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The Medical Credentialing Specialist supports Foothills Neurology's Billing and Finance Department by managing all aspects of provider credentialing, payer enrollment, contracts, and credentialing.

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Minimum 2 years of experience in medical credentialing (dermatology or multi-provider group experience preferred) * Strong understanding of insurance contracting, CAQH, Medicare, and Medicaid ...

Minimum 2 years of experience in medical credentialing (dermatology or multi-provider group experience preferred) * Strong understanding of insurance contracting, CAQH, Medicare, and Medicaid ...

Minimum 2 years of experience in medical credentialing (dermatology or multi-provider group experience preferred) * Strong understanding of insurance contracting, CAQH, Medicare, and Medicaid ...

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How much do medical credentialing jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for medical credentialing in the United States is $25.42, according to ZipRecruiter salary data. Most workers in this role earn between $19.47 and $28.61 per hour, depending on experience, location, and employer.

What is medical credentialing?

Medical credentialing is the process of verifying the qualifications, experience, and professional standing of healthcare providers before they are allowed to work at a medical facility or participate in insurance networks. This involves checking education, training, licensure, certifications, and work history. Credentialing helps ensure that patients receive care from qualified and competent professionals, and it is required by hospitals, clinics, and insurance companies to maintain high standards of care.

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, health information management, or a related field. Relevant skills include attention to detail, knowledge of medical terminology, and familiarity with healthcare databases and credentialing software.

Is credentialing a hard job?

Medical credentialing is a detail-oriented role that involves verifying healthcare providers' qualifications, licenses, and certifications. It requires strong organizational skills, attention to accuracy, and familiarity with healthcare regulations, making it a challenging but manageable job for those with relevant experience. The complexity can vary depending on the organization and the number of providers being credentialed.

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

To excel in Medical Credentialing, you need strong organizational skills, attention to detail, and knowledge of healthcare regulations, often supported by a bachelor's degree or relevant experience. Familiarity with credentialing software (such as CAQH, VerityStream, or MedTrainer), as well as understanding of accreditation standards and payer enrollment processes, is typically required. Excellent communication, problem-solving, and time management abilities help professionals manage complex documentation and interact effectively with healthcare providers and organizations. These skills ensure accuracy, compliance, and timely processing, which are crucial for maintaining provider eligibility and organizational reputation.

What is the difference between Medical Credentialing vs Medical Billing?

AspectMedical CredentialingMedical Billing
Required CredentialsCertifications in healthcare administration, compliance, or related fieldsKnowledge of coding, billing procedures, and insurance policies
Work EnvironmentHealthcare facilities, insurance companies, credentialing agenciesMedical offices, billing companies, healthcare providers
Employer & Industry UsageHospitals, clinics, physician practicesMedical practices, billing services, insurance companies

Medical Credentialing involves verifying healthcare providers' qualifications and licensing to ensure compliance, while Medical Billing focuses on processing insurance claims and managing payments. Both roles are essential in healthcare operations but serve different functions within the industry.

What are some common challenges faced in a medical credentialing role, and how can they be managed effectively?

Professionals in medical credentialing often encounter challenges such as tracking multiple provider applications, staying current with varying state and insurer requirements, and managing tight deadlines for renewals and verifications. To handle these, it's important to use organized tracking systems, regularly update process checklists, and communicate proactively with providers and payers. Building strong attention to detail and maintaining up-to-date knowledge of industry standards can help avoid delays and ensure compliance.

How much does a credentialing assistant make?

A credentialing assistant typically earns between $35,000 and $50,000 annually, depending on experience, location, and employer size. The role often requires attention to detail, familiarity with healthcare regulations, and proficiency with credentialing software.

What is a credentialing job in healthcare?

A credentialing job in healthcare involves verifying the qualifications, licenses, certifications, and work history of healthcare providers to ensure they meet the standards required to deliver patient care. Credentialing specialists review documents, communicate with licensing boards, and maintain accurate provider records, often using credentialing software. This role is essential for healthcare organizations to comply with regulatory requirements and facilitate provider enrollment with insurance plans.
More about Medical Credentialing jobs
What cities are hiring for Medical Credentialing jobs? Cities with the most Medical Credentialing job openings:
What are the most commonly searched types of Medical Credentialing jobs? The most popular types of Medical Credentialing jobs are:
What states have the most Medical Credentialing jobs? States with the most job openings for Medical Credentialing jobs include:
Infographic showing various Medical Credentialing job openings in the United States as of June 2026, with employment types broken down into 67% Full Time, and 33% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $52,868 per year, or $25.4 per hour.

Physician / Medical Credentialing

Assist Point Inc

Dallas, TX • On-site

Full-time

Posted 13 days ago


Job description

Physician / Medical Credentialing

Location: Dallas, TX 75219

Job Summary

We are seeking a detail-oriented and experienced Physician / Medical Credentialing professional to join our team in Dallas, TX. The ideal candidate will be responsible for managing and maintaining the credentialing process for physicians and other healthcare providers to ensure compliance with regulatory standards and organizational policies.

Key Responsibilities
  • Coordinate and manage the credentialing and re-credentialing process for physicians and allied health professionals.
  • Verify provider qualifications, including education, licensure, certifications, work history, and malpractice history.
  • Maintain accurate and up-to-date credentialing files and databases.
  • Ensure compliance with regulatory requirements, accreditation standards, and payer contracts.
  • Collaborate with medical staff, human resources, and external agencies to facilitate timely credentialing.
  • Prepare and submit credentialing applications to hospitals, insurance companies, and other relevant entities.
  • Monitor expiration dates of licenses, certifications, and other credentials and initiate renewals as needed.
  • Respond to inquiries and resolve credentialing issues promptly.
  • Assist in the development and implementation of credentialing policies and procedures.
Qualifications
  • Bachelor’s degree in healthcare administration, business, or related field preferred.
  • Minimum of 2 years experience in medical credentialing or provider enrollment.
  • Knowledge of credentialing standards, regulatory requirements, and payer policies.
  • Familiarity with credentialing software and databases.
  • Strong attention to detail and organizational skills.
  • Excellent communication and interpersonal skills.
  • Ability to handle sensitive and confidential information with discretion.
  • Certification in medical staff credentialing (e.g., CPCS) is a plus.
Work Environment

This position is based in our Dallas, TX office located in the 75219 zip code area. The role primarily involves office work with occasional interaction with healthcare providers and external organizations.

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