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Medical Credentialing Jobs in Georgia (NOW HIRING)

EyeSouth Partners

Credentialing Specialist

Atlanta, GA · On-site

... medical and surgical specialty services across 14 states. Our 70+ affiliated practices and 400 ... Position Summary We are actively recruiting for a Credentialing Specialist to join our growing team ...

EyeSouth Partners

Credentialing Specialist

Atlanta, GA · On-site

... medical and surgical specialty services across 14 states. Our 70+ affiliated practices and 400 ... Position Summary We are actively recruiting for a Credentialing Specialist to join our growing team ...

D4C Dental Brands

Credentialing Specialist

Atlanta, GA · On-site

Description The Credentialing Specialist will be responsible for leading, coordinating, monitoring ... Medical, Dental and Vision benefits * Health Savings Account, Flex Spending * 401K * Short and ...

HealthONE

Credentialing Representative

Dalton, GA · On-site

Credentialing Representative The Credentialing Representative is responsible for the credentialing ... Medical Insurance * Paid Time Off * Pet Insurance * Short Term Disability * Vision Insurance Pre ...

Kyo

Credentialing Specialist

Atlanta, GA

$27.88 - $31.25/hr

Managing credentialing, recredentialing, and licensure process for clinical staff with health ... Working knowledge of Medical Terminology * Strong organization and verbal communication skills ...

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Medical Credentialing information

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$13

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$36

How much do medical credentialing jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for medical credentialing in Georgia is $21.46, according to ZipRecruiter salary data. Most workers in this role earn between $16.44 and $24.13 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.

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 documentation, insurance processes, and certification programs like the Certified Provider Credentialing Specialist (CPCS) can enhance job readiness and may influence the time 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 or certifications in healthcare administration. Gaining experience with medical records, insurance processes, or healthcare compliance, along with strong organizational and communication skills, can improve job prospects. Certification programs in medical billing and coding can also enhance qualifications for credentialing roles.

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.

Is medical credentialing a hard job?

Medical credentialing can be challenging due to the detailed review of healthcare providers' qualifications, licenses, and certifications. It requires strong organizational skills, attention to detail, and familiarity with healthcare regulations and credentialing software. The job often involves managing multiple applications and deadlines, which can be demanding but manageable with experience and proper systems in place.

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. Attention to detail and knowledge of healthcare regulations are essential for this role.
What are the most commonly searched types of Medical Credentialing jobs in Georgia? The most popular types of Medical Credentialing jobs in Georgia are:
What cities in Georgia are hiring for Medical Credentialing jobs? Cities in Georgia with the most Medical Credentialing job openings:
Medical Credentialing jobs near you
Infographic showing various Medical Credentialing job openings in Georgia as of August 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 92% In-person, and 8% Remote job distribution, with an average salary of $44,641 per year, or $21.5 per hour.

