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Provider Credentialing Jobs in Florida (NOW HIRING)

OnSpot Dermatology

Credentialing Specialist

Lutz, FL · On-site

$25/hr

This individual will play a vital role in supporting provider onboarding and compliance, ensuring that all practitioners are properly credentialed and contracted with insurance payers.

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Provider Credentialing information

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$10

$18

$29

How much do provider credentialing jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for provider credentialing in Florida is $18.20, according to ZipRecruiter salary data. Most workers in this role earn between $14.38 and $20.67 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 Florida?

The most popular types of Provider Credentialing jobs in Florida are:

What are popular job titles related to Provider Credentialing jobs in Florida?

For Provider Credentialing jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Provider Credentialing jobs in Florida look for?

The top searched job categories for Provider Credentialing jobs in Florida are:

What cities in Florida are hiring for Provider Credentialing jobs?

Cities in Florida with the most Provider Credentialing job openings:

Provider Credentialing jobs near you
Infographic showing various Provider Credentialing job openings in Florida as of August 2026, with employment types broken down into 2% As Needed, 77% Full Time, 14% Part Time, 1% Temporary, 5% Contract, and 1% Nights. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $37,861 per year, or $18.2 per hour.

Credentialing Coordinator

Integrated Resources INC

Doral, FL • On-site

Contractor

Re-posted 2 days ago

Job description

Job Description

Title: Credentialing Coordinator

Duration: 3+ Months

Location: Doral, FL

The primary purpose of the job is to:

The Credentialing Coordinator is responsible for processing and completing the credentialing and re-credentialing functions of all providers in accordance with NCQA, state, and federal requirements.

Principal Accountabilities:

Validates completeness of provider applications prior to processing.

Conducts primary source verification for all credentialing and re-credentialing applications.

Monitors the progress and completion of all site visits by the provider network team to ensure completion within established timeframe.

Accurately enters all critical data elements of provider applications into Credentialing system.

Responds to phone inquiries received into the Credentialing phone queue from internal and external clients.

Completes projects as assigned.

0-4 years of prior provider credentialing experience based on a combination of education and experience.

High School/GED with 4 years of experience. OR Associate's Degree with 1-2 years of experience. OR Bachelor's Degree with 0-1 years of experience.

Intermediate knowledge of PC applications, including Microsoft Office.

Strong verbal and written communication skills.

Strong organizational skills required.

Ability to perform in a metrics-driven environment

Additional Information

All your information will be kept confidential according to EEO guidelines.

Integrated Resources logo

About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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