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Healthcare Credentialing Jobs (NOW HIRING)

KeyStaff

Senior Credentialing Specialist

Pompano Beach, FL · On-site

$43.27 - $48.08/hr

This position is responsible for ensuring that healthcare providers meet all applicable credentialing, licensing, regulatory, and compliance requirements before and throughout their engagement with ...

Nutex Health

Collect, review, and verify healthcare providers' credentials, including licenses, certifications, education, training, and work history. * Maintain accurate and up-to-date provider files and ...

VeloSource

Be Seen First

Credentialing Specialist

Des Peres, MO · Remote

$60K/yr

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

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Healthcare Credentialing information

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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 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.

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.
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 1% Locum Tenens, 2% As Needed, 66% Full Time, 16% 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/Provider Enrollment Specialist | Managed Care & Corporate Development

UF Health

Gainesville, FL • On-site

Full-time

Re-posted 20 hours ago

Job description

Overview
Supporting the Network Behind Exceptional Care.
Work Style: Hybrid (Onsite training for first 2 months, then hybrid schedule)
Location: Gainesville, FL
FTE: Full-Time (1.0 FTE)
⏰ Schedule: Monday - Friday - 8:00 am to 5:00 pm
Verifies and authenticates the credentials of healthcare professionals to ensure compliance with regulatory standards. Coordinates with medical staff and external agencies to collect and review necessary documentation, maintaining accurate credentialing records, and monitoring expiration dates for timely renewals. Supports audit and accreditation processes by preparing reports and documentation, communicates credentialing requirements to stakeholders, and assists the credentialing committee with meeting coordination. Requires resolving discrepancies and following up on incomplete credentialing information to maintain data integrity and compliance.
This position works collaboratively with Managed Care, Credentialing, Revenue Cycle, Medical Staff, Operations, and IT teams to support provider onboarding, enrollment maintenance, payor reporting, and operational workflow coordination across the health system.
Responsibilities
Key Responsibilities
  • Verifies and authenticates credentials of healthcare professionals.
  • Coordinates with medical staff and external agencies for documentation collection and review.
  • Maintains accurate credentialing records and monitors expiration dates.
  • Supports audit and accreditation processes with reports and documentation.
  • Communicates credentialing requirements to stakeholders.
  • Assists the credentialing committee with meeting coordination.
  • Resolves discrepancies and follows up on incomplete credentialing information.

Qualifications
Minimum Qualifications
  • Associate's or Bachelor's degree in Healthcare Administration, Business Administration, or a related field required; equivalent work experience may be considered in lieu of education
    • 3+ years of experience in healthcare credentialing, provider enrollment, or medical staff services.
    • Knowledge of healthcare regulatory requirements, credentialing standards, and accreditation processes.
    • Experience managing credentialing documentation, primary source verification, and provider renewal processes.
    • Strong organizational, communication, and record management skills.
    • Ability to coordinate effectively with medical staff, providers, licensing boards, payers, and external agencies.

Preferred Qualifications
  • Experience with delegated provider rosters, provider onboarding, and enrollment maintenance workflows
  • Familiarity with PECOS, NPPES, Medicaid portals, Medicare enrollment processes, and commercial payor systems
  • Knowledge of provider enrollment, delegated credentialing, provider directory maintenance, and payor loading processes
  • Experience validating provider demographics, NPIs, TINs, practice locations, specialties, taxonomy codes, and participation records
  • Familiarity with CMS, AHCA, NCQA, and delegated credentialing requirements
  • Experience working within a large multi-site health system, academic medical center, or managed care environment
  • Experience with credentialing or enrollment systems such as CredentialStream, MD-Staff, or related platforms

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