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Provider Credentialing Jobs (NOW HIRING)

ZoomCare

Provider Credentialing Specialist II

Portland, OR · On-site

$27 - $31.50/hr

The Credentialing Specialist II is responsible for providing support to the Credentialing Team and works to support the goals of the Billing Department. The Specialist II assists in performing all ...

ZoomCare

Provider Credentialing Specialist II

Tigard, OR · Remote

$27 - $31.50/hr

The Credentialing Specialist II is responsible for providing support to the Credentialing Team and works to support the goals of the Billing Department. The Specialist II assists in performing all ...

ZoomCare

Provider Credentialing Specialist II

Tigard, OR · Remote

$27 - $31.50/hr

The Credentialing Specialist II is responsible for providing support to the Credentialing Team and works to support the goals of the Billing Department. The Specialist II assists in performing all ...

ZoomCare

Provider Credentialing Specialist II

Tigard, OR · On-site

$27 - $31.50/hr

The Credentialing Specialist II is responsible for providing support to the Credentialing Team and works to support the goals of the Billing Department. The Specialist II assists in performing all ...

ZoomCare

Provider Credentialing Specialist II

$27 - $31.50/hr

The Credentialing Specialist II is responsible for providing support to the Credentialing Team and works to support the goals of the Billing Department. The Specialist II assists in performing all ...

ZoomCare

Provider Credentialing Specialist II

Tigard, OR · On-site

$27 - $31.50/hr

The Credentialing Specialist II is responsible for providing support to the Credentialing Team and works to support the goals of the Billing Department. The Specialist II assists in performing all ...

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All JobsHealthcare JobsHospital JobsDirector of Medical Staff Services JobsProvider Credentialing Jobs

Provider Credentialing information

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How much do provider credentialing jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for provider credentialing in the United States is $24.36, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $27.64 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.
More about Provider Credentialing jobs

What cities are hiring for Provider Credentialing jobs?

Cities with the most Provider Credentialing job openings:

What are the most commonly searched types of Provider Credentialing jobs?

The most popular types of Provider Credentialing jobs are:

What states have the most Provider Credentialing jobs?

States with the most job openings for Provider Credentialing jobs include:

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

The top searched job categories for Provider Credentialing jobs are:

Provider Credentialing jobs near you
Infographic showing various Provider Credentialing job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 76% Full Time, 15% Part Time, and 6% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $50,665 per year, or $24.4 per hour.

Provider Credentialing Specialist

Summit Spine & Joint Centers

Lawrenceville, GA • On-site

Other

Posted 3 days ago

New

Job description

Credentialing Specialist

Summit Spine and Joint Centers (SSJC) is on track to become the largest comprehensive spine and joint care provider in the state of Georgia and other surrounding areas while providing clinical, surgical, and imaging services to our patients. We are seeking qualified individuals to join our team and provide exceptional patient care!

Job Description Summary: The Credentialing Specialist shall be responsible for coordinating the credentialing of Medical Staff and Allied Health professionals. They shall ensure that contracting and credentialing is completed in a timely manner for all physicians.

This job is a full-time, benefited position at Summit Spine & Joint Centers that reports to the Chief Administrative Officer. Your assigned location is the Company's administrative office in Lawrenceville, GA.

Responsibilities
  • Ensure company and providers maintain compliance with all regulatory and accrediting institutions
  • Monitor staff and provider credentials and licenses
  • Follow-up with insurance carriers and provider networks regarding credentialing/contracting status for providers
  • Communicate with physicians on licensure and document renewal expirations
  • Complete contracting recredentialing application
  • Maintain CAQH profiles for physicians based on Medicare regulations
  • Keep records on licenses, credentials, and insurance contracts
  • Release information to agencies and members of the public as required by law
  • Comfortable working in a growing, dynamic organization and able to navigate change
  • Maintain a safe clean work environment
  • Additional duties as assigned.
  • The employee must communicate professionally, respectfully, and effectively with patients, visitors, clinicians, coworkers, and vendors, including in busy, demanding, or stressful circumstances.
  • The employee must maintain professional composure and consistently perform assigned duties throughout the scheduled work period; manage routine workplace stressors and feedback without disrupting patient care, patient-facing operations, or coworkers' work; and use established de-escalation and escalation procedures when appropriate.
  • The employee must exercise sound judgment; maintain appropriate workplace boundaries; receive and respond to routine feedback and direction; protect confidential patient and business information; and address patient or workplace concerns through established supervisory and safety procedures. These functions are essential to the position.
Skills And Abilities
  • Self-motivated with ability to thrive in a fast-paced, team environment
  • Ability to multi-task, prioritize and manage time effectively
  • Excellent written & verbal communication skills
  • Personable and confident while providing exceptional patient care.
Education And Experience
  • Minimum 1-year previous experience in credentialing preferred
  • Certified Provider Credentialing Specialist (CPCS) through the National Association Medical Staff Services (NAMSS) preferred
  • Experience using eClinicalWorks preferred
  • Bachelor's Degree preferred, or equivalent combination of education, training, and experience

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