Credentialing Specialist Salary

Credentialing Specialists in the United States are largely female. The average salary of the entire group is approximately $17.50 per hour. The most important factor affecting compensation for this group is location, followed by tenure and the specific company. A strong majority enjoy medical while the larger part get dental coverage. Vision coverage is also available to a majority. Most Credentialing Specialists report high levels of job satisfaction. This report is based on responses to the PayScale salary survey.
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$31,970 - $58,260
$32K
$43K
$58K
MEDIAN: $43,481
10%
50%
90%

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$13.90 - $22.90
$14
$17
$23
MEDIAN: $17.49
10%
50%
90%

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$0$58K
Salary $31,970 - $58,260
Bonus $178.73 - $5,891
Profit Sharing $1,500
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).
)
$29,573 - $52,371
  • Country: United States
  • Currency: USD
  • Updated: 5 Oct 2017
  • Individuals Reporting: 407
Hourly Data $0$33
Hourly Rate $13.90 - $22.90
Overtime $21.48 - $33.34
Annual Data $0$52K
Bonus $178.73 - $5,891
Profit Sharing $1,500
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).
)
$29,573 - $52,371
  • Country: United States
  • Currency: USD
  • Updated: 5 Oct 2017
  • Individuals Reporting: 1,088

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.

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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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Credentialing Specialists may progress into high-paying roles like Credentialing Manager, where median compensation is $52K annually. A Credentialing Specialist may also move into a role as a Credentialing Coordinator or a Medical Staff Coordinator.

Credentialing Specialist Job Listings

Popular Employer Salaries for Credentialing Specialist


Popular Skills for Credentialing Specialist


Credentialing Specialists seem to wield many 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 3 percent and 12 percent. Skills that are correlated to lower pay, on the other hand, include Billing, Data Entry, and Medicare. For most people, competency in Credentialing indicates knowledge of 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

National Average: $38,279

Larger city markers indicate a job is popular in that location.

New York offers some of the highest pay in the country for Credentialing Specialists, 20 percent above the national average. Credentialing Specialists can also look forward to large paychecks in cities like Atlanta (+12 percent), Portland (+7 percent), Nashville (+7 percent), and Baltimore (+5 percent). In Spokane, salaries are 18 percent below the national average and represent the lowest-paying market. A couple other locations with smaller-than-average paychecks include San Antonio (16 percent lower) and Orlando (13 percent lower).

Credentialing Specialist Reviews

Q: What is it like working as a Credentialing Specialist?

Credentialing Specialist in Denver:
"I learn new things all the time and it keeps me very busy."
Pros: Getting approved for contracts and enrollments.
Cons: Doing many jobs at one low pay scale.

Credentialing Specialist in Phoenix:
"I like the investagating part."
Pros: The people I work with, the Doctors I work with.
Cons: The commute and the low pay.

Credentialing Specialist in Sacramento:
"Work flexibility."
Pros: Fast paced, exciting.
Cons: Pressure, stress, low pay, not appreciated.

Credentialing Specialist in Mesa:
"I find every day a challenge, & a new adventure in my job."
Pros: Assisting the staff, and providers in maintaining all expirable documentation. This is a challenge, I have come to address it as part of my daily and weekly tasks. I feel gratitude when I receive approval letters from the health plans for our Urgent Care Locations.
Cons: At this time we do not have benefits, and a credentials software program.

Credentialing Specialist in Merrimack:
"Corporate culture."
Pros: The people and my boss.
Cons: Nothing.

Credentialing Specialist in San Antonio:
"Challenging."
Pros: Interaction with clients.
Cons: Time consuming.

Credentialing Specialist in Meridian:
"Love what I do!"
Pros: I like working with the physicians.
Cons: Do not like the stress.

Related Job Salaries

Key Stats for Credentialing Specialist

Gender

Female
92 %
Male
8 %

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 234 votes.
Less than 1 year
5%
1-4 years
46%
5-9 years
24%
10-19 years
19%
20 years or more
6%

Experience Affects Credentialing Specialist Salaries

▲13%

▲12%

▲7%

National Average
$38,000

▼8%

Skills That Affect Credentialing Specialist Salaries

Insurance
▲11%

Customer Relations
▲5%

Medicaid Enrollment
▲3%

Customer Service
▲3%

Medical Coding
▲1%

Oral / Verbal Communication
▼0%

National Average
$38,000







Medicare
▼8%

Data Entry
▼18%

Billing
▼19%

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 234 votes.

Gender

Female
92 %
Male
8 %

Years of Experience

Less than 1 year
5%
1-4 years
46%
5-9 years
24%
10-19 years
19%
20 years or more
6%

Common Health Benefits

medical benefits
Medical: 78%
dental benefits
Dental: 67%
vision benefits
Vision: 58%
no benefits
None: 18%