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Provider Credentialing Jobs in Pennsylvania (NOW HIRING)

Armada Ltd

Credentialing Specialists

Philadelphia, PA · On-site

Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through ...

Armada Ltd

Credentialing Specialists

Pittsburgh, PA · On-site

Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through ...

Armada Ltd

Credentialing Specialists

Philadelphia, PA · On-site

Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through ...

Armada Ltd

Credentialing Specialists

Pittsburgh, PA · On-site

Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through ...

Elwyn

Credentialing Coordinator QI

Media, PA · On-site

Tracks and provides reports on Key Performance Indicators (KPIs) related to staff credentialing, including but not limited to complete and accurate staff physical examination forms, copies of valid ...

Elwyn

Credentialing Coordinator QI

Media, PA · On-site

Tracks and provides reports on Key Performance Indicators (KPIs) related to staff credentialing, including but not limited to complete and accurate staff physical examination forms, copies of valid ...

Elwyn

Credentialing Coordinator QI

Media, PA · On-site

Tracks and provides reports on Key Performance Indicators (KPIs) related to staff credentialing, including but not limited to complete and accurate staff physical examination forms, copies of valid ...

Elwyn

Credentialing Coordinator QI

Media, PA · On-site

Tracks and provides reports on Key Performance Indicators (KPIs) related to staff credentialing, including but not limited to complete and accurate staff physical examination forms, copies of valid ...

Elwyn

Credentialing Coordinator QI

Media, PA · On-site

Tracks and provides reports on Key Performance Indicators (KPIs) related to staff credentialing, including but not limited to complete and accurate staff physical examination forms, copies of valid ...

Elwyn

Credentialing Coordinator QI

Media, PA · On-site

Tracks and provides reports on Key Performance Indicators (KPIs) related to staff credentialing, including but not limited to complete and accurate staff physical examination forms, copies of valid ...

Elwyn

Credentialing Coordinator QI

Media, PA · On-site

Tracks and provides reports on Key Performance Indicators (KPIs) related to staff credentialing, including but not limited to complete and accurate staff physical examination forms, copies of valid ...

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Showing results 21-40

All JobsProvider Credentialing JobsProvider Credentialing Jobs in Pennsylvania

Provider Credentialing information

See Pennsylvania salary details

$13

$24

$39

How much do provider credentialing jobs pay per hour?

As of Sep 3, 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 are popular job titles related to Provider Credentialing jobs in Pennsylvania?

For Provider Credentialing jobs in Pennsylvania, the most frequently searched job titles 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:

Provider Credentialing jobs near you
Infographic showing various Provider Credentialing job openings in Pennsylvania as of August 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 75% Full Time, 17% Part Time, 4% Contract, and 1% Nights. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $50,786 per year, or $24.4 per hour.

Credentialing Coordinator II (Eastern United States resident)

Geisinger Health

Danville, PA • Remote

Full-time

Medical, Dental, Vision

Posted 28 days ago

Geisinger Health rating

6.8

Company rating: 6.8 out of 10

Based on 449 frontline employees who took The Breakroom Quiz

454th of 898 rated healthcare providers

Job description

Location:
Work from home (Pennsylvania)
Shift:
Days (United States of America)
Scheduled Weekly Hours:
40
Worker Type:
Regular
Exemption Status:
No
Job Summary:
Plans, coordinates, and oversees procedures and processes of the Provider Credentialing Program in compliance with regulatory requirements. Ensures compliance with all credentialing and privileging requirements of applicable regulatory agencies. Conducts background investigations on physicians and other providers applying for affiliation including licensure, education and post-graduate clinical training, board certification, disciplinary actions and other professional sanctions, malpractice history, and peer assessment of current competence at time of appointment, reappointment, and cross credentialing.
Job Duties:
Preferred experience in Echo or Credential Stream
  • Reviews and analyzes physician applications and credentialing documents including certificates of education, residency and fellowship training, board certification and eligibility, licensure, professional work history, liability insurance and malpractice history.
  • Assesses completeness of information and providers' qualifications relative to established standards.
  • Reviews and analyzes primary source verification for licensure, certification or registration required to practice a profession.
  • Requests, maintains, and ensures competency data is present at appointment and re-appointment.
  • Maintains tracking of all new providers drug screening, background checks, child abuse clearance, finger printing, code of conduct, disruptive practitioner policies, current clinical competency data and Health Service information for new providers.
  • Maintains a working knowledge of applicable regulatory agencies.
  • Immediately reports to manager any collected information which may be averse to an applicant.
  • Identifies and flags adverse information from application materials for the purpose of conducting special follow-up investigations in preparation for credentialing review.
  • Maintains an understanding of the third-party payor requirements.
  • Prepares and screens, mails letter, tracks and responds daily.
  • Employs public relations skills in a wide variety of phone contacts with external sources for purposes of soliciting information essential to credentials investigations, including licensing agencies; university and hospital training program administrators; certification boards; liability insurance carriers; hospital officials and credentials staff; and physicians and their office staffs.
  • Organizes and maintains physician files and information following confidentiality guidelines, performs varied clerical support functions.
  • Internally audits and maintains physician files in accordance with established principles of legal documentation and confidentiality.
  • Prepare all files monthly for Credentials Committee review and follow-up on Credentials Committee Decisions.
  • Establish and maintain excellent relationship and good communication channels with physicians, office staff, and practice administrators.
  • Assist with Special projects (i.e., physician education, JCAHO and Department of Health Preparation, clinical competency data, life supports)
  • Maintain a thorough understanding of the standards of JCAHO, Department of Health, Bylaws, Rules and Regulation of the Medical Staff, and other regulatory agencies as appropriate.
  • Maintains provider database and manipulates database to extract information for ad hoc reports, surveys, and internal and external provider directory extracts.
  • Adapts software as needed to facilitate efficient operation of credentials department and continuous quality improvement.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
This posting reflects an opening for Credentialing Coordinator II and we are seeking candidates for that position. Geisinger reserves the right to consider applicants for higher level of this role based on their skills, qualifications, and experience. We encourage all qualified individuals to apply.
#LI-REMOTE
Position Details:
Education:
High School Diploma or Equivalent (GED)- (Required)
Experience:
Minimum of 4 years-Related work experience (Required)
Certification(s) and License(s):
Skills:
Communication, Computer Literacy, Credentialing, Professional Presentation, Working Independently
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.
  • KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
  • EXCELLENCE: We treasure colleagues who humbly strive for excellence.
  • LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
  • INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
  • SAFETY: We provide a safe environment for our patients and members and the Geisinger family.

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.
We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

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