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Healthcare Credentialing Jobs (NOW HIRING)

ECMC

Credentialing Specialist - FT- Day Shift

Buffalo, NY · On-site

$51K - $69K/yr

Graduation from high school or possession of a high school equivalency diploma and three (3) years of medical office experience *, of which included healthcare credentialing functions; or: * An ...

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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.

Managed Care Credentialing Coordinator

Texas Scottish Rite Hospital for Children

Dallas, TX • Hybrid

Full-time

Posted 12 days ago

Job description

Our patients are our number one priority! We're committed to giving children back their childhood!

Job Posting Title:

Managed Care Credentialing Coordinator

Location:

Dallas - Hospital

Additional Posting Details:

Monday - Friday

7 a.m. - 5 p.m.

Hybrid -Remote

Job Description:

Duties/Responsibilities

  • Assist leadership in the development, planning, implementation, review and revision of managed care credentialing processes, forms, related policies and procedures with regard to credentialing to stay current with Health Plans practice as well as accrediting and regulatory agency requirements (i.e., NCQA); maintain a working knowledge of such documents and keeps the medical staff updated on all changes

  • Facilitate, coordinate, prepare, monitor, maintain and implement all of the credentialing functions for medical staff and advanced practice professionals, in a timely manner, such as: managed care credentialing applications for network participation re-credentialing with health plans, monitoring, including procurement of applications and required supporting documents

  • Ensure all expirables are reviewed, obtained, maintained and managed by tracking, documenting: licensures, certifications, specialty certification, and malpractice insurance information prior to their expiration dates and other expirables as required; notify appropriate medical and administrative leadership staff prior to expiration so that required documents can be secured and updated or required intervention or actions can be accomplished in a timely manner

  • Originate or collect, update and maintain: all required documentation and records and the managed care medical staff credentialing software databases as appropriate

  • Maintain reporting and communication with hospital leadership as to credentialing status of hospital, physician staff, and advanced practice professionals

  • Regularly monitor payer websites to ensure accuracy of Scottish Rite for Children and providers in payer online tools (i.e., provider manuals); address with payer to correct any deficiencies

  • Develop annual goals and objectives for the Managed Care Credentialing function in concert with the organization's strategic plan

  • Develop, maintain, and apply working knowledge of relevant federal and state laws and regulations and accreditation standards/agencies and other regulatory requirements (i.e., NCQA)

  • Support the General Counsel in handling of legal matters for Scottish Rite, assist with special projects and help maintain files in the Office of General Counsel

  • Provide professional support to the management staff in partnership with other support staff

  • Attend meetings and take minutes for these meetings as requested

  • Assist with miscellaneous duties and special projects as assigned

Required Skills/Abilities

  • High school diploma or equivalent required

  • Associate degree preferred

  • Minimum 2 years of Medical Staff or Managed Care Credentialing Coordinator experience; in a hospital, clinic, or health plan setting is preferred

  • Certification through the National Association of Medical Staff Services (NAMSS) as a Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Staff Management (CPMSM upon hire is preferred.Otherwise, certification must be obtained within 1 year of hire or 1year of eligibility per NAMSS requirements, as applicable

  • Proficient in computer applications (e.g., Windows, Microsoft Office, internet browsers, medical staff/credentialing software databases, etc.)

  • Knowledge of standards in managed care credentialing practiced, health plan credentialing requirements, statistics, data collection, analysis and data presentation

  • Excellent interpersonal communication, organizational and problem-solving skills

#P3

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