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Healthcare Credentialing Specialist (Independent Contractor)

Houston, TX · Remote

$25 - $55/hr

REMOTE Work From Home We are seeking an experienced Healthcare Credentialing Specialist to support provider enrollment, credentialing, and compliance activities. This role is responsible for ensuring ...

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Managed Care Credentialing Coordinator

Dallas, TX · Hybrid

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

Cardinal Health

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

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

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Healthcare Credentialing information

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How much do healthcare credentialing jobs pay per hour?

As of Jun 11, 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.

Is it hard to become a credentialing specialist?

Becoming a healthcare credentialing specialist requires attention to detail, organizational skills, and knowledge of healthcare regulations. Many roles require completing relevant training or certifications, such as the Certified Provider Credentialing Specialist (CPCS), and gaining experience with credentialing software. The difficulty varies depending on prior experience and the complexity of credentialing processes.

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, understanding medical terminology, and obtaining certifications such as the Certified Provider Credentialing Specialist (CPCS) can improve job prospects. Strong organizational skills and attention to detail are essential for success in this field.

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.

How much does a credentialing assistant make?

A credentialing assistant typically earns between $35,000 and $50,000 annually, depending on experience, location, and the size of the healthcare organization. Strong organizational skills and familiarity with credentialing software can influence salary levels.

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 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 privileges at healthcare facilities. Credentialing is often part of the broader credentialing and privileging process that healthcare organizations use to evaluate and approve providers for specific services.

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 3% Locum Tenens, 10% Full Time, 36% Part Time, and 51% 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.

Healthcare Credentialing Coordinator

SEEDS OF THE WILLISTONS INC

Williston Park, NY

$20 - $40/hr

Part-time

Medical, Dental, Vision, Retirement

Posted 11 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.