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Provider Credentialing Specialist II

Tigard, OR · On-site

$27 - $31.50/hr

The Credentialing Specialist II is responsible for providing support to the Credentialing Team and works to support the goals of the Billing Department. The Specialist II assists in performing all ...

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How much do provider credentialing jobs pay per hour?

As of Jul 31, 2026, the average hourly pay for provider credentialing in the United States is $24.36, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $27.64 per hour, depending on experience, location, and employer.

What is provider credentialing?

Provider credentialing is the process by which healthcare organizations verify and assess the qualifications, experience, and professional background of medical providers, such as doctors, nurses, and specialists. This includes checking education, training, licenses, certifications, work history, and any malpractice or disciplinary actions. Credentialing ensures that providers meet the standards required to deliver care and are eligible for participation in health insurance networks. It is a critical step for patient safety and regulatory compliance. The process must be repeated periodically to maintain up-to-date records and ensure ongoing eligibility.

What are some common challenges faced in a Provider Credentialing role, and how can they be managed?

A common challenge in Provider Credentialing is managing multiple deadlines and ensuring all documentation is accurate and up to date for various healthcare providers. The process often involves coordinating with providers, insurance companies, and regulatory bodies, which can lead to delays if communication is not clear. Staying organized, maintaining detailed records, and using credentialing management software can help streamline workflow and reduce errors. Building strong relationships with providers and team members also aids in resolving issues quickly and efficiently.

What is the difference between Provider Credentialing vs Medical Billing Specialist?

AspectProvider CredentialingMedical Billing Specialist
Required CredentialsLicenses, certifications, provider credentialsBilling certifications, coding knowledge
Work EnvironmentHealthcare facilities, insurance companiesMedical offices, billing companies
Employer & Industry UsageHospitals, clinics, insurance providersMedical practices, billing firms
Search & Comparison IntentUnderstanding credentialing process, requirementsBilling procedures, coding, reimbursement

Provider Credentialing focuses on verifying healthcare providers' qualifications to ensure they meet industry standards, while Medical Billing Specialists handle coding, billing, and reimbursement processes. Both roles are essential in healthcare operations but serve different functions within the industry.

What are the key skills and qualifications needed to thrive in Provider Credentialing, and why are they important?

To thrive in Provider Credentialing, you need strong attention to detail, organizational skills, and knowledge of healthcare regulations, typically supported by a background in healthcare administration or related fields. Familiarity with credentialing software, databases, and compliance tools such as CAQH ProView and state licensure systems is essential. Exceptional communication, problem-solving, and time management skills help professionals interact with providers and manage complex documentation processes. These competencies ensure accurate provider verification, regulatory compliance, and efficient onboarding, which are critical for healthcare organizations.
More about Provider Credentialing jobs
What cities are hiring for Provider Credentialing jobs? Cities with the most Provider Credentialing job openings:
What are the most commonly searched types of Provider Credentialing jobs? The most popular types of Provider Credentialing jobs are:
What states have the most Provider Credentialing jobs? States with the most job openings for Provider Credentialing jobs include:
What job categories do people searching Provider Credentialing jobs look for? The top searched job categories for Provider Credentialing jobs are:
Provider Credentialing jobs near you
Infographic showing various Provider Credentialing job openings in the United States as of July 2026, with employment types broken down into 75% Full Time, and 25% Contract. Highlights an 100% In-person job distribution, with an average salary of $50,665 per year, or $24.4 per hour.

Provider Credentialing Specialist

Marion Health

Marion, IN • On-site

Full-time

Re-posted 19 days ago

Marion Health rating

4.0

Company rating: 4.0 out of 10

Based on 23 frontline employees who took The Breakroom Quiz

Job description

Job Summary

The Provider Credentialing Specialist ensures that all new and practicing providers within the organization meet regulatory, accreditation, and organizational standards.  This position will collect, verify, and evaluate provider credentials including education, training, licensure, certifications and work history. This position will oversee the processing of medical staff applications and re-applications of current  providers as well as preparing verification letters and reviewing applications for accuracy and completeness. The Credentialing Specialist will perform all duties in compliance with the Medical Staff bylaws, accrediting and regulatory agencies and will prepare all completed packets for review at Credentials Committee. This position accurately maintains all medical staff healthcare providers’ data in the MSO database and ensures all mandatory expirables are audited, reviewed, obtained from the providers  and entered in the system in a timely manner and alerting leadership when expirable items affect the practitioners’ ability to maintain credentialing requirements.  The Specialist may provide assistance with provider support responsibilities, Family Residency Program, Medical Staff Office assignments, payor credentialing and other administrative tasks as assigned. The Provider Credentialing Specialist must maintain the confidentiality of all business/work and medical staff information.

Minimum Job Requirements

  • Associate’s degree in Business Administration, Billing/Coding, Healthcare Administration, or a related field with one (1) year of relevant experience; or
  • High school diploma with three (3) years of relevant experience.

Preferred Job Requirements

  • Provider credentialing experience.
  • Medical Staff Office experience

Skills / Knowledge / Abilities

  • Excellent communication skills to effectively and tactfully communicate with patients and their families and guests, co-workers, managers, providers and other hospital personnel on a one-to-one basis using appropriate grammar, vocabulary and word usage.
  • Interpersonal skills necessary in order to carry out duties in a professional manner, as well as the ability to work well under stress.
  • Excellent time management, and organizational skills.
  • Ability to problem solve, multi-task in a fast-paced setting and work well in a team environment.
  • Developed computer skills to include proficiency with Microsoft Office, telephone system and the ability to learn and proficiently perform computer applications related to department operations and job function.
  • Excellent customer service skills.
  • High degree of accuracy with concentration and close attention to detail.
  • Ability to be discreet and protect the integrity of any confidential matter or information encountered during the performance of job duties.

Working Conditions

  • Typical office environment with prolonged sitting.
  • Work subject to interruption and occasional high stress levels. 
  • Ability to work occasional extended hours,  evenings and/or weekends based on the needs of the department.
  • Works with protected health information.

Physical and Mental Activities, Tools and Equipment

  • Use of personal computer and other standard office equipment including but not limited to: telephone, fax, copier, calculator, and scanners. 
  • Lifting, pushing, pulling, walking sitting, reaching, bending, kneeling or stooping to perform duties in a safe manner.
  • Repetitive wrist, finger and hand movement. 
  • Occasional manipulation of large volumes of books, charts, reports or files.
  • Lift supplies or equipment.

Equal Opportunity Employer 
Marion Health is a smoke-free environment.

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