Job Detail Job Opening ID 280808 Working Title Med Staff/Credentialing Specialist Job Title Med Staff/Credentialing Spec Work Location Michigan Medicine - Ann Arbor Ann Arbor, MI Modes of Work Hybrid ...
Job Detail Job Opening ID 280808 Working Title Med Staff/Credentialing Specialist Job Title Med Staff/Credentialing Spec Work Location Michigan Medicine - Ann Arbor Ann Arbor, MI Modes of Work Hybrid ...
Credentialing Specialist - Medical Staff Affairs - Days Location: Henry Ford Health Jackson Department: Medical Staff Affairs Schedule: Full Time Days About the Role We are seeking a highly organized ...
Credentialing Specialist - Medical Staff Affairs - Days Location: Henry Ford Health Jackson Department: Medical Staff Affairs Schedule: Full Time Days About the Role We are seeking a highly organized ...
Credentialing Specialist - Medical Staff Affairs - Days Location: Henry Ford Health Jackson Department: Medical Staff Affairs Schedule: Full Time Days About the Role We are seeking a highly organized ...
Credentialing Specialist - Medical Staff Affairs - Days Location: Henry Ford Health Jackson Department: Medical Staff Affairs Schedule: Full Time Days About the Role We are seeking a highly organized ...
Eligibility for benefits is determined by employment type and status Primary Location SITE - Royal Oak Hospital - 3601 W 13 Mile Rd - Royal Oak Department Name Med Staff Credentialing - Diversified ...
Eligibility for benefits is determined by employment type and status Primary Location SITE - Royal Oak Hospital - 3601 W 13 Mile Rd - Royal Oak Department Name Med Staff Credentialing - Diversified ...
Eligibility for benefits is determined by employment type and status Primary Location SITE - Royal Oak Hospital - 3601 W 13 Mile Rd - Royal Oak Department Name Med Staff Credentialing - Diversified ...
Eligibility for benefits is determined by employment type and status Primary Location SITE - Royal Oak Hospital - 3601 W 13 Mile Rd - Royal Oak Department Name Med Staff Credentialing - Diversified ...
Eligibility for benefits is determined by employment type and status Primary Location SITE - Royal Oak Hospital - 3601 W 13 Mile Rd - Royal Oak Department Name Med Staff Credentialing - Diversified ...
Eligibility for benefits is determined by employment type and status Primary Location SITE - Royal Oak Hospital - 3601 W 13 Mile Rd - Royal Oak Department Name Med Staff Credentialing - Diversified ...
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 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 ...
Medical or dental administrative experience preferred; credentialing experience not required This position is located at our corporate office in Southfield, MI and has a hybrid schedule of Monday ...
Medical or dental administrative experience preferred; credentialing experience not required This position is located at our corporate office in Southfield, MI and has a hybrid schedule of Monday ...
Medical or dental administrative experience preferred; credentialing experience not required. This position is located at our corporate office in Southfield, MI and has a hybrid schedule of Monday ...
Medical or dental administrative experience preferred; credentialing experience not required. This position is located at our corporate office in Southfield, MI and has a hybrid schedule of Monday ...
Credentialing Coordinator
Southfield, MI · On-site
Medical or dental administrative experience preferred; credentialing experience not required. This position is located at our corporate office in Southfield, MI and has a hybrid schedule of Monday ...
Credentialing Coordinator
Southfield, MI · On-site
Medical or dental administrative experience preferred; credentialing experience not required. This position is located at our corporate office in Southfield, MI and has a hybrid schedule of Monday ...
Payer Credentialing Manager Position Type: Full-time Compensation ... TBA Company Overview Theoria Medical is a comprehensive medical group and technology company ...
Quick apply
Payer Credentialing Manager Position Type: Full-time Compensation ... TBA Company Overview Theoria Medical is a comprehensive medical group and technology company ...
Credentialing Asst
Southfield, MI · Hybrid
Eligibility for benefits is determined by employment type and status Primary Location SITE - Corewell Health Southfield Center - 26901 Beaumont Blvd Department Name Med Staff Credentialing ...