Sr. Credentialing Specialist

Fresenius Medical Care

Kennesaw, GA • On-site, Remote

Full-time

Posted 13 days ago

Fresenius Medical Care rating

6.8

Company rating: 6.8 out of 10

Based on 1,324 frontline employees who took The Breakroom Quiz

492nd of 887 rated healthcare providers

Job description

PURPOSE AND SCOPE:
FMCNA locations. Collaborates with a third party/external credentialing agent to ensure credentialing process is completed as required.
Ensures all provider credentialing verification is performed in accordance with regulatory and accreditation standards as well as internal
FMCNA policy and procedure. Performs audits of both the internal FMCNA Provider Database and FMCNA provider information
compiled by the external credential verification agent to ensure that credential verification is completed in a timely manner according to
all regulatory and company requirements.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
  • Under close supervision, utilizes established procedures to perform routine assigned tasks¦
  • Learns to use professional concepts. Applies company policies and procedures to resolve routine issues.
  • Works on problems of limited scope. Follows standard practices and procedures in analyzing situations or data from which answers can be readily obtained.
  • May escalate issues to supervisor for resolution, as deemed necessary.
  • Performs provider/practitioner credentialing verification tasks to facilitate compliance with Medical Staff by-laws regarding the verification of a minimum set of a practitioner's credentials required prior to the patient receiving their second treatment.
  • Responsible for tasks related to the three-year cyclical verification process of all active practitioners.
  • Utilizes knowledge regarding national accreditation standards, internal medical staff bylaws and other related policies and regulations to perform functions pertaining to the provider/practitioner credentialing process for the FMS Division. This includes but is not limited to:
  • Obtaining practitioner license information from publicly available state/government agency websites, the National Provider Databank, and other 3rd party certification groups such as the American Board of Internal Medicine
  • Completing and processing all initial credential applications for new providers/practitioners and credential verification applications for existing providers/practitioners in a timely and accurate manner
  • Conducting follow up as needed, acting as the primary liaison for FMCNA locations, practitioners, and the FMCNA third- party credentialing agent to ensure that all credentialing is completed within the required timelines and that each provider/practitioner meets federal and state regulations as well as FMCNA internal requirements
  • Maintaining and updating the database on individual provider/practitioner credentials' status, tracking pending/completed applications, and maintaining a complete and accurate database of historical applications. Provides regular reports and updates to pertinent FMS field operations management and Director Operation Monitoring.
  • Communicating with practitioners regarding credentialing status, providing updates and obtaining additional information as required.
  • Educates and informs FMS field staff responsible for reporting new practitioners regarding their responsibilities in the credential verification process. Explains the credentialing requirements, practitioner specific information, information regarding the FMCNA third-party credential agent, regulations and industry standards for credentialing of health care providers and other information as applicable
  • Continually audits and analyzes the credentialing process to identify deficiencies in controls and to identify process/workflow issues recommending improvements to manager and implementing if approved.
  • Review internal Provider Database information and database of FMCNA provider information compiled by external credential verification agent to identify and take appropriate action where required to correct areas of noncompliance with company policy, such as reporting requirements of identified deficiencies in provider applications, reporting of providers non-compliant with verification policies, expired board certifications and other requirements as applicable.
  • Responsible for generating various standard and ad hoc reports from database:
  • Prepares project status reports as required, detailing progress of credential verification status of individual practitioner credential applications for each FMS Division, and reporting variances and trends in the credentialin process as identified to the Director Operations Monitoring.
  • Prepares reports detailing credential verification issues to pertinent field staff and credential verification agent
  • The monthly provider/practitioner credentialing status report for review by Director Operations Monitoring.
  • Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.
  • Assist with various projects as assigned by direct supervisor
  • Other duties as assigned.

Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
  • The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION:
  • Bachelor's Degree required

EXPERIENCE AND REQUIRED SKILLS:
  • 0 - 2 years' related experience.
  • Strong detail orientation required, with the ability to administer multiple tasks and prioritize.
  • Excellent verbal and written communication skills.
  • Ability to positively interact with Providers, hospital personnel, and other internal and external contacts.
  • Perform work at a high level of accuracy and timelines.
  • Attention to confidentiality and regard for protecting confidential and sensitive information
  • Advanced level skills with Microsoft Access, Excel, and Word.
  • Strong problem solving and time management skills with the ability to consistently work in a fast-paced environment.
  • Strong Excel, data-base management, and document storage and management skills

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

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About Fresenius Medical Care

Sourced by ZipRecruiter

We are a Team of more than 70,000 with one guiding Principle Patients First. This promise starts with providing the most comprehensive care for people living with Chronic Kidney Disease and extends to Innovative Solutions that are redefining Healthcare and setting the industry standard. From evolving home Dialysis and Patient education programs to improving patient care to providing World Class Research and Data driven insights. Our vertically integrated network tirelessly seeks new ways to improve the quality of our Patients' lives. We believe each of us can make an impact and together we can change an industry. Our Mission is to Provide Superior care that improves the quality of life of every patient, every day, setting the standard by which others in the Healthcare Industry are judged. And none of us does it alone. We bring together the brightest minds in kidney care to Dream, Research, and Innovate.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Waltham, MA, US

Year founded

1996

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