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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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How much do provider credentialing jobs pay per hour?

As of Sep 1, 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.

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 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.

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. Familiarity with healthcare regulations and credentialing software is also beneficial.

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.

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 1% Locum Tenens, 2% As Needed, 80% Full Time, 13% Part Time, and 4% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $37,861 per year, or $18.2 per hour.

Credentialing Specialist

OnSpot Dermatology

Ave Maria, FL • On-site

$25/hr

Full-time

Re-posted 2 days ago

Job description

We are seeking a Credentialing Specialist to join our growing administrative team. 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.

Responsibilities:

  • Manage and maintain provider credentialing and recredentialing with commercial, Medicare, and Medicaid payers

  • Oversee contracting for new providers and ensure timely addition and removal of providers from payer rosters

  • Update and maintain provider information in CAQH, NPPES, and payer portals

  • Collaborate closely with the billing department to resolve credentialing-related issues impacting claims

  • Track and monitor credentialing status, expirations, and renewals to ensure compliance

  • Assist with provider enrollment and payer contract negotiations as needed

Qualifications:

  • Minimum 2 years of experience in medical credentialing (dermatology or multi-provider group experience preferred)

  • Strong understanding of insurance contracting, CAQH, Medicare, and Medicaid enrollment

  • Excellent organizational skills and attention to detail

  • Proficient with payer portals and credentialing software

  • Strong communication and problem-solving skills

Why Join OnSpot Dermatology:

  • Be part of an innovative, patient-centered mobile healthcare organization

  • Support a mission-driven team improving access to dermatologic care across Florida

  • Competitive compensation and benefits package



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