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Insurance Credentialing Specialist Jobs (NOW HIRING)

Sunbelt Healthcare

Credentialing Specialist

Tucson, AZ · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Credentialing Specialist position requires an organized individual with good time management ... Professionalism in communication with clients, insurers, and industry contacts is a key component ...

Empath Health

Credentialing Specialist

Sarasota, FL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Credentialing Specialist will ensure providers are credentialed, appointed, and privileged with ... Medical, dental, vision, life insurance, retirement with company match, plus wellness programs to ...

Addison Group

Credentialing Specialist

Houston, TX · Remote

$20 - $25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Credentialing Specialist Location: Houston, TX - West Houston Industry: Healthcare / Credentialing ... This position is eligible for medical, dental, vision, life insurance and 401k. About Our Client:

Aria Care Partners

Credentialing Specialist

Overland Park, KS · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Position The Credentialing Specialist will be responsible for timely submission and follow-up ... Insurance programs including medical, dental, vision, company match for your HSA, FSA, company-paid ...

Aria Care Partners

Credentialing Specialist

Overland Park, KS · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Position The Credentialing Specialist will be responsible for timely submission and follow-up ... Insurance programs including medical, dental, vision, company match for your HSA, FSA, company-paid ...

Distro

Credentialing Specialist

Salt Lake City, UT · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Credentialing Specialist Department: Credentialing Reports To: Credentialing Manager Location: Salt ... The ideal candidate will have prior experience with DEA, state licensing, and malpractice insurance ...

RWJBarnabas Health

Credentialing Specialist

Somerville, NJ · On-site

$61K - $76K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Credentialing Specialist Location: RWJUH Somerset Department Name: Medical Affairs Req ... Dental and Vision Insurance * Retirement Plans * Short & Long Term Disability * Life & Accidental ...

Distro

Credentialing Specialist

Salt Lake City, UT · Remote

Credentialing Specialist Department: Credentialing Reports To: Credentialing Manager Location: Salt ... Communicate with healthcare providers, insurance companies, and other stakeholders to gather ...

Distro

Credentialing Specialist

Salt Lake City, UT · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Credentialing Specialist Department: Credentialing Reports To: Credentialing Manager Location: Salt ... The ideal candidate will have prior experience with DEA, state licensing, and malpractice insurance ...

Physician Services USA

Credentialing Specialist

Columbia, SC · On-site

$12 - $17/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical office seeking an experienced credentialing specialists to aid in credentialing and re ... Communicate with insurance companies to assure provider credentialing and re-credentialing is ...

Anders

Credentialing Specialist

Chesterfield, MO · Remote

The Credentialing Specialist for the Credentials Verification Organization (CVO) at A5 Services is ... and malpractice insurance. * Communicate timely updates to providers and member organizations ...

Physician Services USA

Credentialing Specialist

Columbia, SC · On-site

$12 - $17/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical office seeking an experienced credentialing specialists to aid in credentialing and re ... Communicate with insurance companies to assure provider credentialing and re-credentialing is ...

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Insurance Credentialing Specialist information

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How much do insurance credentialing specialist jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for insurance credentialing specialist 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 an insurance credentialing specialist?

Insurance Credentialing Specialists are professionals who manage the process of verifying and maintaining the qualifications of healthcare providers to ensure they meet the requirements of health insurance plans. Their primary role is to collect, review, and submit necessary documents to insurance companies so providers can participate in insurance networks and receive payment for their services. They also handle renewals and updates to keep credentials current and compliant. This role is vital for ensuring healthcare organizations and providers stay in good standing with insurers and avoid interruptions in billing or patient care.

What skills and qualifications are needed to be an insurance credentialing specialist?

To thrive as an Insurance Credentialing Specialist, you need strong attention to detail, organizational skills, and a solid understanding of healthcare regulations and credentialing processes, often supported by experience in medical administration or billing. Familiarity with credentialing software, CAQH ProView, and payer portals, as well as knowledge of compliance standards like NCQA or URAC, is typically required. Excellent communication, problem-solving abilities, and the capacity to manage multiple deadlines help professionals excel in this role. These skills ensure accurate provider credentialing, minimize delays in reimbursement, and maintain regulatory compliance for healthcare organizations.

What challenges do insurance credentialing specialists face, and how can they be managed?

