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
Credentialing Specialists' salaries may rise greatly for those who assume a higher-end position such as a Credentialing Manager. The average Credentialing Manager brings home $52K per year. A Credentialing Specialist may also move into a role as a Credentialing Coordinator or a Medical Staff Coordinator.
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Popular Skills for Credentialing Specialist
Credentialing Specialists report using 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 5 percent and 13 percent. Skills that seem to negatively impact pay include Billing, Data Entry, and Medicare. For most people, competency in Credentialing indicates knowledge of 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. Salaries of relatively inexperienced workers fall in the neighborhood of $35K, but folks who have racked up five to 10 years see a notably higher median of $41K. Credentialing Specialists with one to two decades of relevant experience report an average salary of approximately $43K. Folks who have racked up more than 20 years in the field report incomes that aren't that much higher than less experienced individuals' earnings; the veterans make just $45K on average.
Pay Difference by Location
Credentialing Specialists will find that New York offers an impressive pay rate, one which exceeds the national average by 22 percent. Credentialing Specialists can also look forward to large paychecks in cities like Atlanta (+13 percent), Portland (+8 percent), Dallas (+6 percent), and Baltimore (+5 percent). Spokane is the lowest-paying area, 17 percent south of the national average. Not at the bottom but still paying below the median are employers in San Antonio and Orlando (13 percent lower and 12 percent lower, respectively).
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