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Provider Credentialing Jobs in Alabama (NOW HIRING)

UAB St. Vincent's

NP Cardiology, Full time

Birmingham, AL · On-site

$90 - $120/hr

BLS Provider credentialed from the American Heart Association (AHA) obtained within 1 Month (30 days) of hire date or job transfer date required. * Advanced Life Support certification issued by ...

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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.

Clinical Program Coordinator

Surgery Partners

Fairhope, AL • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Surgery Partners rating

7.7

Company rating: 7.7 out of 10

Based on 85 frontline employees who took The Breakroom Quiz

161st of 887 rated healthcare providers

Job description

RESPONSIBILITIES:
Clinical Operations
  • Support daily clinical operations and provide direct patient care as needed.
  • Assist with staff orientation, competency validation, and clinical education.
  • Collaborate with leadership to promote patient safety and operational excellence.

Quality, Compliance & Performance Improvement
  • Coordinate the facility's Quality Assessment and Performance Improvement (QAPI) Program.
  • Prepare reports and documentation for leadership, committees, Governing Board, corporate, and regulatory agencies.
  • Maintain continuous compliance with CMS Conditions for Coverage, OSHA, HIPAA, accreditation standards, and organizational policies.
  • Assist with accreditation surveys, regulatory inspections, policy review, and survey readiness activities.

Infection Prevention & Risk Management
  • Serve as the facility's Infection Prevention Coordinator.

Credentialing & Staff Compliance
  • Coordinate provider credentialing and recredentialing activities.
  • Partner with Human Resources to support onboarding and ongoing regulatory compliance.

Education & Leadership
  • Coordinate required certifications and annual education programs.
  • Provide guidance on quality improvement, infection prevention, regulatory compliance, and patient safety initiatives.
  • Participate in committees and perform other duties as assigned.

KNOWLEDGE AND SKILLS
  • Knowledge of ambulatory surgery center operations, QAPI principles, infection prevention, and regulatory compliance.
  • Understanding of CMS Conditions for Coverage, OSHA, HIPAA, and accreditation standards.
  • Strong analytical, organizational, communication, and problem-solving skills.
  • Ability to interpret data, manage multiple priorities, and maintain confidentiality.
  • Proficiency with Microsoft Office and quality reporting systems.

EDUCATION / REQUIREMENTS
  • Current unrestricted Registered Nurse (RN) license in the state of employment.
  • Bachelor's degree in Nursing (BSN) preferred.
  • Minimum of three (3) years of clinical nursing experience; ambulatory surgery or healthcare quality experience preferred.
  • Experience in quality management, infection prevention, regulatory compliance, or risk management preferred.
  • Current BLS certification required; ACLS and PALS required or obtained within organizational guidelines.
  • Certification in Infection Prevention (CIC) or Healthcare Quality (CPHQ), or willingness to obtain, preferred.

ENVIRONMENTAL / WORKING CONDITIONS
  • Works in an ambulatory surgery center environment with potential exposure to communicable diseases and biohazards.
  • Requires prolonged standing, walking, computer use, and occasional lifting or assisting patients.

PERFORMANCE EXPECTATIONS
The Clinical Program Coordinator consistently:
  • Maintains regulatory and accreditation readiness.
  • Ensures timely completion of required quality, infection prevention, credentialing, and compliance activities.
  • Promotes continuous quality improvement and patient safety.
  • Collaborates effectively with physicians, leadership, and staff to achieve organizational goals.

Benefits:
  • Comprehensive health, dental, and vision insurance
  • Health Savings Account with an employer contribution
  • Life Insurance
  • PTO
  • 401(k) retirement plan with a company match
  • And more!

Equal Employment Opportunity & Work Force Diversity
Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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