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Healthcare Credentialing Jobs (NOW HIRING)

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Managed Care Credentialing Coordinator

Dallas, TX · On-site

Managed Care Credentialing Coordinator Location: Dallas - Hospital Additional Posting Details ... Health Plans practice as well as accrediting and regulatory agency requirements (i.e., NCQA ...

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Healthcare Credentialing information

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$38

How much do healthcare credentialing jobs pay per hour?

As of Jul 3, 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, individuals typically need a high school diploma or equivalent, with some roles requiring a bachelor's degree in health administration, business, 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, attention to detail, and knowledge of healthcare regulations are essential for success in this field.

What healthcare jobs pay over $100k per year?

Healthcare jobs that typically pay over $100,000 annually include physicians, surgeons, anesthesiologists, and certain specialized nurse practitioners. These roles often require advanced degrees, extensive experience, and board certifications, and they usually work in hospital or clinical settings with demanding schedules.

What are the key skills and qualifications needed to thrive in Healthcare Credentialing, and why are they important?

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.

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.

Is medical credentialing a good career?

Medical credentialing is a stable career that involves verifying healthcare providers' qualifications and licenses, often requiring attention to detail and organizational skills. It offers opportunities for employment in healthcare organizations, insurance companies, and credentialing firms, with certifications available to enhance career prospects.

What does credentialing do in healthcare?

In healthcare, credentialing is the process of verifying a provider's qualifications, licenses, certifications, and work history to ensure they meet industry standards and are authorized to deliver care. It helps maintain quality and patient safety by confirming providers' credentials before granting hospital privileges or insurance participation. Credentialing often involves reviewing documents and may require ongoing re-credentialing to stay current.

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 June 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 78% Full Time, 17% Part Time, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $50,665 per year, or $24.4 per hour.
HEALTHCARE CREDENTIALING COORDINATOR

HEALTHCARE CREDENTIALING COORDINATOR

Comprehensive Community Health Centers Inc.

Glendale, CA

$25 - $27/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 27 days ago

Job description

Description

HEALTHCARE CREDENTIALING COORDINATOR JOB SUMMARY


The Credentialing Coordinator is responsible for the day to day processes for both FTCA/HRSA and payer Credentialing and Privileging programs of Comprehensive Community Health Centers. Ensures timely and accurate Credentialing and Privileging of all CCHC physicians and non-physician licensed professionals. The Credentialing Coordinator is responsible for maintaining the credentialing database platform.


HEALTHCARE CREDENTIALING COORDINATOR ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Coordinates and administers the Credentialing and Privileging process for all CCHC providers and non-physician licensed professionals.
  • Maintain the Credentialing database platform.
  • Coordinates compliance for legal and regulatory documentation for the professionals of CCHC.
  • Monitors accuracy of policies and procedures, ensuring compliance with accrediting organization requirements. 
  • Create CAQH profiles for providers.
  • Responsible for ensuring that all providers are contracted with different payers, including HMO's, Medi-Cal and Medicare.
  • Coordinate with the payer to ensure that all Credentialing requirements are met.
  • Submit Credentialing forms and applications to IPA's, Medical Groups and Plans as needed. 
  • Follow-up on submitted applications with IPA's, Medical Groups and Plans.
  • Functions as a credentials and privileging contact for all internal and external inquiries. 
  • Assist in developing innovative tools, features, and work flows to improve the Credentialing and Privileging processes.
  • Works closely with HR to obtain all necessary documents for Credentialing and Privileging.
  • Performs miscellaneous job-related duties as assigned.



HEALTHCARE CREDENTIALING COORDINATOR EDUCATION AND EXPERIENCE

  • Bachelor's in a health-related field preferred.
  • Credentialing knowledge and familiarity with industry standards required.
  • Knowledge of Community Health Centers (CHC) and HRSA clinical staffing requirements preferred


Requirements

HEALTHCARE CREDENTIALING COORDINATOR KNOWLEDGE, SKILLS AND ABILITIES

  • Ability to find solutions when barriers are identified.
  • Strong documentation skills. 
  • Ability to multi-task and prioritize when needed.
  • Ability to independently seek out resources and work collaboratively.
  • Ability to read, understand and follow oral and written instructions. 
  • Experience and work ethics that supports working within a high functioning, team-oriented environment.
  • Demonstrates a willingness and ability to work under supervision.
  • Ability to develop and maintain good working relationships with staff.
  • Ability to use computer and learn new software programs.
  • Excellent interpersonal skills reflecting clarity and diplomacy and the ability to communicate accurately and effectively with all levels of staff and management.
  • Demonstrates ability to work in a regulatory climate that includes oversight of state and federal entities, payer contracts etc.
  • Possesses ability to communicate effectively, both verbally and in writing.
  • Possesses genuine respect for others and acceptance of their individual social and cultural traits.
  • Proficient knowledge of Microsoft Outlook.
  • Able to travel and attend professional meetings, conferences, trainings and clinic sites. 
  • Demonstrate flexibility, enthusiasm, and willingness to cooperate while working with others in multi-disciplinary teams.
  • Performs other related duties as assigned.

HEALTHCARE CREDENTIALING COORDINATOR PAY RATE: $25-$27/hr


 HEALTHCARE CREDENTIALING COORDINATOR BENEFITS & PERKS:

  • 100% employer-paid Medical, Dental & Vision coverage
  • 100% employer-paid Life & Accidental Death & Dismemberment (AD&D) Insurance
  • 401(k) with employer matching
  • Paid Time Off Accrual , 10 Paid Holidays, and a Wellness Day Off
  • Flexible Spending Account (FSA)
  • Fringe Marketplace Stipend
  • Optional Supplemental Insurance
  • Participation in CCHC's company-wide Profit Sharing Program (eligible employees)
  • Professional development and opportunities for internal growth and advancement

 We are committed to providing equal employment opportunities to all applicants, including those with arrest or conviction records. In accordance with the ULAC Fair Chance Ordinance, we will not inquire about or consider criminal history until after a candidate has received a copy of their background check report. All applicants will be evaluated based on their qualifications and ability to perform the essential functions of the job. For more information, please refer to LA County Fair Chance Hiring.   


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