Credentialing Specialist
Tucson, AZ · On-site
Description The Credentialing Specialist position requires an organized individual with good time management skills and related industry experience, (both facility and clinic credentialing ...
Tucson, AZ · On-site
Description The Credentialing Specialist position requires an organized individual with good time management skills and related industry experience, (both facility and clinic credentialing ...
Tucson, AZ · On-site
Description The Credentialing Specialist position requires an organized individual with good time management skills and related industry experience, (both facility and clinic credentialing ...
Tucson, AZ · On-site
Description: The Credentialing Specialist position requires an organized individual with good time management skills and related industry experience, (both facility and clinic credentialing ...
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Tucson, AZ · On-site
Description: The Credentialing Specialist position requires an organized individual with good time management skills and related industry experience, (both facility and clinic credentialing ...
Tucson, AZ · On-site
The Credentialing Specialist position requires an organized individual with good time management skills and related industry experience, (both facility and clinic credentialing / privileging). The ...
Tucson, AZ · On-site
The Credentialing Specialist position requires an organized individual with good time management skills and related industry experience, (both facility and clinic credentialing / privileging). The ...
Tampa, FL · Remote
Are you an experienced Credentialing Specialist looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company?
Tampa, FL · Remote
Are you an experienced Credentialing Specialist looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company?
El Segundo, CA · On-site
$22 - $28/hr
This Credentialing Specialist is ideal for someone who can quickly step into a busy environment and provide hands-on support to a credentialing team managing a significant workload. The Credentialing ...
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El Segundo, CA · On-site
$22 - $28/hr
This Credentialing Specialist is ideal for someone who can quickly step into a busy environment and provide hands-on support to a credentialing team managing a significant workload. The Credentialing ...
Los Angeles, CA · On-site
A Credentialing Specialist contributes to AHF's mission by thoroughly inspecting the backgrounds of all providers that treat and interact with our members. At the start of every day, our goal is to ...
Los Angeles, CA · On-site
A Credentialing Specialist contributes to AHF's mission by thoroughly inspecting the backgrounds of all providers that treat and interact with our members. At the start of every day, our goal is to ...
Libby, MT · On-site
Credentialing Specialist is responsible for coordinating and managing all aspects of provider credentialing, recredentialing, privileging, and payer enrollment activities to ensure compliance with ...
Libby, MT · On-site
Credentialing Specialist is responsible for coordinating and managing all aspects of provider credentialing, recredentialing, privileging, and payer enrollment activities to ensure compliance with ...
Libby, MT · On-site
$21.49 - $30.09/hr
Credentialing Specialist is responsible for coordinating and managing all aspects of provider credentialing, recredentialing, privileging, and payer enrollment activities to ensure compliance with ...
Libby, MT · On-site
$21.49 - $30.09/hr
Credentialing Specialist is responsible for coordinating and managing all aspects of provider credentialing, recredentialing, privileging, and payer enrollment activities to ensure compliance with ...
Libby, MT · On-site
Credentialing Specialist is responsible for coordinating and managing all aspects of provider credentialing, recredentialing, privileging, and payer enrollment activities to ensure compliance with ...
Quick apply
Libby, MT · On-site
Credentialing Specialist is responsible for coordinating and managing all aspects of provider credentialing, recredentialing, privileging, and payer enrollment activities to ensure compliance with ...
Saint Cloud, MN · On-site
$22.85 - $34.25/hr
As a Credentialing Specialist you are responsible for preparing files for medical staff credentialing and privileging for CentraCare within the Clinical Partner Resource Office. The Credentialing ...
Saint Cloud, MN · On-site
$22.85 - $34.25/hr
As a Credentialing Specialist you are responsible for preparing files for medical staff credentialing and privileging for CentraCare within the Clinical Partner Resource Office. The Credentialing ...
Saint Cloud, MN · On-site
$22.85 - $34.25/hr
As a Credentialing Specialist you are responsible for preparing files for medical staff credentialing and privileging for CentraCare within the Clinical Partner Resource Office. The Credentialing ...
Saint Cloud, MN · On-site
$22.85 - $34.25/hr
As a Credentialing Specialist you are responsible for preparing files for medical staff credentialing and privileging for CentraCare within the Clinical Partner Resource Office. The Credentialing ...
Saint Cloud, MN · On-site
$22.85 - $34.25/hr
As a Credentialing Specialist you are responsible for preparing files for medical staff credentialing and privileging for CentraCare within the Clinical Partner Resource Office. The Credentialing ...
Saint Cloud, MN · On-site
$22.85 - $34.25/hr
As a Credentialing Specialist you are responsible for preparing files for medical staff credentialing and privileging for CentraCare within the Clinical Partner Resource Office. The Credentialing ...
