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Healthcare Credentialing Jobs (NOW HIRING)

OpenLoop Health, Inc

Credentialing Specialist

The Credentialing Specialist is responsible for managing the credentialing and recredentialing processes for healthcare providers in accordance with our NCQA accredited Credentialing Verification ...

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Healthcare Credentialing information

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$13

$24

$38

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.
Credentialing Coordinator

Credentialing Coordinator

Independent Living Systems

Miami, FL • On-site

Full-time

Posted 5 days ago

Independent Living Systems rating

6.5

Company rating: 6.5 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

We are seeking a Credentialing Coordinator to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

About the Role:

The Credentialing Coordinator plays an essential role in ensuring that all provider partners within the organization’s contracted networks meet the necessary professional and regulatory standards to deliver safe and effective care. The Credentialing Coordinator is responsible for handling the credentialing process from application through verification, re-credentialing, and ongoing monitoring, ensuring compliance with internal policies and external regulatory requirements. The Credentialing Coordinator collaborates closely with healthcare providers, administrative teams, and regulatory bodies to maintain accurate and up-to-date credentialing records. By maintaining rigorous credentialing standards, the Credentialing Coordinator supports the organization's commitment to quality member care and risk management. Ultimately, the Credentialing Coordinator ensures that all contracted providers are properly qualified and authorized to provide health and social care services, thereby safeguarding the organization's reputation and operational integrity.

Minimum Qualifications:

  • Associate’s degree or equivalent experience in healthcare administration, business, or a related field.
  • 1 years of experience in credentialing or a related administrative role within a healthcare setting.
  • Strong knowledge of healthcare credentialing standards, regulatory requirements, and accreditation processes.
  • Proficiency with credentialing software and Microsoft Office Suite.
  • Relevant experience may substitute for educational requirement on a year-for-year basis.

Preferred Qualifications:

  • Bachelor’s degree in healthcare administration, business, or a related discipline.
  • Certification in credentialing such as Certified Provider Credentialing Specialist (CPCS) or equivalent.
  • Experience working with electronic health records (EHR) systems and healthcare compliance software.
  • Familiarity with state and federal healthcare regulations including NCQA, URAC, and The Joint Commission standards.

Responsibilities:

  • Administer the end-to-end credentialing and re-credentialing process for contracted providers, including collecting, verifying, and maintaining documentation of qualifications, licenses, certifications, and work history.
  • Coordinate with providers, licensing boards, and third-party verification services to ensure timely and accurate credentialing information.
  • Maintain and update credentialing databases and records to ensure compliance with organizational policies and regulatory standards.
  • Prepare and submit credentialing reports and documentation for internal audits and external regulatory reviews.
  • Collaborate with various departments and internal teams to support credentialing-related initiatives and resolve any discrepancies or issues.