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Medical Credentialing Jobs in Georgia (NOW HIRING)

Goldbelt, Inc.

Medical credentialing and privileging processes * Federal quality assurance methodologies (e.g., OFPP guidance, QASP structures) Minimum Qualifications: * Bachelor's degree in Healthcare ...

Thomas Chacko MD PC

Medical Biller

Alpharetta, GA · On-site

$17.25 - $22.25/hr

Medical Billing Chacko Allergy, Asthma & Sinus Center is seeking an experienced and highly ... Experience with physician and provider credentialing, enrollment, and revalidation processes.

Thomas Chacko MD PC

Medical Biller

Alpharetta, GA · On-site

$17.25 - $22.25/hr

Paid time off Medical Billing Chacko Allergy, Asthma & Sinus Center is seeking an experienced and ... Experience with physician and provider credentialing, enrollment, and revalidation processes.

Thomas Chacko MD PC

Medical Biller

Alpharetta, GA · On-site

$17.25 - $22.25/hr

Medical Billing Chacko Allergy, Asthma & Sinus Center is seeking an experienced and highly ... Experience with physician and provider credentialing, enrollment, and revalidation processes.

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Showing results 21-40

All JobsMedical Credentialing JobsMedical Credentialing Jobs in Georgia

Medical Credentialing information

See Georgia salary details

$13

$21

$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.

Credentialing Specialist with Security Clearance

Dunhill Professional Search

Forest Park, GA • On-site

Other

This job post has expired today. Applications are no longer accepted.

Job description

Processes credentialing and re-credentialing applications for the client. Reviews applications and prepares verification letters. Contacts various departments, licensing agencies, and insurance carriers to complete credentialing and re-credentialing applications. Provides support to the client in the collection and query of credentials of members of the client. Conducts Primary Source Verification (PSV) of credentials such as licenses, certifications, registrations, professional school education, postgraduate, residency, or specialty training, board certifications, work history, and current references.
Conducts queries through the National Practitioner Data Bank (NPDB), the Defense Practitioner Data Bank (DPDB), the Department of Health and Human Services (DHHS) and TRICARE sanction data banks.
Collects professional/peer references and completed clinical privileges, demographics, military and civilian practice history (including adverse privileging actions and malpractice history), health status, documentation of contingency and continuing education training, national provider identification number, and for non-personal services contract providers malpractice insurance information.
Accurately loads appropriate data in the DoD Centralized Credentials Quality Assurance System (CCQAS). Keeps records and documentation of the applications and verifications maintained.
Establishes and maintains updated CCQAS records.
Researches and solves credentialing/re-credentialing problems; escalates more complex issues as appropriate.
Tracks status of credentials for healthcare practitioners and provides required documents to clients to make accession, credentialing and privileging (C&P) decisions.
Maintains relationships with Military Treatment Facilities and supported customers.
Ensures providers are credentialed, appointed, and privileged with health plans, hospitals, and patient care facilities.
Reviews records for regulatory compliance and quality assurance at a healthcare facility, insurance group, or similar organization, ensuring relevant regulations are met.
Minimum Qualifications HS diploma or GED; Bachelor's Degree in healthcare or business field preferred
Certified Provider Credentialing Specialist (CPCS) preferred
2-5 years of experience performing physician credentialing at a medical group, hospital or health plan.
Other Job Specific Skills Strong customer focus, interpersonal, collaboration, written/verbal communication, prioritization and computer skills.
Strong attention to detail and good organizational capability.
Able to handle multiple simultaneous tasks and complete work projects in designed time frames.
Knowledge of Department of Defense credentialing guidelines preferred.
Experience using Centralized Credentials Quality Assurance System (CCQAS) and Defense Medical Human Resources System - internet (DMHRSi) a plus.
Ability to handle confidential information on a daily basis in a professional manner.
Ability to consistently maintain quality and production expectations.
Possess proof-reading skills sufficient for auditing documents.
Demonstrate familiarity with credentialing policies, guidelines, and regulations for the DoD credentialing process.

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