Credentialing Specialist

Credentialing Specialist Job Description

Under supervision, coordinates the credentialing procedure by compiling and processing applications in compliance with federal, state and regional requirements. Ensures consistent documentation and accuracy of physicians’ credentials. Strong computer skills and knowledge of medical terminology required. Those with Certified Provider Credentialing Specialist (CPCS) designation are preferred.

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ATS - Asynchronous Transfer Mode
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CRM
Compliance
Council for Affordable Quality Healthcare (CAQH)
Credentialing
Credentialing Processes
Documentation
Facility
HealthCare.gov
Salary for Credentialing Specialist
43250 - 56250
25th percentile
43250
New to the role, with little or no experience; requires more than casual instruction or supervision to perform day-to-day duties
50th percentile
48250
Has the experience to consistently perform core responsibilities without direct supervision; very comfortable with processes and subject matter associated with the role
75th percentile
56250
Value to the organization goes far beyond the ability to perform normal job duties; has rare qualifications that enable consistent contribution in unique ways; ready for next career level when available
Projected salaries for related positions Position title 25th percentile 50th percentile 75th percentile Patient Registration/Intake/Admissions Specialist 36500 39000 44250 Insurance Referral Coordinator 36750 38250 44750 Insurance Verification Specialist 37000 39000 45750 Insurance Authorization Specialist 37250 39750 45750 Medical Scheduler 36750 38750 42250 Medical Coding Manager 65750 73000 83500 Certified Professional Coder 51500 57750 66750 Medical Data Entry Specialist 35250 36750 41000 Patient Access/Services Specialist 35500 39000 44500 Medical Customer Service Specialist 35500 39750 45500 Electronic Medical Records Specialist 32500 34500 37750

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