Credentialing Specialist Salary
|Salary||$31,234 - $57,243|
|Bonus||$250.00 - $5,872|
|Total Pay (|
XTotal Pay combines base annual salary or hourly wage, bonuses, profit sharing, tips, commissions, overtime pay and other forms of cash earnings, as applicable for this job. It does not include equity (stock) compensation, cash value of retirement benefits, or the value of other non-cash benefits (e.g. healthcare).)
|$29,231 - $51,985|
|Hourly Rate||$13.73 - $22.88|
|Overtime||$21.51 - $34.46|
|Bonus||$250.00 - $5,872|
|Total Pay (||$29,231 - $51,985|
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
Credentialing Specialists who transition into a Credentialing Manager role may receive large pay increases as the latter position pays an average $52K per year. Becoming a Credentialing Coordinator or a Medical Staff Coordinator is a common transition from a Credentialing Specialist role.
Popular Employer Salaries for Credentialing Specialist
Popular Skills for Credentialing Specialist
Credentialing Specialists seem to exploit a large range of skills on the job. Most notably, skills in Insurance, Customer Relations, Customer Service, and Medicaid Enrollment are correlated to pay that is above average, with boosts between 4 percent and 12 percent. At the other end of the pay range are skills like Billing, Data Entry, and Medicare. Those proficient in Credentialing are, more often than not, also skilled in Office Administration.
Pay by Experience Level for Credentialing Specialist
Pay by Experience for a Credentialing Specialist has a positive trend. An entry-level Credentialing Specialist with less than 5 years of experience can expect to earn an average total compensation of $35,000 based on 877 salaries provided by anonymous users. Average total compensation includes tips, bonus, and overtime pay. A Credentialing Specialist with mid-career experience which includes employees with 5 to 10 years of experience can expect to earn an average total compensation of $41,000 based on 434 salaries. An experienced Credentialing Specialist which includes employees with 10 to 20 years of experience can expect to earn an average total compensation of $43,000 based on 294 salaries. A Credentialing Specialist with late-career experience which includes employees with greater than 20 years of experience can expect to earn an average total compensation of $43,000 based on 73 salaries.
Pay Difference by Location
For those looking to make money, Credentialing Specialists in New York enjoy an exceptional pay rate, 21 percent above the national average. Credentialing Specialists will also find cushy salaries in Atlanta (+13 percent), Portland (+8 percent), Nashville (+8 percent), and Baltimore (+6 percent). In Spokane, salaries are 17 percent below the national average and represent the lowest-paying market. Employers pay around 15 percent less in San Antonio and 12 percent less in Orlando, below-median salaries for those in this field.
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