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Provider Credentialing Jobs in Ohio (NOW HIRING)

OhioHealth

Credentialing Program Manager

Dublin, OH · On-site

The primary purpose of the position is to direct, monitor and provide quality credentialing/privileging and re-credentialing/privileging processes to ensure that physicians and allied health ...

Ohio Health

The primary purpose of the position is to direct, monitor and provide quality credentialing/privileging and re-credentialing/privileging processes to ensure that physicians and allied health ...

Imh

Medical Staff and Privileging Coordinator

Cleveland, OH · On-site

$24.60 - $37.46/hr

Provides ongoing support and coordination while acting as liaison between the Medical Staff and Administration. The position is responsible for the on-going credentialing/privileging process and ...

Ohio Health

The primary purpose of the position is to direct, monitor and provide quality credentialing/privileging and re-credentialing/privileging processes to ensure that physicians and allied health ...

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Showing results 21-40

All JobsProvider Credentialing JobsProvider Credentialing Jobs in Ohio

Provider Credentialing information

See Ohio salary details

$13

$23

$37

How much do provider credentialing jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for provider credentialing in Ohio is $23.16, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $26.30 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 Ohio? The most popular types of Provider Credentialing jobs in Ohio are:
What are popular job titles related to Provider Credentialing jobs in Ohio? For Provider Credentialing jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Provider Credentialing jobs in Ohio look for? The top searched job categories for Provider Credentialing jobs in Ohio are:
What cities in Ohio are hiring for Provider Credentialing jobs? Cities in Ohio with the most Provider Credentialing job openings:
Provider Credentialing jobs near you
Infographic showing various Provider Credentialing job openings in Ohio as of August 2026, with employment types broken down into 2% As Needed, 72% Full Time, 21% Part Time, and 5% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $48,167 per year, or $23.2 per hour.

Provider Enrollment/Credentialing Specialist

Medic Management Group LLC

OH • On-site, Remote

$19 - $23/hr

Full-time

Posted 27 days ago

Job description

Job Type
Full-time
Description
DESCRIPTION:
This position will be responsible for credentialing new and established health care providers, and maintenance of information to include application completion, follow up, data collection, data entry, and document review. Depending on the skill set and experience of the candidate selected, there may also be the opportunity to perform billing duties.
RESPONSIBILITIES:
  • Collect, update and maintain necessary provider information and documentation and verify the information where possible.
  • Establish and maintain data entry in CAQH.
  • Prepare credentialing applications for all initial applications and reappointments in a timely and complete manner.
  • Verify provider and group information with insurance companies (addresses, provider rosters, contracted plans, provider numbers, etc).
  • Coordinate information for enrollment and terminations of all providers.
  • Maintain good rapport and professional communication with Health Plan Representatives.
  • Handle enrollment with Medicare, Medicaid, and commercial insurances in multiple states.
  • Build strong working relationships with medical facilities and provider offices.
  • Adhere to department policies and procedures including timely delivery of completed work and use of resources.
  • Responsible for entering, updating, maintaining NPI and any other applicable provider numbers.
  • Provide concise, timely communication to appropriate leadership regarding potential credentialing issues.
  • Proactively share knowledge with colleagues.
  • Perform analysis and appropriate follow-up of each initial application and reappointment.
  • Work with physicians, professional staff and physicians' office staff to acquire necessary materials and information.

Requirements
QUALIFICATIONS:
  • High school diploma or equivalent
  • Minimum 3 years of credentialing experience
  • Billing knowledge and experience preferred
  • Prior experience with FQHC and Behavioral Health necessary.
  • Current knowledge of provider enrollment processes with Medicare, Medicaid, and commercial insurances
  • Working knowledge of Availity, PECOS, etc. is required.
  • Proficiency in MS Office, primarily Word, Outlook, Excel
  • Excellent interpersonal skills to communicate with medical staff, providers and clients
  • Detail orientation
  • Ability to abide by HIPPA standards and requirements
  • Ability to multi-task
  • Ability to work as a team player
  • Ability to handle confidential information in a professional manner
  • Willingness to take on new tasks and responsibilities
  • Capable of taking the initiative to accomplish tasks
  • Strong time management and organization skills
  • Excellent problem solving and decision-making abilities

PHYSICAL DEMANDS:
  • Work may require sitting for long periods of time.
  • Operating a computer, keyboard, telephone, fax, or other such office equipment through a normal business day.
  • Vision must be correctable to 20/20 for viewing information on computer screen and reading information in a paper format.
  • Hearing must be in the normal range for telephone contacts.
  • Will require viewing computer screen and typing on a keyboard for prolonged periods of time.

Salary Description
$19.00 to $23.00 per hour

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