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Medical Credentialing Jobs in Connecticut (NOW HIRING)

Nuvance Health

Credentialing Coordinator

Danbury, CT · On-site

$21.49 - $41.73/hr

Credentialing Specialist Position at Nuvance Health Northwell is the largest not-for-profit health ... Maintains Med Kinetics provider enrollment database with all required information. * Responsible ...

Nuvance Health

Credentialing Coordinator

Danbury, CT · On-site

Credentials and re-credentials all WCHN physicians and allied professionals. Responsible for ... Maintains Med Kinetics provider enrollment database with all required information. 4. Responsible ...

Nuvance Health

Credentialing Coordinator

Danbury, CT

$21.49 - $41.73/hr

Credentials and re-credentials all WCHN physicians and allied professionals. Responsible for ... Maintains Med Kinetics provider enrollment database with all required information. 4. Responsible ...

Northwell Health

Credentialing Coordinator

Danbury, CT · On-site

$21.49 - $41.73/hr

Credentials and re-credentials all WCHN physicians and allied professionals. Responsible for ... Maintains Med Kinetics provider enrollment database with all required information. 4. Responsible ...

Northwell Health

Credentialing Coordinator

Danbury, CT

$21.49 - $41.73/hr

Credentials and re-credentials all WCHN physicians and allied professionals. Responsible for ... Maintains Med Kinetics provider enrollment database with all required information. 4. Responsible ...

Nuvance Health

Credentialing Coordinator

Danbury, CT · On-site

$21.49 - $41.73/hr

Credentials and re-credentials all WCHN physicians and allied professionals. Responsible for ... Maintains Med Kinetics provider enrollment database with all required information. 4. Responsible ...

Baystate Health

Medical Assistant

Enfield, CT · On-site

$18 - $23/hr

Credentialing must be awarded by a third-party credentialing body which can be obtained through: 1. Registered through Medical Assistant (ARMA) - (Minimum Requirement); 2. Registered through American ...

Baystate Health

Medical Assistant

Enfield, CT · On-site

$18 - $23/hr

Credentialing must be awarded by a third-party credentialing body which can be obtained through: 1. Registered through Medical Assistant (ARMA) - (Minimum Requirement); 2. Registered through American ...

Hartford HealthCare at Home

Medical Assistant

Norwich, CT · On-site

$17.75 - $22.75/hr

The Medical Assistant experiences continued training of all aspects of the Medical Assistant role ... Certified BLS Provider credentialed from the American Heart Association (AHA) obtained within 3 ...

Griffin Hospital

Medical Receptionist FPP

Derby, CT · On-site

$16.50 - $20/hr

Five years experience in managing in a medical office environment including a working knowledge of medical terminology, transcription, credentialing, billing/bookeeping, insurance plans etc. EOE ...

Hartford HealthCare at Home

Medical Assistant

Hartford, CT · On-site

$18 - $23/hr

The Medical Assistant experiences continued training of all aspects of the Medical Assistant role ... Certified BLS Provider credentialed from the American Heart Association (AHA) obtained within 3 ...

Griffin Health Services

Medical Receptionist FPP

Derby, CT · On-site

$16.50 - $20/hr

Five years experience in managing in a medical office environment including a working knowledge of medical terminology, transcription, credentialing, billing/bookeeping, insurance plans etc. EOE ...

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Medical Credentialing information

See Connecticut salary details

$15

$24

$40

How much do medical credentialing jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for medical credentialing in Connecticut is $24.18, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $27.21 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 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 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.

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.

How long does it take to become a medical credentialing specialist?

Becoming a medical credentialing specialist typically requires completing a postsecondary certificate or associate degree, which can take from several months to two years. Gaining experience with healthcare administration, insurance processes, and certification programs like the Certified Provider Credentialing Specialist (CPCS) can enhance job prospects and may influence the time needed to enter the field.

How to get into medical credentialing?

To enter medical credentialing, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary education in healthcare administration or related fields. Gaining experience with healthcare systems, insurance processes, or medical records, along with developing strong organizational and communication skills, can improve job prospects. Certification programs in medical credentialing are also available to enhance qualifications.

What does a medical credentialing specialist do?

A medical credentialing specialist is responsible for verifying healthcare providers' qualifications, licenses, certifications, and work history to ensure compliance with insurance companies and regulatory agencies. They manage the credentialing process, maintain accurate records, and often use specialized software to track provider credentials. This role requires attention to detail and knowledge of healthcare regulations and standards.

