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Provider Credentialing Jobs in Remote, OR (NOW HIRING)

Provider

Roseburg, OR · On-site

$125K - $150K/yr

Umpqua Health is seeking a passionate, experienced, and dedicated Provider to join our dynamic team ... Your Credentials Must have one of the following degrees: Medical, Physician Assistant, or Nurse ...

Provide prophylaxis, treatment, referrals, and follow-up care as clinically appropriate ... Ability to obtain credentialing by UHA, Medicare, & Other Commercial Insurers. * Fluent in English.

Under the direction of the Chief Medical Officer, the Designated Medical Provider functions as the ... credentialing by UHA, Medicare, & Other Commercial Insurers. • Fluent in English. Spanish ...

Be Seen First

... focus on providing excellent care. We support clinicians with: * Insurance credentialing and payer enrollment * Billing and claims management * Scheduling and client-coordination assistance

Be Seen First

... focus on providing excellent care. We support clinicians with: * Insurance credentialing and payer enrollment * Billing and claims management * Scheduling and client-coordination assistance

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Provider Credentialing information

See Remote, OR salary details

$13

$24

$38

How much do provider credentialing jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for provider credentialing in Remote, OR is $24.33, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $27.60 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 popular job titles related to Provider Credentialing jobs in Remote, OR? For Provider Credentialing jobs in Remote, OR, the most frequently searched job titles are:
What job categories do people searching Provider Credentialing jobs in Remote, OR look for? The top searched job categories for Provider Credentialing jobs in Remote, OR are:
Infographic showing various Provider Credentialing job openings in Remote, OR as of July 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 77% Full Time, 15% Part Time, and 5% Contract. Highlights an 86% Physical, 1% Hybrid, and 13% Remote job distribution, with an average salary of $50,615 per year, or $24.3 per hour.

$45.04 - $67/hr

Full-time

Posted 3 days ago

New


Job description


Job Summary and Responsibilities

As our Medical Staff Services Manager, you will provide essential leadership and strategic direction for medical staff services, focusing on credentialing, privileging, and regulatory compliance.
Every day you will manage and standardize credentialing and privileging processes across the system, ensuring strict compliance with all regulatory and accreditation requirements. You will lead operational alignment and standardization efforts for medical staff functions, while also developing staff education and support solutions.
To be successful in this role, you will possess exceptional leadership, organizational, and communication skills, coupled with extensive expertise in medical staff services and regulatory compliance. Your ability to drive system-wide standardization and manage complex projects within a large healthcare system will be critical.

  • Establishes an annually modified program of continuous quality improvement that will lead to more efficient and quality performance of work produced in this department.
  • Facilitates/coordinates all activities and communications that directly/indirectly affect the functioning of the medical staff.
  • Attends all medical staff committee, division, or other meetings where medical staff issues or concerns are addressed.
  • Works as a facilitator for and between the Chief of Staff, and/or other officers/leaders of the medical staff to assure the efficient operation of the medical staff and its integration within the hospital.
  • Seeks to accomplish the integration and collaboration of all medical staff functions throughout the hospital.
  • Assures compliance with Medicare/Medicaid programs as they relate to the medical staff, and the medical staff operation as part of the Mercy Medical Center organization.

Student loan repayment program as well as relocation assistance offered!

Job Requirements

Required

  • Bachelors in Health Care Administration, Business Administration or a related field (a combination of education and equivalent experience may be substituted for the degree requirement)
  • Five (5) years of hospital experience with a focus on physician relations
  • Three (3) years of management experience
  • Certified Provider Credentialing within three (3) years

Preferred

  • Oregon RN License
Where You'll Work

At CHI Mercy Health, you'll discover a place where your professional growth is deeply valued within a truly supportive and rewarding environment. For over a century, our commitment to Compassion, Inclusion, Integrity, Excellence, and Collaboration has guided every interaction, shaping how we care for our patients and uplift one another. Today, as CHI Mercy Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. We are proud of our state-of-the- art care and numerous awards and accreditations that reflect our dedication to excellence. When you join CHI Mercy Health, you become part of a team that delivers top-quality, professional healthcare and contributes to a legacy of service built on collaboration and shared purpose.

Qualifications:

Required

  • Bachelors in Health Care Administration, Business Administration or a related field (a combination of education and equivalent experience may be substituted for the degree requirement)
  • Five (5) years of hospital experience with a focus on physician relations
  • Three (3) years of management experience
  • Certified Provider Credentialing within three (3) years

Preferred

  • Oregon RN License
Employment Type: Full Time