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Provider Credentialing Jobs in Alabama (NOW HIRING)

Viva Health

Credentialing Coordinator

Birmingham, AL · On-site

Credentialing Coordinator Location: Birmingham, AL Work Schedule: Hybrid - after a 5-6 month ... This position will act as a resource for provider data integrity, provider file management and ...

VIVA Health

Credentialing Coordinator

Birmingham, AL · On-site

Credentialing Coordinator Location: Birmingham, AL Work Schedule: Hybrid - after a 5-6 month ... This position will act as a resource for provider data integrity, provider file management and ...

Carastar Health

Human Resources Specialist

Montgomery, AL · On-site

$14.17 - $21.57/hr

... provider credentialing, and related workforce compliance docu-mentation as assigned. Maintain HR trackers, dashboards, reports, calendars, and workflow logs for recruitment, onboard-ing, evaluations ...

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All JobsProvider Credentialing JobsProvider Credentialing Jobs in Alabama

Provider Credentialing information

See Alabama salary details

$12

$22

$35

How much do provider credentialing jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for provider credentialing in Alabama is $22.08, according to ZipRecruiter salary data. Most workers in this role earn between $17.45 and $25.05 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.

Is provider credentialing hard?

Provider credentialing can be a complex process that involves verifying a healthcare professional’s qualifications, licenses, and work history, often requiring attention to detail and organization. It typically involves working with multiple organizations and adhering to specific regulations, which can make the process time-consuming and challenging for some providers. Strong communication skills and familiarity with credentialing software can help streamline the process.

What does a provider credentialing specialist do?

A provider credentialing specialist is responsible for verifying healthcare providers' qualifications, licenses, and certifications to ensure they meet the standards required by insurance companies and healthcare organizations. They manage the credentialing process, maintain accurate provider records, and ensure compliance with regulatory requirements, often using specialized credentialing software. This role requires attention to detail, knowledge of healthcare regulations, and strong organizational skills.

How to get into provider credentialing?

To enter provider credentialing, candidates typically need a background in healthcare administration, medical billing, or related fields, along with strong organizational and communication skills. Gaining certification such as the Certified Provider Credentialing Specialist (CPCS) can enhance job prospects, and familiarity with credentialing software and industry standards is beneficial. Entry-level roles often require a high school diploma or equivalent, with some positions preferring an associate's or bachelor's degree.

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.
What are the most commonly searched types of Provider Credentialing jobs in Alabama? The most popular types of Provider Credentialing jobs in Alabama are:
What are popular job titles related to Provider Credentialing jobs in Alabama? For Provider Credentialing jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Provider Credentialing jobs in Alabama look for? The top searched job categories for Provider Credentialing jobs in Alabama are:
Provider Credentialing jobs near you
Infographic showing various Provider Credentialing job openings in Alabama as of August 2026, with employment types broken down into 2% As Needed, 78% Full Time, 15% Part Time, and 5% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $45,922 per year, or $22.1 per hour.

Credentialing Coordinator

Triton Health Systems

Birmingham, AL

Full-time

Re-posted 4 days ago

Job description

Credentialing Coordinator

Location: Birmingham, AL

Work Schedule: Hybrid - after a 5-6 month training period that will be completed 100% onsite at our downtown Birmingham office, this position can transition to a hybrid work schedule with a mix of in-office and remote work. The successful candidate must reside within a reasonable travel distance of Birmingham.

Why VIVA HEALTH?

VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys.

VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.

Benefits

  • Comprehensive Health, Vision, and Dental Coverage
  • 401(k) Savings Plan with company match and immediate vesting
  • Paid Time Off (PTO)
  • 9 Paid Holidays annually plus a Floating Holiday to use as you choose
  • Tuition Assistance
  • Flexible Spending Accounts
  • Healthcare Reimbursement Account
  • Paid Parental Leave
  • Community Service Time Off
  • Life Insurance and Disability Coverage
  • Employee Wellness Program
  • Training and Development Programs to develop new skills and reach career goals
  • Employee Assistance Program

See more about the benefits of working at Viva Health - https://www.vivahealth.com/careers/benefits

Job Description

The Credentialing Coordinator is responsible for credentialing and re-credentialing practitioners, ancillary service providers and allied health professionals to ensure their qualification to participate in VIVA HEALTH’S provider network. The Credentialing Coordinator will serve a primary role in receiving and incorporating provider data appropriately into the provider set-up workflow process. This position will act as a resource for provider data integrity, provider file management and network development.

Key Responsibilities

  • Receive, interpret and incorporate Council for Affordable Quality Healthcare (CAQH) provider data into the credentialing, re-credentialing, and provider data auditing process.
  • Use CAQH data and credentialing software findings to make credentialing decisions regarding providers.
  • Analyze trends in monthly credentialing data to forecast workload for CAQH.
  • Communicate with internal departments to ensure quality assurance findings related to providers are reviewed and acted upon accordingly.

REQUIRED QUALIFICATIONS:

  • Bachelor's Degree or equivalent experience in credentialing
  • 3 years of experience in credentialing
  • Ability to analyze and solve problems related to credentialing of providers and facilities
  • Proficient in manipulation of data to report statistical information to several of departments
  • Ability to work independently, research and resolve processing issues in a timely manner with little to no supervision
  • Organized, detail oriented, and skilled at multi-tasking
  • Demonstrate excellent customer service skills through written and verbal communication
  • Proficient in the Microsoft Office suite of products
  • Knowledge of credentialing software, CAQH, CMS, NCQA guidelines, and JCAHO regulations