Insurance Credentialing Specialists often encounter challenges such as navigating complex and varying requirements from different insurance payers, keeping up with changing regulations, and ensuring timely submission of documentation to avoid delays. Managing these challenges requires strong organizational skills, attention to detail, and effective communication with providers and payers. Utilizing credentialing software and maintaining a proactive approach to tracking deadlines can help streamline processes and reduce errors.

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

AspectInsurance Credentialing SpecialistInsurance Billing Specialist
Primary RoleVerifies provider credentials and secures insurance network participationProcesses insurance claims and manages billing for healthcare services
Required CertificationsKnowledge of credentialing processes, possibly certifications like Certified Provider Credentialing Specialist (CPCS)Knowledge of billing codes, insurance policies, and billing software
Work EnvironmentHealthcare offices, insurance companies, or credentialing firmsMedical offices, billing companies, or healthcare providers
Industry UsageCommonly used in healthcare provider credentialing and network enrollmentCommonly used in medical billing and revenue cycle management

The Insurance Credentialing Specialist focuses on verifying provider credentials and securing insurance network participation, while the Insurance Billing Specialist handles claims processing and billing. Both roles are essential in healthcare administration but serve different functions within the revenue cycle.

How do I become an insurance credentialing specialist?

To become an insurance credentialing specialist, you typically need a high school diploma or equivalent, along with knowledge of healthcare insurance processes. Many employers prefer candidates with experience in medical billing, coding, or healthcare administration, and some roles may require certification such as the Certified Provider Credentialing Specialist (CPCS). Strong organizational skills and familiarity with credentialing software are also beneficial.

How hard is it to do insurance credentialing?

Insurance credentialing for an Insurance Credentialing Specialist involves understanding insurance company requirements, completing detailed application processes, and maintaining accurate documentation. It requires attention to detail, organizational skills, and familiarity with healthcare regulations, but with training and experience, it becomes a manageable process. The difficulty can vary based on the complexity of insurance plans and the provider’s familiarity with credentialing procedures.

How much does an Insurance Credentialing Specialist make in the US?

An Insurance Credentialing Specialist in the US typically earns between $40,000 and $60,000 annually, with the average around $50,000. Salaries can vary based on experience, location, and the size of the organization, and the role often requires attention to detail and familiarity with insurance networks and credentialing processes.
More about Insurance Credentialing Specialist jobs

What states have the most Insurance Credentialing Specialist jobs?

States with the most job openings for Insurance Credentialing Specialist jobs include:

What job categories do people searching Insurance Credentialing Specialist jobs look for?

The top searched job categories for Insurance Credentialing Specialist jobs are:

Insurance Credentialing Specialist jobs near you
Infographic showing various Insurance Credentialing Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $50,665 per year, or $24.4 per hour.

Credentialing Specialist

Sunbelt Healthcare

Tucson, AZ • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

Job description

The Credentialing Specialist position requires an organized individual with good time management skills and related industry experience, (both facility and clinic credentialing / privileging). The Credentialing Specialist will be responsible for the initial credentialing and enrollment of providers for a variety of specialties. Additionally, maintenance of licenses, certifications, privileges, malpractice coverage, and contract specifications (addresses, re-validations, etc.) will be monitored and administrated by the Credentialing Specialist. The Credentialing Specialist is also required to notify providers and work with practice / office managers to facilitate completion of tasks. Professionalism in communication with clients, insurers, and industry contacts is a key component of this position. Duties can vary daily but are expected to be performed within a set period as determined by management.
This position may also support our in-house Contracting Team by taking on overflow.
Requirements
Experience:
  • Primary Source Verification (PSV): 1 year ( Preferred )
  • Medical Provider Credentialing: 1 year minimum (Required)

Work Location: Hybrid, or in-person available
Pay: DOE; with semi-monthly pay schedule.
Job Type: W2 Employee, Full-time (40-hours / week)
Full-time Benefits:
  • 401(k)
  • AD&D insurance
  • Dental insurance
  • Disability insurance
  • Employee assistance program (EAP)
  • Flexible schedule
  • Health insurance
  • Health savings account (HSA)
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:
  • Day shift
  • Monday to Friday

Ability to commute/relocate:
  • Hybrid, or In-person available in Tucson, Arizona 85716
  • Relocation not available / provided.

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