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Provider Credentialing Jobs in Ohio (NOW HIRING)

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Provider Credentialing information

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$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.

Part Time Ancillary Services Treatment Advocate; Cuyahoga County

NATIONAL YOUTH ADVOCATE PROGRAM

Cleveland, OH • On-site

$20/hr

Part-time

Re-posted 17 days ago

National Youth Advocate Program rating

6.3

Company rating: 6.3 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

Job description

We are seeking a part-time Treatment Advocate to join our Ancillary Services Team in Cleveland, Ohio.
Compensation: $20 per hour
To learn more about the program, please see the information below:
https://www.nyap.org/ohio/foster-care
Position Summary:
The Treatment Advocate works to make a meaningful difference in the lives of the families being served by the National Youth Advocate Program by working closely with the youth and family to provide advocacy and support towards targeted goals.
Responsibilities:
  • Perform all work in a manner consistent with the National Youth Advocate Program's mission, values, and philosophies.
  • Actively and directly engage with the youth to meet service needs and goals/objectives of the treatment/service plan.
  • Interact with the youth to develop a trusting, supportive professional relationship while assisting the youth in achieving
    identified goals.
  • Provide behavioral health services, in accordance with needs identified on the youth's service plan, including therapeutic
    behavioral services, psychosocial rehabilitation, and community psychiatric supportive treatment per provider credentialing
    requirements.
  • Transport children, youth and families to family visits, multi-disciplinary meetings, appointments, court hearings,
    placement, and other events as requested.
  • Provide crisis support services and effectively support the de-escalation of youth and family crisis as needed.
  • Complete all relevant training on a timely basis as required by state, contract, and/or licensing agency standards.
  • Complete all required documentation in a timely manner.
  • Supervise visitations of children and youth who are not living with their birth families as needed.
  • Assist and support family reunification efforts with the youths' primary family or other permanent living arrangements
    consistent with the youth's case plan.

Minimum Qualifications:
  • High School Diploma or equivalent GED. Associate's Degree in social services is preferred.
  • Able to achieve Medicaid and Managed Care Organization provider credentialing.
  • Reliable transportation.
  • Vehicle used to transport youth and families successfully passes state inspection requirements.
  • Driver's License with a safe driving record.
  • Ability to travel outside of regional assignment, as needed.
  • Flexible schedule, including ability to work non-traditional and evening/weekend hours.
  • Working, reliable telephone.
  • Proficient use of desktop and laptop computers, smart phones and tablets, printers, fax machines and photocopiers as well as software including word processing.

Other Skills:
  • 2 years' experience working directly with youth and families is preferred.
  • Works well independently and as a team member.
  • Multi-task efficiently and be flexible in all situations.

Driving and Vehicle Requirements:
  • Valid driver's license
  • Reliable personal transportation
  • Good driving record
  • Minimum automobile insurance coverage of $100,000/$300,000 bodily injury liability

Ready to make an impact? We invite you to apply now!
https://www.nyap.org/careers
Benefits listed are for eligible employees as outlined by our benefit policy.
The person in this position needs to follow a team concept and support both agency goals and co-workers. Employees must be able to effectively work with and be respectful and sensitive to persons from various cultures, socioeconomic, ethnic, religious, and racial backgrounds.
An Equal Opportunity Employer, including disability/veterans.

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