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Insurance Credentialing Jobs (NOW HIRING)

CPS

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Insurance Enrollment Specialist

Daytona Beach, FL · Remote

Certified Insurance Credentialing Specialist (CICS)preferred but not required. In-depth understanding of provider enrollment to include BCBS, Medicare and Florida Medicaid. Skills/Abilities Strong ...

Su Clinica

REVENUE CYCLE DIRECTOR

Harlingen, TX · On-site

Provides direct management of the Insurance Credentialing Department, Value Based Care Department, Billing Supervisor, and the Third-Party Billing and Collections Supervisor. All interaction with the ...

Therapy With You

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Licensed Therapist (LCSW or LSW) - Outpatient Private Practice

Verona, NJ · On-site

$40 - $75/hr

We are happy to assist with insurance credentialing and provide ongoing referral support. Qualifications: • Active New Jersey LCSW or LSW license • Strong clinical skills and professional ...

New

Therapy With You

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Licensed Therapist (LCSW or LSW) - Outpatient Private Practice

Verona, NJ · On-site

$40 - $75/hr

We are happy to assist with insurance credentialing and provide ongoing referral support. Qualifications: • Active New Jersey LCSW or LSW license • Strong clinical skills and professional ...

New

Crescens

General Dentist

Jacksonville, FL · On-site

The candidate must meet all licensing, Medicaid enrollment, and insurance credentialing requirements. Responsibilities: * Provide a full range of general dental services within the scope of general ...

Gastromed, LLC

Credentialing Specialist

Miami, FL · On-site

$19 - $25/hr

JOB TITLE: Credentialing Specialist REPORTS TO: Revenue Cycle Manager FLSA STATUS: Non-Exempt ... Responds to requests from insurance companies for information/documentation. * Follow up with ...

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Insurance Credentialing information

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How much do insurance credentialing jobs pay per hour?

As of Jun 23, 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:
Insurance Credentialing jobs near you
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 Enrollment Specialist

CPS

Daytona Beach, FL • Remote

Full-time

Posted 6 days ago

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Job description

Insurance Enrollment Specialist 

We are seeking a highly organized and detail-oriented Insurance Enrollment Specialist to oversee the initial applications and revalidation processes for a team of 20+ medical providers across multiple states and groups. The ideal candidate will have extensive experience in insurance enrollment and the ability to manage the entire life cycle efficiently.  Must have current Florida Medicaid enrollment, Availity and CAQH experience.

ESSENTIAL FUNCTIONS:

Manage and oversee the insurance enrollment process for all providers.

Maintain up-to-date and accurate enrollment files including CAQH and Availity.

Ensure timely submission and follow-up on payer enrollment applications with Medicare, Medicaid, and commercial insurance providers.

Monitor provider licenses and DEA registrations, to ensure compliance.

Collaborate with internal departments to streamline provider onboarding and insurance enrollment processes.

Serve as the primary liaison between the organization and insurances.

Respond to requests for information from insurance companies, licensing agencies, and other credentialing entities.

POSITION REQUIREMENTS:

Education/Experience

Minimum of 3-5 years of experience.

Certified Insurance Credentialing Specialist (CICS)preferred but not required.

In-depth understanding of provider enrollment to include BCBS, Medicare and Florida Medicaid.

Skills/Abilities

Strong attention to detail and organizational skills.

Ability to manage multiple priorities and meet deadlines.

Excellent written and verbal communication skills.

Proficiency in payor sites and Microsoft Office.

Ability to work independently and as part of a team in a remote environment.