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Provider Credentialing Jobs in Pennsylvania (NOW HIRING)

Processes initial provider enrollment with payers, initial credentialing and recredentialing: • Creates, assembles and prepares application packet for providers to complete, reappointment ...

Processes initial provider enrollment with payers, initial credentialing and recredentialing: • Creates, assembles and prepares application packet for providers to complete, reappointment ...

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Provider Credentialing information

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$13

$24

$39

How much do provider credentialing jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for provider credentialing in Pennsylvania is $24.42, according to ZipRecruiter salary data. Most workers in this role earn between $19.28 and $27.69 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 Pennsylvania?

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

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

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

What cities in Pennsylvania are hiring for Provider Credentialing jobs?

Cities in Pennsylvania with the most Provider Credentialing job openings:

Infographic showing various Provider Credentialing job openings in Pennsylvania as of August 2026, with employment types broken down into 67% Full Time, and 33% Nights. Highlights an 100% In-person job distribution, with an average salary of $50,786 per year, or $24.4 per hour.

Provider Credentialing Specialist

Harrisburg, PA • On-site

Healthcare Support Staffing
Recruiting and Staffing Services • 201 - 500 employees

Full-time

Re-posted 21 days ago


Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

1. Responsible for submitting credentialing packet information to physicians, hospitals and ancillary providers when participation in the AMHP provider network is requested.

2. Submits provider information to delegated credentialing organizations for credentialing data elements.

3. Assembles provider credentialing materials received for submission to corporate credentialing departments.

4. Follows up with Provider Contracting representatives on outstanding items necessary for credentialing.

5. Schedules site visits for primary and ob/gyn providers.

6. Maintains accurate and complete database of contracted providers credentialed information.

7. Forwards provider information to all required corporate departments.

8. Communicates openly with Provider Contracting staff and the Credentialing department.

9. Maintains strict confidentiality

10. Performs other related duties and projects as assigned.

11. Adheres to KMHP/AMHP policies and procedures.

12. Supports and carries out the Mercy Mission & Values.

13. Attends required training on an annual basis.    

Qualifications
  • HS diploma or GED
  • Minimum 1-3 years' experience credentialing providers in a healthcare setting
  • Strong admin/clerical skills
  • Attention to detail
Additional Information

Are you a Credentialing or Enrollment Specialist in Harrisburg area looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a Fortune 500 company that provides on-going training and development? Are you interested in working for a company that offers benefits for full-time permanent employees, flex schedules and the opportunity to grow with the company? If you answered "yes" to any of these questions - this is the position for you!

If interested contact Hannah Barreta at 321-710-4797


Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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