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Insurance Credentialing Jobs (NOW HIRING)

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They will also document all knowledge of the BetterHelp Insurance Credentialing workflows, to then train the team and improve processes. They will work with the Credentialing Team Lead to monitor the ...

They will also document all knowledge of the BetterHelp Insurance Credentialing workflows, to then train the team and improve processes. They will work with the Credentialing Team Lead to monitor the ...

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Insurance Credentialing information

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How much do insurance credentialing jobs pay per hour?

As of Jun 22, 2026, the average hourly pay for insurance 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 does an insurance credentialing specialist do?

An insurance credentialing specialist is responsible for verifying healthcare providers' qualifications and obtaining necessary insurance network approvals. They manage provider enrollment, maintain accurate documentation, and ensure compliance with insurance company requirements, often using credentialing software. This role requires attention to detail and knowledge of insurance policies and provider credentialing processes.

What are the key skills and qualifications needed to thrive in Insurance Credentialing, and why are they important?

To thrive in Insurance Credentialing, you need strong attention to detail, knowledge of healthcare regulations, and experience with provider enrollment processes, often supported by a background in healthcare administration. Familiarity with credentialing software, CAQH ProView, and payer-specific portals is typically required, along with an understanding of HIPAA compliance. Excellent organizational skills, problem-solving abilities, and effective communication help professionals efficiently manage documentation and interact with providers and insurers. These skills are crucial to ensure timely provider enrollment, minimize claim denials, and maintain compliance with industry standards.

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 organization. They often work in healthcare or insurance settings, requiring attention to detail and familiarity with credentialing software and processes.

Is it hard to become a credentialing specialist?

Becoming a credentialing specialist typically requires attention to detail, knowledge of insurance processes, and familiarity with credentialing software. While some roles may require specific certifications or experience, the entry process is generally accessible with relevant administrative skills and training.

What degree do you need to be a credentialing specialist?

A credentialing specialist typically needs at least a high school diploma or equivalent; however, many employers prefer candidates with an associate's or bachelor's degree in healthcare administration, business, or a related field. Relevant skills include attention to detail, knowledge of healthcare regulations, and experience with credentialing software or databases.

What is insurance credentialing?

Insurance credentialing is the process by which healthcare providers and organizations are evaluated and approved by insurance companies to participate in their networks. This involves verifying the provider’s qualifications, licenses, education, and professional history to ensure they meet the insurer’s standards. Once credentialed, providers can bill the insurance company for services rendered to insured patients. The process can be time-consuming and requires submitting detailed documentation, but it is essential for providers who wish to accept insurance and expand their patient base.

What are some common challenges faced in the insurance credentialing process, and how can professionals effectively manage them?

Professionals in insurance credentialing often encounter challenges such as navigating complex and varying requirements from different insurance payers, managing frequent follow-ups, and ensuring all documentation is accurate and up-to-date. Staying organized and detail-oriented is essential, as missed deadlines or incomplete information can lead to delays in provider approvals. Using credentialing software, maintaining a well-structured tracking system, and fostering strong communication with both providers and insurers can help streamline the process and minimize setbacks.

What is the difference between Insurance Credentialing vs Medical Billing Specialist?

AspectInsurance CredentialingMedical Billing Specialist
Required CredentialsCertifications in healthcare administration, insurance, or related fieldsKnowledge of billing codes, insurance policies, and billing software
Work EnvironmentHealthcare provider offices, insurance companies, credentialing agenciesMedical offices, billing companies, healthcare facilities
Employer & Industry UsageHospitals, clinics, insurance payersMedical practices, billing firms, healthcare organizations
Common Search & ComparisonInsurance Credentialing vs Medical Billing Specialist

Insurance Credentialing involves verifying healthcare providers' qualifications with insurance companies to ensure they are eligible to accept insurance plans. Medical Billing Specialists handle the coding, submission, and follow-up of insurance claims for healthcare services. While both roles support healthcare reimbursement, credentialing focuses on provider eligibility, whereas billing centers on processing claims.

More about Insurance Credentialing jobs
What states have the most Insurance Credentialing jobs? States with the most job openings for Insurance Credentialing jobs include:
Infographic showing various Insurance Credentialing job openings in the United States as of June 2026, with employment types broken down into 75% Full Time, 19% Part Time, and 6% 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.
Insurance Credentialing Supervisor

Insurance Credentialing Supervisor

Bright Direction Dental LLC

Elmhurst, IL • Hybrid

$65K - $80K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago


Job description

BRIGHT DIRECTION DENTAL
Insurance Credentialing Supervisor

Bright Direction Dental partners with exceptional dental practices across six states; IL, IN, MI, OH, MO, and WI, operating in a fast-paced, collaborative environment where dedicated professionals build strong relationships and deliver outstanding patient care. We believe excellence starts with our people — their work ethic, values, and commitment to growth.

ABOUT THE ROLE
As our Insurance Credentialing Supervisor, you’ll continue to build and maintain a centralized credentialing program. You’ll manage provider enrollment, keep all payor relationships active and compliant, and serve as the company’s internal expert on all things credentialing. This is a high-visibility role with real organizational impact.
Hybrid position but candidate must live within Illinois or NW Indiana.
RESPONSIBILITIES
Credentialing Operations
  • Oversee the centralized credentialing program for all affiliated offices and providers
  • Oversee the credentialing database, ensuring data accuracy and reporting to downstream systems
  • Coordinate electronic credentialing applications from distribution through timely delivery to payors
  • Monitor turnaround times and maintain meticulous records on all credentialing projects
  • Track provider licenses and certificates, ensuring expirables are renewed ahead of deadline
  • Maintain an up-to-date provider and location roster at all times
Fee Schedules amp; Payor Relations
  • Maintain accurate fee schedules across all practice management systems
  • Collaborate with the Director of RCM on fee schedule negotiations
  • Bring forward participation plan recommendations based on practice and provider needs
  • Conduct credentialing audits in compliance with existing insurance contracts
Compliance amp; Partnerships
  • Serve as the primary compliance contact for all internal and external credentialing inquiries
  • Present credentialing insights to internal and external stakeholders
  • Build strong communication bridges between BDD support teams, practice teams, and payors
  • Support onboarding credentialing for all new affiliated offices and providers
  • Stay current on credentialing trends, regulatory requirements, and dental industry changes
WHAT WE'RE LOOKING FOR
  • 3+ years of dental credentialing experience in a lead role
  • Bachelor’s degree preferred
  • Strong compliance and payor enrollment expertise
  • Exceptional attention to detail and record-keeping
  • Multi-site or DSO experience a plus
The annual salary range for this position is between $65,000 and $80,000.
The actual compensation will be determined based on experience and other job-related factors.
BENEFITS
Full-Time Employees (30+ hours/week)
  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • Voluntary benefit options
All Employees
  • Paid time off (PTO)
  • Holiday pay
  • 401(k) retirement plan with company match
Bright Direction Dental is an equal opportunity employer committed to a diverse and inclusive workplace. We prohibit discrimination and harassment of any kind and make employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic under applicable law.