New
Credentialing Asst
Southfield, MI · Hybrid
Eligibility for benefits is determined by employment type and status Primary Location SITE - Corewell Health Southfield Center - 26901 Beaumont Blvd Department Name Med Staff Credentialing ...
New
Two (2) to five (5) years of work experience in provider enrollment, contracting, medical practice or hospital business office role and/or credentialing related field required. * Knowledge of related ...
Two (2) to five (5) years of work experience in provider enrollment, contracting, medical practice or hospital business office role and/or credentialing related field required. * Knowledge of related ...
Credentialing and Compliance Coordinator
Baldwin, MI · On-site
$50K/yr
Provides administrative support to the Chief Medical Officer and Chief Dental Officer or their ... Credentialing experience or certification in credentialing preferred. Alternative to Minimum ...
Quick apply
Credentialing and Compliance Coordinator
Baldwin, MI · On-site
$50K/yr
Provides administrative support to the Chief Medical Officer and Chief Dental Officer or their ... Credentialing experience or certification in credentialing preferred. Alternative to Minimum ...
Provides administrative support to the Chief Medical Officer and Chief Dental Officer or their ... Credentialing experience or certification in credentialing preferred. Alternative to Minimum ...
Provides administrative support to the Chief Medical Officer and Chief Dental Officer or their ... Credentialing experience or certification in credentialing preferred. Alternative to Minimum ...
Credentialing and Compliance Coordinator
Baldwin, MI · On-site
$50K/yr
Provides administrative support to the Chief Medical Officer and Chief Dental Officer or their ... Credentialing experience or certification in credentialing preferred. Alternative to Minimum ...
Credentialing and Compliance Coordinator
Baldwin, MI · On-site
$50K/yr
Provides administrative support to the Chief Medical Officer and Chief Dental Officer or their ... Credentialing experience or certification in credentialing preferred. Alternative to Minimum ...
Provides administrative support to the Chief Medical Officer and Chief Dental Officer or their ... Credentialing experience or certification in credentialing preferred. Alternative to Minimum ...
Quick apply
Provides administrative support to the Chief Medical Officer and Chief Dental Officer or their ... Credentialing experience or certification in credentialing preferred. Alternative to Minimum ...
Adheres to credentialing policies/procedures, hospital by-laws, department rules/regulations and medical staff policies. * Participates in the development and implementation of process improvements ...
Adheres to credentialing policies/procedures, hospital by-laws, department rules/regulations and medical staff policies. * Participates in the development and implementation of process improvements ...
Responsible for verifications for medical staff and allied health professionals initial ... Verifies required primary source credentialing documentation to ensure medical staff and allied ...
Responsible for verifications for medical staff and allied health professionals initial ... Verifies required primary source credentialing documentation to ensure medical staff and allied ...
Responsible for verifications for medical staff and allied health professionals initial ... Verifies required primary source credentialing documentation to ensure medical staff and allied ...
Responsible for verifications for medical staff and allied health professionals initial ... Verifies required primary source credentialing documentation to ensure medical staff and allied ...
Medical Credentialing information
See Michigan salary details
$14.25 - $16.34
12% of jobs
$17.37 is the 25th percentile. Wages below this are outliers.
$16.34 - $18.44
27% of jobs
The median wage is $20.13 / hr.
$18.44 - $20.53
14% of jobs
$20.53 - $22.63
11% of jobs
$24.59 is the 75th percentile. Wages above this are outliers.
$22.63 - $24.72
13% of jobs
$24.72 - $26.82
14% of jobs
$26.82 - $28.91
5% of jobs
$28.91 - $31.01
2% of jobs
$31.01 - $33.10
1% of jobs
$33.10 - $35.20
1% of jobs
$35.20 - $37.29
1% of jobs
$14
$22
$37
How much do medical credentialing jobs pay per hour?
