detail, a solid understanding of healthcare regulations, and experience with credentialing processes, often supported by a degree in healthcare administration or a related field. Familiarity with credentialing management software (such as CAQH or Verity), compliance databases, and knowledge of Joint Commission standards are typically required. Strong organizational skills, clear communication, and the ability to handle confidential information make candidates stand out. Mastery of these skills ensures accurate provider verification, regulatory compliance, and timely onboarding, all of which are vital for patient safety and institutional integrity.

Is healthcare credentialing a hard job?

Healthcare credentialing can be challenging due to the detailed review of provider qualifications, compliance requirements, and the need for accuracy. It often requires strong organizational skills, attention to detail, and familiarity with healthcare regulations and credentialing software. The job may involve repetitive tasks and tight deadlines, but it is manageable with proper training and experience.

What is the difference between Healthcare Credentialing vs Medical Billing Specialist?

AspectHealthcare CredentialingMedical Billing Specialist
Primary FocusVerifying provider credentials and licensingProcessing insurance claims and payments
Required CertificationsCredentialing certifications, healthcare complianceBilling and coding certifications (e.g., CPC)
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies
Industry UsageHealthcare administration, provider onboardingRevenue cycle management, billing departments

Healthcare Credentialing and Medical Billing Specialists both operate within healthcare administration but focus on different aspects. Credentialing ensures providers meet licensing standards, while billing specialists handle insurance claims. Understanding these differences helps clarify career paths and job roles in healthcare administration.

What are some of the main challenges healthcare credentialing specialists face in maintaining up-to-date provider records?

Healthcare credentialing specialists often encounter challenges such as frequent changes in provider information, varying requirements from different insurance companies, and tight deadlines for credentialing renewals. Staying organized and maintaining accurate, up-to-date records is crucial, as incomplete or outdated information can delay provider onboarding or disrupt patient care. Effective communication with both providers and regulatory bodies is key to overcoming these hurdles, and many teams rely on specialized credentialing software to streamline the process and ensure compliance.

What is healthcare credentialing?

Healthcare credentialing is the process of verifying the qualifications, experience, and professional background of healthcare providers, such as doctors, nurses, and other practitioners. This process ensures that healthcare professionals meet specific standards required by hospitals, insurance companies, and regulatory agencies. Credentialing typically involves validating education, training, licensure, certifications, and work history. It is essential for maintaining patient safety, regulatory compliance, and the quality of care within healthcare organizations.
More about Healthcare Credentialing jobs

What cities are hiring for Healthcare Credentialing jobs?

Cities with the most Healthcare Credentialing job openings:

What states have the most Healthcare Credentialing jobs?

States with the most job openings for Healthcare Credentialing jobs include:

What job categories do people searching Healthcare Credentialing jobs look for?

The top searched job categories for Healthcare Credentialing jobs are:

Healthcare Credentialing jobs near you
Infographic showing various Healthcare Credentialing job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 67% Full Time, 15% Part Time, and 15% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $50,665 per year, or $24.4 per hour.

Healthcare Credentialing Coordinator

SEEDS of the Willistons INc

Williston Park, NY • On-site

Other

Medical, Dental, Vision, Retirement

Re-posted 16 days ago

Job description

Benefits:

401(k)

401(k) matching

Bonus based on performance

Dental insurance

Flexible schedule

Health insurance

Opportunity for advancement

Vision insurance

Healthcare Credentialing & Front Office Coordinator

Benefits / Perks

Flexible schedule

Great family-style work environment

401(k) with employer match

Health, dental, and vision benefits available

Career advancement opportunities

Opportunity to grow into a front office management role

Job Summary

We are a growing, family-style speech and occupational therapy practice that has been a trusted part of the community for over 20 years. As we continue to expand our insurance-based services, we are looking for a dedicated Healthcare Credentialing & Front Office Coordinator to join our team.

This position will focus heavily on provider credentialing, insurance enrollment, payer follow-up, and maintaining accurate credentialing records. The role will also support our front office team with insurance intake, eligibility verification, scheduling support, and overflow administrative responsibilities.

For the right candidate, this role has the potential to grow into a larger leadership position within the front office as the practice continues to expand.

Responsibilities

Maintain accurate records of provider credentials, licenses, insurance enrollments, and payer approvals

Track expiration dates for provider licenses, credentials, CAQH profiles, and required documentation

Organize and maintain copies of all provider licenses, certifications, and credentialing documents

Complete and submit new credentialing and re-credentialing applications

Follow up with insurance companies regarding credentialing status, missing documentation, approvals, and effective dates

Assist with insurance intake for new clients, including collecting insurance information and verifying benefits

Help identify and resolve credentialing or payer enrollment issues that may delay billing or payment

Maintain a high level of confidentiality with provider, client, and insurance information

Support the front office with overflow responsibilities, including phones, scheduling, client communication, and administrative tasks

Work closely with ownership, billing staff, and the front office team to improve systems and processes

Qualifications

Experience with healthcare credentialing, payer enrollment, and insurance follow-up required

Experience with claims, eligibility, or provider enrollment for insurance plans such as Anthem Blue Cross Blue Shield, United Healthcare, Aetna, Cigna, EmblemHealth, GHI, 1199, Northwell Health, and similar payers strongly preferred

Knowledge of healthcare credentialing and licensing requirements preferred

Strong attention to detail and ability to track multiple deadlines

Excellent organizational and follow-up skills

Experience using Microsoft Excel and general office software

Ability to multitask in a busy healthcare office environment

Ability to work independently while also supporting a team

Strong communication skills, both written and verbal

Professional, dependable, and able to handle confidential information appropriately

Ideal Candidate

The ideal candidate is someone who understands that credentialing is not just paperwork — it directly affects whether providers can see clients, whether claims can be paid, and whether the practice can grow. We are looking for someone who is organized, detail-oriented, proactive, and comfortable following up with insurance companies until issues are resolved.

This is a great opportunity for someone who wants to become an important part of a growing healthcare practice and potentially move into a larger front office leadership role over time.

Apply