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Managed Care Credentialing Jobs (NOW HIRING)

TeleMed2U

Credentialing Specialist

Austin, TX · Remote

$21 - $30/hr

Coordinate all managed care credentialing activities to ensure provider participation status. * Credentialing activities require substantial contact with outside agencies * Maintain Credentialing ...

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How much do managed care credentialing jobs pay per hour?

As of Jul 20, 2026, the average hourly pay for managed care 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 some of the common challenges faced by professionals in managed care credentialing, and how can they be addressed?

Professionals in managed care credentialing often encounter challenges such as staying current with frequently changing regulations and payer requirements, keeping up with large volumes of applications, and managing tight deadlines. Effective organization, strong attention to detail, and leveraging credentialing software can help streamline processes and reduce errors. Building strong communication with providers and payers also plays a critical role in resolving issues quickly and ensuring compliance.

What is managed care credentialing?

Managed care credentialing is the process by which healthcare organizations, such as insurance companies or managed care organizations, verify and evaluate the qualifications of healthcare providers before allowing them to join their network. This includes checking education, licensure, experience, and professional history to ensure providers meet specific standards and regulations. Credentialing helps maintain quality of care and protects patients by ensuring only qualified professionals deliver services within the network.

What is the difference between Managed Care Credentialing vs Medical Billing Specialist?

AspectManaged Care CredentialingMedical Billing Specialist
Required CredentialsCertifications in healthcare administration, insurance, or related fields; often requires knowledge of payer policiesCertification in medical billing or coding; familiarity with billing software and coding standards
Work EnvironmentHealthcare organizations, insurance companies, or credentialing firmsMedical offices, billing companies, healthcare facilities
Employer & Industry UsageUsed by healthcare providers to establish payer relationships and ensure complianceUsed to process insurance claims and manage patient billing

Managed Care Credentialing focuses on verifying provider credentials and establishing payer relationships, while Medical Billing Specialists handle billing processes and insurance claims. Both roles are essential in healthcare administration but serve different functions within the revenue cycle.

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

To excel in Managed Care Credentialing, you need a thorough understanding of healthcare regulations, credentialing standards, and provider enrollment processes, often supported by experience in healthcare administration or a related certification like CPCS. Familiarity with credentialing software, databases, and compliance tracking systems such as CAQH and NCQA standards is typically required. Attention to detail, strong organizational skills, and effective communication help ensure accuracy and timely credentialing of providers. These competencies are crucial for maintaining regulatory compliance, reducing risk, and ensuring smooth operations within healthcare organizations.
More about Managed Care Credentialing jobs
What states have the most Managed Care Credentialing jobs? States with the most job openings for Managed Care Credentialing jobs include:
What job categories do people searching Managed Care Credentialing jobs look for? The top searched job categories for Managed Care Credentialing jobs are:
Managed Care Credentialing jobs near you
Infographic showing various Managed Care Credentialing job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 70% Full Time, 22% Part Time, and 6% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $50,665 per year, or $24.4 per hour.
Credentialing Specialist

Credentialing Specialist

TeleMed2U

Austin, TX • Remote

$21 - $30/hr

Other

Posted 5 days ago

New

Job description

Job Title: Credentialing Specialist I, II, III 
Location: Austin, Texas or Remote 
Reports To: Credentialing Manager
FLSA Status: Non-Exempt  
Employment Type: Full-Time
Salary Range: $21-$30 per hour

The primary role of this position is to assist physicians and support the Credentialing team with preparing and submitting credentialing, enrollment, recredentialing applications and follow up on the status of applications for Physicians and Payers and keep a detailed log of all tasks. The Credentialing Specialist will be responsible for supporting all aspects of credentialing and recredentialing and any other administration duties assigned by management. 

Credentialing Specialist I: 

  • Supports the TeleMed2U Provider Network's credentialing process for all TeleMed2U clinical providers, in accordance with NCQA, URAC, Joint Commission and CMS accreditation standards, Federal and State laws, and TeleMed2U's policies. 
  • Assists with the management of TeleMed2U Provider Network's credentialing applications, to ensure distribution, receipt, processing, and timely management through our credentialing process. 
  • Ensures all credentialing and enrollment applications accuracy prior to submission 
  • Monitors provider enrollment application status, follow up with the payors 
  • Manage CAQH profiles for TeleMed2U's Provider Network. 
  • Prepare and submit rosters to health insurance plans to ensure provider participation. 
  • Update various databases to ensure proper tracking of payor enrollments, credentialing and update requests. 
  • Maintain necessary records of outstanding enrollment applications and requests. 
  • Coordinate all managed care credentialing activities to ensure provider participation status. 
  • Credentialing activities require substantial contact with outside agencies 
  • Maintain Credentialing database. 
  • Follow-up with managed care companies to ensure expedient credentialing. 
  • Remains current on policies affecting provider enrollment credentials & delegated clients/payers.  

Credentialing Specialist II: 

  • All Credentialing Specialist I responsibilities 
  • Serve as a liaison for training new team members 
  • Identify conflicting or questionable information while processing applications and 

highlight sensitive information for committee members 

Credentialing Specialist III: 

  • All Credentialing Specialist I and II responsibilities 
  • Acts a mentor to other Credentialing Specialist 
  • Provides support and assistance within the department 
  • Leads with minimal supervision 
  • Prepare specialized reports as requested, including analysis and presentation findings. 
  • Other duties as assigned 

 Required 

Credentialing Specialist I 

  • Credentialing experience 
  • High School Diploma or equivalent 

Credentialing Specialist II 

  • 3 years of experience in credentialing  
  • 1 year minimum healthcare experience 
  • High school diploma or equivalent 

Credentialing Specialist III 

  • Credentialing Specialist II w/ TeleMed2U min 1 year  
  • 4 years experience minimum in Credentialing and/or Licensing.  
  • Top performer at current level, who has demonstrated proficiency in all areas of Credentialing. 
  • Excellent verbal and written communication skills 
  • Ability to multitask and work independently 
  • Excellent attention to detail 
  • Experience with state licensure application submission process for multiple states 
  • High school diploma required/GED 

Preferred 

  • Medicare and Medicaid enrollment experience preferred 
  • Bachelor's degree preferred 
  • 1-3 years of experience in licensing, payor enrollment and credentialing preferred 

Physical Requirements 

  • Prolonged periods of desk work and computer use 
  • Ability to lift 15 lbs 

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