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Medical Credentialing Jobs in Georgia (NOW HIRING)

Bachelor's Degree in healthcare or business field preferred * 2-5 years of experience performing physician credentialing at a medical group, hospital or health plan. Other Job Specific Skills

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

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

... 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 ...

... 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 ...

Credentialing Specialist

Atlanta, GA ยท On-site

$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

See Georgia salary details

$13

$21

$36

How much do medical credentialing jobs pay per hour?

As of Aug 29, 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.

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 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:

Infographic showing various Medical Credentialing job openings in Georgia as of August 2026, with employment types broken down into 74% Full Time, and 26% Part Time. Highlights an 95% In-person, and 5% Remote job distribution, with an average salary of $44,641 per year, or $21.5 per hour.

Credentialing Specialist

Core Clinical Partners

Atlanta, GA โ€ข On-site

Full-time

Posted 14 days ago


Job description

Description

Core Clinical Partners stands at the forefront of Emergency and Hospital Medicine, delivering unparalleled services through a model that emphasizes patient-centric care and operational excellence. Our corporate values - Genuine, Accountable, Dynamic, Respectful, and Fun - are the pillars that uphold our commitment to revolutionize healthcare delivery.


The Credentialing Specialist is responsible for partnering with medical providers, hospitals, insurance companies, operations leaders and other stakeholders to ensure providers are credentialed. This position will manage all aspects of the hospital and financial credentialing processes for new hires and existing providers to include documentation, communication, monitoring, and staying abreast of credentialing specifications.ย ย 


Essential Duties:ย 


  • Stay abreast of credentialing and recredentialing requirements for each client groupย 
  • Requests, reviews, and verifies credentialing applications and supporting documentationย 
  • Establish and maintain database of provider details and credentialing dataย 
  • Monitor license and certification expirations for providers to ensure timely renewalsย 
  • Notify providers and administration of upcoming expirations and documentation requestsย 
  • Collaborate with hospitals, insurance companies, and other stakeholders to extend information and track credentialing processย 
  • Provide status updates to operations leaders, providers, and other stakeholdersย 
  • Resolve issues that arise and escalate when appropriateย 
  • Other duties as assignedย 

Skills, Knowledge, Abilities:ย 


  • Knowledgeable on credentialing requirements and workflows for providers at differing client groupsย 
  • Familiar with healthcare jargon and terminology related to credentialingย 
  • Excellent verbal and written communication skillsย 
  • Excellent interpersonal and customer service skillsย 
  • Proficient in Microsoft Office and credentialing related softwareย 
  • Excellent organizational skills and attention to detailย 
  • Work independently and exercise judgement on decision making and issue resolutionย 
  • Navigate competing priorities and effectively work in a fast-paced environmentย 
  • Manage information flow in a timely and accurate mannerย 
  • Collaborate with an array of professionals at various client groups and geographic locationsย 
  • Identify and execute opportunities for improvementย 
  • Exhibit growth mindset and team-orientated behaviorsย 


Core Clinical Partners is an equal opportunity employer, drug-free workplace, and complies with ADA regulations as applicable.ย 



Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.ย 

Requirements

Education:ย 

  • High School Diploma or GED requiredย 


Experience:ย 


  • Prior administrative experience in a healthcare environmentย 
  • Medical credentialing experience preferredย 
  • Experience with MS Outlook, Word, and Excelย 
  • Experience with MS Teams and credentialing software preferredย