As of Aug 6, 2026, the average hourly pay for medical credentialing in Michigan is $22.15, according to ZipRecruiter salary data. Most workers in this role earn between $16.97 and $24.95 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?
| Aspect | Medical Credentialing | Medical Billing |
|---|---|---|
| Required Credentials | Certifications in healthcare administration, compliance, or related fields | Knowledge of coding, billing procedures, and insurance policies |
| Work Environment | Healthcare facilities, insurance companies, credentialing agencies | Medical offices, billing companies, healthcare providers |
| Employer & Industry Usage | Hospitals, clinics, physician practices | Medical 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 Michigan? The most popular types of Medical Credentialing jobs in Michigan are:
What cities in Michigan are hiring for Medical Credentialing jobs? Cities in Michigan with the most Medical Credentialing job openings:
Full-time
Medical, Dental, Vision, Retirement
Posted 9 days ago
University Of Michigan rating
8.1
Based on 144 frontline employees who took The Breakroom Quiz
155th of 615 rated colleges and universities
Job description
Mission Statement
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Job Summary
Provides a full range of professional services for credentialing, recredentialing, verifying licensing and certifications, monitoring sanctions, assessing competency, and processing privileging, as appropriate, by applying expert knowledge, expertise and experience. Acting as a specialist in the complex Michigan Medicine credentialing process has the authority to make independent decisions on matters of significance within the scope of responsibilities through analyzing, comparing, and evaluating various courses of action.
Responsibilities*
Accountability for completion of initial appointment/reappointment, credentialing, and privileging following the strict requirements of Centers for Medicare and Medicaid (CMS), The Joint Commission (TJC), the National Committee for Quality Assurance (NCQA), Accreditation Commission for Health Care (ACHC), and Utilization Review and Accreditation Commission/American Accreditation Health Care Commission (URAC) to ensure the safety of our patients and safeguard Michigan Medicine against loss of accreditation, malpractice claims, and claims of negligent credentialing.
Required Qualifications*
Desired Qualifications*
Why Join Michigan Medicine?
Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.
What Benefits can you Look Forward to?
Modes of Work
Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes .
Background Screening
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
Application Deadline
Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled any time after the minimum posting period has ended.
U-M EEO Statement
The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.
Job Detail
Job Opening ID
280808
Working Title
Med Staff/Credentialing Specialist
Job Title
Med Staff/Credentialing Spec
Work Location
Michigan Medicine - Ann Arbor
Ann Arbor, MI
Modes of Work
Hybrid
Full/Part Time
Full-Time
Regular/Temporary
Regular
FLSA Status
Nonexempt
Organizational Group
Um Hospital
Department
MM Medical Staff Services
Posting Begin/End Date
7/28/2026 - 8/04/2026
Career Interest
Healthcare Admin & Support
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Job Summary
Provides a full range of professional services for credentialing, recredentialing, verifying licensing and certifications, monitoring sanctions, assessing competency, and processing privileging, as appropriate, by applying expert knowledge, expertise and experience. Acting as a specialist in the complex Michigan Medicine credentialing process has the authority to make independent decisions on matters of significance within the scope of responsibilities through analyzing, comparing, and evaluating various courses of action.
Responsibilities*
Accountability for completion of initial appointment/reappointment, credentialing, and privileging following the strict requirements of Centers for Medicare and Medicaid (CMS), The Joint Commission (TJC), the National Committee for Quality Assurance (NCQA), Accreditation Commission for Health Care (ACHC), and Utilization Review and Accreditation Commission/American Accreditation Health Care Commission (URAC) to ensure the safety of our patients and safeguard Michigan Medicine against loss of accreditation, malpractice claims, and claims of negligent credentialing.
- Completes evaluation of application to determine applicant's initial eligibility for membership/participation. Analyze application and supporting documents for completeness.
- Identifies red flags during the credentialing and privileging process with authority to halt the process until the issue has been resolved, and is empowered, using strong analytical skills and judgment, to resolve locally or determine if the issue should be escalated. The credentialing specialist autonomously conducts the final analysis thoroughly before deeming the credentialing packet as complete and ready for committee review and board approval.
- Conducts all primary source verification necessary to complete the credentialing and privileging process, maintaining standards in accordance with policies and procedures, rules, regulations, and accreditation requirements. Through delegated credentialing contracts, the credentialing specialist completes this work on behalf of each contracted plan, leveraging the contracts to expedite enrollment and reimbursement.
