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Hospital Credentialing Jobs (NOW HIRING)

Must have experience with hospital credentialing for providers/physicians. * HS Diploma Roles & Responsbilities : * Reviewing credential applications * primary source verification If you are ...

Credentialing Specialist (Hospital) Location: Downtown Nashville, TN (Fully On‐Site) Employment Type: Contract Pay Rate: $26/hour Department: Medical Staff Services / Provider Enrollment Position ...

Some knowledge of insurance billing and hospital credentialing is a plus. * Knowledge of the credentialing process is a plus but not required * Knowledge of credentialing timelines and regulations is ...

Credentialing Specialist Healthcare Outcomes Performance Company (HOPCo) is a vertically integrated ... HOPCo manages physician practices, hospital service lines, population health and value-based care ...

HOPCo manages physician practices, hospital service lines, population health and value-based care ... As HOPCo continues to grow, we are looking for a Credentialing Specialist to join the Credentialing ...

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Hospital Credentialing information

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How much do hospital credentialing jobs pay per hour?

As of May 28, 2026, the average hourly pay for hospital 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 are the key skills and qualifications needed to thrive in Hospital Credentialing, and why are they important?

Success in Hospital Credentialing requires strong organizational skills, attention to detail, and knowledge of medical staff bylaws and accreditation standards, often supported by a degree in healthcare administration or a related field. Familiarity with credentialing software systems (such as CACTUS or Verity), database management, and sometimes certification from the National Association Medical Staff Services (NAMSS) is valuable. Excellent communication, problem-solving, and discretion are essential soft skills for liaising with medical staff and handling sensitive information. These competencies ensure timely, accurate verification of provider qualifications, which is critical for patient safety and hospital regulatory compliance.

What are some common challenges faced by professionals in hospital credentialing, and how can they be addressed?

Hospital credentialing professionals often encounter challenges such as managing large volumes of documentation, staying current with changing regulatory requirements, and ensuring timely verification of provider qualifications. These issues can lead to delays in onboarding new staff or renewing credentials. To address these challenges, it is helpful to utilize credentialing management software, maintain strong organizational systems, and foster clear communication with both providers and regulatory bodies. Continuous professional development and staying informed about industry updates also play a key role in overcoming common obstacles.

What is hospital credentialing?

Hospital credentialing is the process by which hospitals verify and assess the qualifications of healthcare professionals, such as doctors and nurses, to ensure they meet specific standards required to provide patient care. This includes checking education, training, licensure, experience, and professional references. Credentialing helps ensure patient safety by allowing only competent and qualified professionals to practice within the hospital. The process is ongoing, requiring regular re-evaluation to maintain high standards of care.

What is the difference between Hospital Credentialing vs Medical Staff Coordinator?

AspectHospital CredentialingMedical Staff Coordinator
Required CredentialsLicenses, certifications, background checksCredentials verification, appointment processing
Work EnvironmentHospitals, clinics, healthcare facilitiesHospitals, medical offices, healthcare organizations
Employer & Industry UsageHealthcare institutions, credentialing agenciesHospitals, medical staff offices
Common Search & ComparisonYesYes

Hospital Credentialing involves verifying healthcare providers' qualifications, licenses, and background to ensure compliance and patient safety. Medical Staff Coordinators manage the credentialing process, coordinate appointments, and maintain provider records within healthcare facilities. While both roles focus on provider verification, credentialing is more about the verification process, whereas the coordinator handles administrative tasks related to medical staff management.

More about Hospital Credentialing jobs
What cities are hiring for Hospital Credentialing jobs? Cities with the most Hospital Credentialing job openings:
What states have the most Hospital Credentialing jobs? States with the most job openings for Hospital Credentialing jobs include:
Hospital Credentialing and Payer Enrollment Specialist

Hospital Credentialing and Payer Enrollment Specialist

Wilson Health

Sidney, OH • Hybrid

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago


Job description

Managed Care amp; Medical Staff Credentialing SpecialistPosition Summary
At Wilson Health, we believe exceptional patient care depends on a strong foundation of quality, safety, and compliance. As our Managed Care amp; Medical Staff Credentialing Specialist, you will play a critical role in ensuring every provider who cares for our patients is properly credentialed, enrolled, and ready to deliver high-quality care.
In this role, you’ll work closely with clinical leadership, medical staff services, revenue cycle, and external payers to manage all aspects of provider credentialing and payer enrollment. You’ll support the accuracy, integrity, and timeliness of provider onboarding, ensuring our physicians and advanced practice providers can practice without interruption and that Wilson Health remains compliant with accreditation and regulatory requirements. Through your work, you will strengthen operational efficiency, support timely revenue capture, and help uphold the high standards our community expects from Wilson Health.
Key Perks and Benefits
• Generous paid time off program beginning day one.
• Medical, Dental, and Vision Insurance—multiple plan options with coverage beginning day one.
• Health Savings Account (HSA) with employer contribution and Flexible Spending Accounts (FSA) for medical and dependent care.
• Company-paid Life Insurance and Long-Term Disability; Salary Continuation beginning day one.
• Voluntary Accident, Critical Illness, and supplemental Life/AD amp;D coverage.
• Industry-leading retirement plan with employer contributions beginning day one.
• Tuition Assistance Program.
Employment Status: Full-Time, Hybrid Remote
Working Hours: 40 hours/week (Salaried)
Shift: 1st Shift
Reports To: Chief Medical Officer
Key ResponsibilitiesProvider Enrollment amp; Payer Management
• Complete provider enrollment applications, revalidations, and roster updates for all payer types.
• Maintain CAQH, NPPES, PECOS, and payer portal profiles.
• Track application status and communicate updates to revenue cycle and operational leaders.
• Resolve payer enrollment issues proactively to avoid reimbursement delays.
Medical Staff Credentialing
• Manage initial credentialing and recredentialing processes for all providers.
• Conduct primary source verification for licensure, education, certification, and malpractice coverage.
• Prepare credentialing packets for committee review and maintain accurate documentation.
• Monitor expirables and maintain compliant credentialing files.
Compliance amp; Record Management
• Maintain databases, logs, and reporting tools related to credentialing and enrollment.
• Ensure compliance with ACHC, CMS, state regulations, and Medical Staff Bylaws.
• Protect confidentiality and maintain secure credentialing records.
Cross-Functional Collaboration
• Partner with providers, recruitment, revenue cycle, and practice operations.
• Serve as a resource for internal departments regarding credentialing requirements and timelines.
• Support smooth onboarding and timely provider readiness.
QualificationsRequired
• High school diploma or equivalent.
• Minimum 2 years of medical staff credentialing or payer enrollment experience.
• Proficiency with CAQH, NPPES, PECOS, and payer portals.
• Strong organizational skills and ability to manage multiple priorities.
• High attention to detail and accuracy.
• Ability to maintain confidentiality with sensitive information.
Preferred
• Associate’s or Bachelor’s degree in Healthcare Administration, Business, or related field.
• Experience with ACHC or similar accreditation standards.
• Familiarity with medical terminology and hospital or medical group operations.
Core Competencies
• Strong communication and interpersonal skills.
• High attention to detail and accuracy.
• Customer service mindset when supporting providers and internal partners.
• Ability to interpret regulations and payer requirements.
• Effective problem-solving and follow-through.
• Commitment to quality and patient-centered values.