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Healthcare Credentialing Jobs (NOW HIRING)

Essential Duties & Responsibilities Coordinate initial credentialing, recredentialing, and privileging activities for providers and licensed healthcare professionals. Verify licenses, certifications ...

Credentialing Specialist

El Segundo, CA ยท On-site

$22 - $28/hr

A healthcare company is looking for Credentialing Specialist to join a healthcare organization in El Segundo, California. This Credentialing Specialist is ideal for someone who can quickly step into ...

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Qualifications Required * 2+ years of healthcare credentialing experience * Strong organizational and communication skills * High attention to detail * Ability to manage multiple priorities in a ...

Credentialing Manager

Long Beach, CA ยท On-site

$32 - $45/hr

A healthcare company is looking for an experienced Credentialing Manager to lead credentialing and provider data activities for a healthcare organization in Long Beach, California. This Credentialing ...

Job Summary Our client is seeking a Credentialing Manager responsible for leading the design ... Experience with Salesforce Health Cloud or similar CRM and healthcare technology platforms.

Transform Care. We are seeking a Payor Credentialing Coordinator to join our team. In this role, you will manage all aspects of payer enrollment and credentialing for healthcare providers, ensuring ...

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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:

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.

Credentialing Specialist

Atlas Management

Brentwood, TN โ€ข On-site

$30/hr

Other

Posted 9 days ago


Job description

For more than 25 years, the Atlas Management team has provided management and human resources solutions to businesses, and employment opportunities to individuals. Atlas Management is hiring a Credentialing Coordinator for a major corporation in the Brentwood, TN area. This position is ideal for the individual that is an expert in CredentialStream implemented in the Credentialing Dept. This expert will assist in the implementation of CredentialStream and lead coordination with processes. If you have substantual experience in CredentialStream and an excellent leader/trainer, than this position could be for you. Credentialing Coordinator Department: Medical Services / Human Resources / Compliance Reports To: Credentialing Manager, Director of Medical Operations, or HR Director Schedule: Monday - Friday, 8a - 5p Location: Hybrid/Remote - Brentwood, Tn Salary: $30.00 per hour Status: 12 month contract Position Summary The Credentialing Coordinator is responsible for coordinating and maintaining credentialing, recredentialing, licensure, and compliance activities for healthcare professionals, including physicians, psychiatrists, dentists, nurse practitioners, registered nurses, psychologists, licensed counselors, social workers, and other behavioral health professionals. This role ensures all providers and licensed professionals meet regulatory, accreditation, and organizational requirements and maintains credential records within CredentialStream. Essential Duties & Responsibilities Coordinate initial credentialing, recredentialing, and privileging activities for providers and licensed healthcare professionals. Verify licenses, certifications, education, training, work history, board certifications, DEA registrations, malpractice coverage, and other required credentials. Maintain accurate credential files and provider records within CredentialStream. Monitor license, certification, and credential expiration dates and ensure timely renewals. Conduct sanction and exclusion monitoring, including OIG, SAM, NPDB, and other required databases. Support onboarding activities by coordinating credential verification, background checks, and required approvals. Prepare reports, audits, and compliance documentation related to credentialing and licensure status. Serve as the primary point of contact for credentialing inquiries from providers, staff, leadership, and regulatory agencies. Collaborate with Medical Services, Human Resources, Compliance, and Operations to ensure timely processing and ongoing compliance. Qualifications Associate's degree or equivalent combination of education and experience required; Bachelor's degree preferred. 2 to 5+ years of healthcare credentialing experience required. Experience credentialing providers and licensed healthcare professionals, including physicians, dentists, psychiatrists, nurses, and behavioral health clinicians. Hands-on experience using CredentialStream required. Knowledge of healthcare credentialing standards, primary source verification, licensure requirements, and regulatory compliance. Experience with CAQH, NPDB, OIG, payer enrollment, or accrediting body requirements preferred. Key Competencies Strong attention to detail and accuracy. Excellent organizational and time management skills. Ability to manage multiple priorities and deadlines. Strong written and verbal communication skills. Proficiency with Microsoft Office and credentialing systems. Commitment to confidentiality and regulatory compliance.