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Provider Credentialing Jobs in New York (NOW HIRING)

MetroPlusHealth

Credentialing Coordinator

Manhattan, NY · On-site

$50K - $58K/yr

This position is responsible for credentialing of new providers including Behavioral Health providers & facilities, re-credentialing, and processing provider demographic updates and changes. The ...

Network Temp Inc

Credentialing Specialist

Manhattan, NY · On-site

$32/hr

Job Type Contract Description Scope of Role & Responsibilities • Maintain communication with the credentialing contacts at facilities and provider sites to coordinate receipt of information ...

Network Temp Inc

Credentialing Specialist

Manhattan, NY

$30 - $32/hr

Description Scope of Role & Responsibilities Maintain communication with the credentialing contacts at facilities and provider sites to coordinate receipt of information required for credentialing ...

Network Temp Inc

Credentialing Specialist

Manhattan, NY · On-site

$30 - $32/hr

Review provider re-credentialing and credentialing file for completion and presentation to the Credentialing Committee. * Perform primary source verification on required elements and in accordance ...

MetroPlusHealth

Credentialing Coordinator

Manhattan, NY · Hybrid

$50K - $58K/yr

This position is responsible for credentialing of new providers including Behavioral Health providers & facilities, re-credentialing, and processing provider demographic updates and changes. The ...

ATD Technology LLC

Credentialing Specialist

New York, NY · On-site

$25 - $27/hr

The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential audits, as well as clinical privileging ...

ATD Technology LLC

Credentialing Specialist

New York, NY · On-site

$27 - $29/hr

The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential audits, as well as clinical privileging ...

ATD Technology LLC

Credentialing Specialist

New York, NY · On-site

$27 - $29/hr

The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential audits, as well as clinical privileging ...

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All JobsProvider Credentialing JobsProvider Credentialing Jobs in New York

Provider Credentialing information

See New York salary details

$14

$26

$42

How much do provider credentialing jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for provider credentialing in New York is $26.65, according to ZipRecruiter salary data. Most workers in this role earn between $21.06 and $30.24 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 New York? The most popular types of Provider Credentialing jobs in New York are:
What are popular job titles related to Provider Credentialing jobs in New York? For Provider Credentialing jobs in New York, the most frequently searched job titles are:
What job categories do people searching Provider Credentialing jobs in New York look for? The top searched job categories for Provider Credentialing jobs in New York are:
Provider Credentialing jobs near you
Infographic showing various Provider Credentialing job openings in New York as of August 2026, with employment types broken down into 3% As Needed, 77% Full Time, 14% Part Time, and 6% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $55,429 per year, or $26.6 per hour.

Provider Credentialing Specialist (Healthcare)

OCLI Vision

Uniondale, NY • On-site

Other

Posted 19 days ago

Job description

Provider Credentialing Specialist
Supporting Spectrum Vision Partners' OCLI Vision & Ambulatory Surgery Centers
Schedule: Standard full-time schedule, Monday through Friday. Hybrid - 3 days onsite and 2 days remote/work from home each week.
Who We're Looking For
Spectrum Vision Partners (SVP) and OCLI Vision work together to provide world-class eye care that improves lives. SVP, our management services organization, supports one of the nation's largest multi-specialty ophthalmology networks.
With nearly 1,400 employees, we support more than 50 ophthalmology clinics and five state-licensed ambulatory surgery centers across New York, New Jersey, Connecticut, Pennsylvania, and West Virginia. Our network includes more than 110 physicians, surgeons, and advanced practice providers delivering exceptional eye care to our patients.
We're looking for a detail-oriented Credentialing & Provider Enrollment Specialist to join our Central Business Office team. If you thrive in a fast-paced healthcare environment, enjoy managing complex processes, and have experience with provider credentialing and payer enrollment, we'd love to hear from you.
Job Summary
The Credentialing & Provider Enrollment Specialist is responsible for managing the full lifecycle of provider credentialing and enrollment to ensure providers are credentialed, enrolled, and reimbursable with commercial insurance plans, Medicare, Medicaid, and other payers.
This role partners closely with providers, practice leadership, payers, and internal departments to maintain compliance, prevent enrollment delays, and support uninterrupted patient care and revenue cycle operations.
What You'll Do
  • Manage provider credentialing, recredentialing, and enrollment with commercial, Medicare, Medicaid, and government payers.
  • Prepare, submit, and track credentialing and enrollment applications through approval.
  • Verify provider licenses, certifications, education, training, work history, malpractice coverage, and other required documentation.
  • Monitor expiration dates and coordinate timely renewals for licenses, certifications, DEA registrations, and payer participation.
  • Maintain accurate provider records within credentialing databases and internal systems.
  • Serve as the primary liaison between providers, insurance carriers, credentialing organizations, and internal departments.
  • Research and resolve credentialing and enrollment issues to minimize reimbursement delays.
  • Ensure compliance with NCQA, CMS, state regulations, and payer credentialing requirements.
  • Maintain organized documentation and audit-ready credentialing files.
  • Support provider onboarding by completing credentialing requirements prior to start dates.
  • Assist with special projects and process improvement initiatives as assigned.
Minimum Qualifications
  • High school diploma or equivalent required.
  • Associate's or Bachelor's degree in Healthcare Administration or a related field preferred.
  • Minimum 2 years of healthcare credentialing and provider enrollment experience.
  • Working knowledge of commercial insurance, Medicare, and Medicaid credentialing processes.
  • Proficiency with Microsoft Office, including Excel and Outlook.
  • Strong organizational skills with exceptional attention to detail.
  • Ability to prioritize multiple projects while meeting deadlines.
Preferred Qualifications
  • Experience within a Central Business Office (CBO) or multi-site healthcare organization.
  • Experience credentialing physicians, advanced practice providers, and ancillary providers.
  • Familiarity with CAQH, PECOS, NPPES, and payer portals.
  • Knowledge of NCQA, CMS, and state credentialing regulations.
  • Excellent customer service and communication skills.
Skills for Success
  • Provider Credentialing & Enrollment
  • CAQH, PECOS & NPPES Management
  • Medicare, Medicaid & Commercial Payer Enrollment
  • Credentialing Compliance
  • Documentation Management
  • Attention to Detail
  • Time Management
  • Problem Solving
  • Microsoft Office Suite
  • Relationship Building
  • Written & Verbal Communication
  • Multi-tasking in a Fast-Paced Environment

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