Credentialing Specialist Salary
Job Description for Credentialing Specialist
Credentialing specialists usually work in a medical facility, such as a hospital, clinic, or private practice, while some work at agencies which provide services to various medical providers. These specialists ensure that medical staff members' credentials and licenses are valid and up-to-date; when dates for renewal are approaching, the specialist should advise the medical staff as to what steps must be taken, and they may also be tasked with researching potential new employees to ensure that they possess the necessary licenses and credentials.Read More...
Credentialing specialists may also have record-keeping duties, which involve obtaining insurance contracts and keeping copies of licenses, credentials, and related documents. Medical providers and other staff members may need to be notified of any changes to insurance contracts, and it's important that these specialists are knowledgeable of what is covered to answer any questions from medical providers.
Some positions require a bachelor’s degree while others require only a high school diploma, and some positions require experience while others offer on-the-job training. Much of the work is done independently, so it's important to be able to meet all deadlines, and strong computer skills and proficiency with Microsoft Word and Excel are also required for this position. Credentialing specialists should also be certified and may need to take a course and pass a test to obtain certification.
Credentialing Specialist Tasks
- Release information to persons and agencies according to regulations.
- Evaluate information on applications to verify completeness and accuracy.
- Correspond with medical staff to obtain information or inform them of credentialing status or changes.
- Maintain records of applications and verification letters.
Common Career Paths for Credentialing Specialist
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Popular Skills for Credentialing Specialist
Survey participants wield an impressively varied skill set on the job. Most notably, skills in Insurance, Customer Relations, Medical Coding, and Oral / Verbal Communication are correlated to pay that is above average. At the other end of the pay range are skills like Billing, Data Entry, and Microsoft Office. It is often found that people who know Credentialing are also skilled in Office Administration.
Pay by Experience Level for Credentialing Specialist
Median of all compensation (including tips, bonus, and overtime) by years of experience.
Credentialing Specialists with a lot of experience do not necessarily enjoy more money. Relatively untried employees who have less than five years' experience make $35K, but folks with five to 10 years under their belts enjoy an appreciably larger median of $41K. The average pay reported by folks with 10 to 20 years of experience is around $42K. Folks who have racked up more than 20 years in the field report incomes that aren't higher than less experienced individuals' earnings.
Pay Difference by Location
With a pay rate for Credentialing Specialists that is 23 percent greater than the national average, New York offers a comfortable salary for those in this profession. Credentialing Specialists can also look forward to large paychecks in cities like Atlanta (+12 percent), Houston (+10 percent), Minneapolis (+9 percent), and Portland (+9 percent). With compensation 17 percent below the national average, Spokane is not known for hefty paychecks and actually represents the lowest-paying market. Not at the bottom but still paying below the median are employers in San Antonio and Boca Raton (15 percent lower and 12 percent lower, respectively).
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