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Provider Credentialing Jobs (NOW HIRING)

West Virginia University Health System

Coordinates the transition of all relevant provider credentials, licenses, degrees, privileges, and certifications upon signing of a new provider. Operational ownership of the centralized ...

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Provider Credentialing information

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$13

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$38

How much do provider credentialing jobs pay per hour?

As of Jun 15, 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.

Is credentialing a hard job?

Provider credentialing can be challenging as it involves verifying qualifications, licenses, and certifications, often requiring attention to detail and organization. The process can be time-consuming and may involve navigating complex regulations and documentation, but it is a standard part of healthcare administration. Success in the role depends on strong communication skills and familiarity with credentialing software and procedures.

How to get into provider credentialing?

To enter provider credentialing, individuals 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 healthcare databases and compliance standards is often required.

What jobs pay $10,000 a month without a degree?

Provider credentialing roles typically do not pay $10,000 a month without specialized experience or certifications. High-paying jobs that can reach this level without a degree often include sales, real estate, or skilled trades like plumbing or electrical work, which rely on experience, skills, and licensing rather than formal education.

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 jobs in the US pay 300,000 a year?

In provider credentialing, senior roles such as Credentialing Director or Manager can reach or exceed $300,000 annually, especially in large healthcare organizations. High-level healthcare executives, medical directors, and specialized physicians also often earn this level of compensation, typically requiring extensive experience, certifications, and leadership 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
Credentialing Specialist (Provider Credentialing)- Temple University Hospital

Credentialing Specialist (Provider Credentialing)- Temple University Hospital

Temple University

Philadelphia, PA • On-site

Full-time

Posted 8 days ago

Temple University rating

9.0

Company rating: 9.0 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

20th of 537 rated colleges and universities

Job description

Performs complex, diversified administrative, clerical, operational and strategic functions. Responsible for preparing and submitting credentialing applications and supporting documentation for the purpose of medical staff and advanced practice providers credentialing and privileging in accordance with regulatory standards and TUHS guidelines. Ensure integrity of provider database. Works cooperatively/collaboratively with practitioners, their employer and office staff to facilitate the credentialing process. Also, supports the FPPE/OPPE functions, including assurance of timely evaluation and collection of data. Manages assigned duties/functions independently, maintain a high quality for detail and timeliness.
Education
High School Diploma or Equivalent Required
Associate's Degree Preferred
Experience
2 years experience in physician credentialing in a health care environment Required
General Experience and knowledge of physician credentialing software Required
General Experience and knowledge of the Joint Commission standards, PA Department of Health regulations, and PA State Board of Medicine licensure requirements Required
General Experience in a hospital setting Preferred
Licenses
Cert Provider Cred Splst Preferred or
Cert Pro Med Serv Mgmt Preferred
Your Tomorrow is Here!
Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals. Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University.
To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike. At Temple Health, your tomorrow is here!
Equal Opportunity Employer/Veterans/Disabled
An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
Your Tomorrow is Here!
Temple University Hospital is a nationally respected teaching hospital on Temple University's bustling Health Sciences Center campus. The hospital provides a comprehensive array of healthcare services both basic and complex to patients from around the corner, across the country and around the world. As the chief clinical training site for the Lewis Katz School of Medicine at Temple University, the hospital provides a dynamic environment for high-quality care, teaching, and cutting edge research.

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