- Using knowledge, creativity, and ingenuity, identifies and implements ideas for process improvement using continuous improvement tools and strategies, wherever possible, keeping within the confines of the rules, regulations, and accreditation requirements to develop a more efficient process while still providing a safeguard to the institution.
- Applies broad knowledge and ability in the interpretation and dissemination of policies, procedures, and processes/rules/regulations/law changes, concerning credentialing and recredentialing for practitioners at Michigan Medicine. Will act in an advisory capacity when questions or concerns about policies and procedures are raised.
- Ensure regulatory and accreditation readiness with contracted health plans, The Joint Commission, CMS, and the State of Michigan by preparing and analyzing credentialing records to affirm all requirements are met.
- Maintains the confidentiality of credential information, exercising caution and discretion in responding to inquiries for information.
- Maintains and protects the integrity of the credentialing database as the source of truth for privileged provider information throughout the AMC health system's various IT systems, such as the electronic health record, online provider directory, and billing system. Ensures database accuracy so that Provider Enrollment can complete health plan enrollment.
- Management and maintenance of expirables such licenses, certifications, and other credentials to maintain compliance with state law, policies, and procedures.
- Clearly and accurately presents complicated and thorough information regarding credentialing, recredentialing, and privileging to the clinical departments, providers, and institutional stakeholders.
- Responds to inquiries and complaints regarding matters of a sensitive or confidential nature, exercising initiative, independent judgment, and diplomacy, with an excellent customer service-oriented attitude.
- Duties as assigned.
Required Qualifications*
- Bachelor's degree or equivalent combination of education and experience
- Knowledge of accreditation and regulatory requirements for credentialing and privileging.
- 1-2 years experience in a credentialing role.
- Continuous Healthcare Improvement training within 3 months of hire.
- Demonstrated excellent interpersonal, problem-solving, and communication skills, both written and oral.
- Ability to make independent decisions on matters of significance using analytical skills and sound judgment.
- Excellent organizational and multi-tasking skills.
- Ability to work effectively, cooperatively, and professionally with a diverse group of faculty and staff, and aid in the training and education of existing and new staff.
- Accurate and detail-oriented, along with the ability to oversee multiple tasks and priorities simultaneously with numerous interruptions.
- Must be able to work under pressure in a fast-paced environment, with strong time management skills.
- Demonstrated ability to work independently with a positive attitude.
Desired Qualifications*
- 3-5 years of credentialing and privileging experience.
- CPCS certification.
- Extensive knowledge of credentialing and privileging.
- Knowledge of Hospital or clinical department policies and procedures.
Why Join Michigan Medicine?
Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.
What Benefits can you Look Forward to?
- Excellent medical, dental and vision coverage effective on your very first day
- 2:1 Match on retirement savings
Modes of Work
Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes .
Background Screening
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
Application Deadline
Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled any time after the minimum posting period has ended.
U-M EEO Statement
The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.
Job Detail
Job Opening ID
280808
Working Title
Med Staff/Credentialing Specialist
Job Title
Med Staff/Credentialing Spec
Work Location
Michigan Medicine - Ann Arbor
Ann Arbor, MI
Modes of Work
Hybrid
Full/Part Time
Full-Time
Regular/Temporary
Regular
FLSA Status
Nonexempt
Organizational Group
Um Hospital
Department
MM Medical Staff Services
Posting Begin/End Date
7/28/2026 - 8/04/2026
Career Interest
Healthcare Admin & Support
What University Of Michigan employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About University of Michigan
Sourced by ZipRecruiter
The University of Michigan (U-M), based in Ann Arbor, MI, US, is one of America's most esteemed institutions in higher education. Established in 1817, it presides in the industry of education and research, providing a range of services including undergraduate, graduate, and professional education programs. Complementing this is an extensive research activity that has significantly contributed to various fields, from healthcare to engineering, humanities to sports. Upholding its mission "to serve the people of Michigan and the world through preeminence in creating, communicating, preserving and applying knowledge, art, and academic values", U-M consistently ranks among the top universities globally, a testament to its tradition of excellence in learning and research, and a deep commitment to innovation and discovery.
Industry
Colleges, universities, and professional schools
Company size
10,000+ Employees
Headquarters location
Ann Arbor, MI, US
Year founded
1817