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Healthcare Credentialing Jobs in Georgia (NOW HIRING)

Tracks status of credentials for healthcare practitioners and provides required documents to clients to make accession, credentialing and privileging (C&P) decisions. * Maintains relationships with ...

Understanding of healthcare job roles, credentialing requirements, and regulatory considerations * Proficiency with ATS platforms and recruitment software * Excellent written and verbal communication ...

Healthcare Recruiter

Atlanta, GA · On-site

$55 - $75/hr

Understanding of healthcare job roles, credentialing requirements, and regulatory considerations * Proficiency with ATS platforms and recruitment software * Excellent written and verbal communication ...

Our mission is to maximize the efficiency and performance of our healthcare providers and deliver ... ESSENTIAL DUTIES, FUNCTIONS & RESPONSIBILITIESWork directly with Credentialing staff to enhance ...

Responsible for ensuring providers are credentialed, appointed, and privileged with health plans, hospitals, and patient care facilities. Maintain up-to-date data for each provider in credentialing ...

About Us Health is the most important thing in life, and the American healthcare system is ... About the Role Reporting directly to our Credentialing Manager, the Credentialing / Enrollments ...

Responsible for ensuring providers are credentialed, appointed, and privileged with health plans, hospitals, and patient care facilities. Maintain up-to-date data for each provider in credentialing ...

AR Credentialing Analyst ABOUT APOLLOMD ApolloMD is a leading Medical Billing company for Emergency ... Our mission is to maximize the efficiency and performance of our healthcare providers and deliver ...

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Healthcare Credentialing information

See Georgia salary details

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How much do healthcare credentialing jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for healthcare credentialing in Georgia is $20.57, according to ZipRecruiter salary data. Most workers in this role earn between $16.25 and $23.37 per hour, depending on experience, location, and employer.

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.

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.

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 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.

How to get into healthcare credentialing?

To enter healthcare credentialing, individuals typically need a high school diploma or equivalent, with some roles requiring a postsecondary certificate or associate degree in health administration or related fields. Gaining experience in healthcare settings and developing skills in attention to detail, organization, and knowledge of licensing and certification processes are important. Certification programs, such as the Certified Provider Credentialing Specialist (CPCS), can enhance job prospects and credibility in the field.

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.
Infographic showing various Healthcare Credentialing job openings in Georgia as of August 2026, with employment types broken down into 2% As Needed, 61% Full Time, 15% Part Time, 19% Contract, and 3% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $42,780 per year, or $20.6 per hour.

Credentialing Specialist

D4C Dental Brands

Atlanta, GA • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago


D4C Dental Brands rating

6.5

Company rating: 6.5 out of 10

Based on 6 frontline employees who took The Breakroom Quiz


Job description

Description
The Credentialing Specialist will be responsible for leading, coordinating, monitoring, and maintaining the credentialing and re-credentialing process.
  • Liaise between the practitioners, health plans, hospitals, patient care facilities and all related entities regarding credentialing, malpractice coverage, and practitioner enrollment.
  • Manage credentialing and re-credentialing processes along with completing applications for respective Commercial and Medicaid dental plans; contacting doctors for additional documentation if required; monitoring applications for timely approval and follow-up as needed.
  • Management of CAQH applications including completion and updates. Maintains provider information in online credentialing databases and systems.
  • Responsible for all necessary updates including, but not limited to address changes, NPI updates, etc.
  • Ensures facility addresses, provider information is current with health plans, agencies and other entities.
  • Coordinate, compile, and prepare reports pertaining to doctors as requested. Preparation of correspondence associated with the credentialing process.
  • Maintains knowledge of current health plans and agencies requirements for credentialing doctors.
  • Tracks license and certification expirations for all practitioners to ensure timely renewals. Follow-up with practitioners regarding expiring documents to ensure compliance.
  • Performs other duties as assigned.

Education and Experience:
  • High school diploma; Bachelor's degree preferred.
  • 2-3 years experience in Managed Care credentialing and Medicaid enrollment.
  • Experience with integrating dental practices and acquisitions.
  • NAMMS Certifications is a plus.

We take care of our valued employees by offering:
  • Paid Time Off
  • Paid Holidays
  • Medical, Dental and Vision benefits
  • Health Savings Account, Flex Spending
  • 401K
  • Short and Long Term Disability Insurance
  • Life Insurance
  • Opportunities for Community Service

About D4C Dental Brands
Work that Matters
At D4C Dental Brands, team members are positioned to make a difference in the lives of patients. As the leading and fastest growing support organization for specialty dental practices, we are able to enhance and advance the overall patient experience. Our success comes from our focus on supporting high quality patient care and our shared vision of "Raising the Standard in children's oral health." If you're ready to make a difference in the lives of children - and to positively impact the healthcare system at large - there's no better place to make this happen. We believe that when committed teams come together with dedicated expert dentists for the purpose of helping children achieve a lifetime of great oral health, the results are tremendous. This shared commitment is the foundation to everything we do.

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