What are the most commonly searched types of Medical Credentialing jobs in Connecticut?

The most popular types of Medical Credentialing jobs in Connecticut are:

Medical Credentialing jobs near you
Infographic showing various Medical Credentialing job openings in Connecticut as of August 2026, with employment types broken down into 72% Full Time, 22% Part Time, and 6% Contract. Highlights an 94% In-person, and 6% Hybrid job distribution, with an average salary of $50,292 per year, or $24.2 per hour.

Director, Medical Staff and Centralized Credentialing Office

New Haven, CT • On-site

Saint Francis Health System
Health Care and Social Assistance • 10K+ employees

6.9

Company rating: 6.9 out of 10

Based on 120 frontline employees who took The Breakroom Quiz

454th of 893 rated healthcare providers

People enjoy working here

Recommended by students

Recommended by parents

Learn more about Saint Francis Health Systemexternal

Full-time

Re-posted 7 days ago

Job description

Current Saint Francis Employees - Please click HERE to login and apply.
Full Time
Schedule: Full-time, 40-hour workweek with no weekend requirements. Limited off-hour commitments, including 2-3 early morning (7:00 AM) or evening (6:00 PM) meetings per year.
Job Summary: The Director of Medical Staff and Centralized Credentialing Office will direct strategy and operational activities of Physicians and Provider credentialing across the Saint Francis Health System for the purpose of ensuring Quality and compliance with Joint commission, state laws and other regulatory bodies.
Minimum Education: Bachelor's degree in business, data analytics, healthcare, or related field. Master's degree, preferred.
Licensure, Registration and/or Certification: A valid driver's license, Motor Vehicle Report, and proof of vehicle liability insurance in amount required by Saint Francis Health System (SFHS) guidelines.
Work Experience: Minimum 5 years in Management. Medical staff office or related experience, preferred.
Knowledge, Skills and Abilities: Knowledge of Medical staff credentialing. Excellent communication skills, both written and verbal that present clear and concise information. Strong leadership skills related to navigating situations that involve multiple departments. Sound ability to analyze complex issues and solve them creatively. Ability to utilize assertiveness, political intuitiveness, and be self-motivated.
Essential Functions and Responsibilities: Participates in credentialing oversight and monitoring at all SFHS entities. Directs strategic and operational elements of the System Inpatient credentialing and Medical Staff Functions and directs department operations. Works closely with Vice President of quality and other service lines leaders to development, support and oversight of Medical Staff Office activities that are requirements of regulatory and accreditation bodies, such as ongoing professional practice evaluation. Responsible for managing the verification process for all new and reappointing applicants to the professional and allied health staff. Oversees development of practitioner information systems and coordination of information flow with other departments and the medical and allied health staff. Responsible for providing administrative support to the Credentials Committee and Medical Executive Committee, and collaborating with the MEC, Credentials Committee, and department chairs on the creation and revision of privileges forms, credentialing standards, and criteria.
Coordinates and maintains Medical Staff governance documents: Medical Staff Bylaws, Rules and Regulations, related documents (Credentialing Policies, Policies and Procedures, etc.). Coordinates implementation of all approved programs, projects, and major activities of the Medical Staff.
Ensures appropriate communication of internal and external issues that affect the programs and activities of the Medical Staff, including regulatory and accreditation issues, new and existing. Provides oversight of all aspects of MEC committee activities in partnership with president of medical staff.
Decision Making: Independent judgment in making decisions from many diversified alternatives that are subject to general review in final stages only.
Working Relationships: Direct supervision of others. Has input on performance evaluations but does not prepare or give. Prepares and gives performance evaluations. Works with internal and/or external customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Works frequently with individuals at Director level or above.
Special Job Dimensions: None.
Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.
Administration Offices (Payroll Use) - Yale Campus
Location:
Tulsa, Oklahoma 74136
EOE Protected Veterans/Disability
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About Saint Francis Health System

Sourced by ZipRecruiter

Saint Francis Health System is an integrated, medically based, not-for-profit health system. Our team of over 10,500 physicians and staff members makes us one of Tulsa's largest employers. As a Catholic organization, Saint Francis is true to its mission and values. We believe that healthcare is a basic human right, and that each patient should be treated with dignity and integrity. We foster a collaborative workplace where each person is valued and appreciated for his/her contribution.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Tulsa, OK, US

Year founded

1960

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