Credentialing Specialist Responsible to: Director of Credentialing Services Location: Rhode Island Under the direction of the Director of Credentialing Services, the Credentialing Specialist is ...
Credentialing Specialist Responsible to: Director of Credentialing Services Location: Rhode Island Under the direction of the Director of Credentialing Services, the Credentialing Specialist is ...
Austin, TX · Remote
Certified Provider Credentialing Specialist (CPCS) required * Knowledge and understanding of the credentialing process. * Ability to organize and prioritize work and manage multiple priorities.
Austin, TX · Remote
Certified Provider Credentialing Specialist (CPCS) required * Knowledge and understanding of the credentialing process. * Ability to organize and prioritize work and manage multiple priorities.
Austin, TX · On-site
Certified Provider Credentialing Specialist (CPCS) required * Knowledge and understanding of the credentialing process. * Ability to organize and prioritize work and manage multiple priorities.
Austin, TX · On-site
Certified Provider Credentialing Specialist (CPCS) required * Knowledge and understanding of the credentialing process. * Ability to organize and prioritize work and manage multiple priorities.
New Orleans, LA · On-site
Credentialing Specialist Department: Human Resources Reports To: Human Resources Manager (or designated department leader) Position Summary: The Credentialing Specialist is responsible for managing ...
New Orleans, LA · On-site
Credentialing Specialist Department: Human Resources Reports To: Human Resources Manager (or designated department leader) Position Summary: The Credentialing Specialist is responsible for managing ...
Phoenix, AZ · On-site
Credentialing Specialist Reports To: Revenue Cycle Manager The Medical Credentialing Specialist supports Foothills Neurology's Billing and Finance Department by managing all aspects of provider ...
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Phoenix, AZ · On-site
Credentialing Specialist Reports To: Revenue Cycle Manager The Medical Credentialing Specialist supports Foothills Neurology's Billing and Finance Department by managing all aspects of provider ...
Austin, TX · Remote
Certified Provider Credentialing Specialist (CPCS) required * Knowledge and understanding of the credentialing process. * Ability to organize and prioritize work and manage multiple priorities.
Austin, TX · Remote
Certified Provider Credentialing Specialist (CPCS) required * Knowledge and understanding of the credentialing process. * Ability to organize and prioritize work and manage multiple priorities.
Sarasota, FL · On-site
The Credentialing Specialist will ensure providers are credentialed, appointed, and privileged with health plans, hospitals, and patient care facilities. In addition, the Credentialing Specialist ...
Sarasota, FL · On-site
The Credentialing Specialist will ensure providers are credentialed, appointed, and privileged with health plans, hospitals, and patient care facilities. In addition, the Credentialing Specialist ...
Irving, TX · On-site
Credentialing Specialist Credentialing Department Exceed Healthcare Why join Exceed Healthcare? At Exceed Healthcare, our mission is simple: improving lives through innovation . We are redefining ...
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Irving, TX · On-site
Credentialing Specialist Credentialing Department Exceed Healthcare Why join Exceed Healthcare? At Exceed Healthcare, our mission is simple: improving lives through innovation . We are redefining ...
$13.70 - $16
2% of jobs
$16 - $18.29
13% of jobs
$19.44 is the 25th percentile. Wages below this are outliers.
$18.29 - $20.59
20% of jobs
The median wage is $22.59 / hr.
$20.59 - $22.88
17% of jobs
$22.88 - $25.17
15% of jobs
$26.90 is the 75th percentile. Wages above this are outliers.
$25.17 - $27.47
11% of jobs
$27.47 - $29.76
10% of jobs
$29.76 - $32.06
5% of jobs
$32.06 - $34.35
3% of jobs
$34.35 - $36.65
3% of jobs
$36.65 - $38.94
1% of jobs
$13
$24
$38
Credentialing specialists verify the qualifications of the staff in healthcare organizations for healthcare organizations. This verification process ensures that doctors and other medical professionals provide accurate education and work histories, and confirms that they meet all local and federal licensing and regulation requirements before they are hired or contracted with a medical facility. Credentialing specialists are part of an organization's administrative staff; they review medical policies, process contracts, and facilitate audit reports to validate that certified medical professionals comply with credentialing procedures. They also update medical databases with information about a physician’s training or license and document when credentials must be renewed.
| Aspect | Credentialing Specialist | Medical Biller |
|---|---|---|
| Required Credentials | Certification in healthcare credentialing, knowledge of insurance and provider databases | Certification in medical billing, coding, or related areas often preferred |
| Work Environment | Healthcare facilities, insurance companies, or credentialing agencies | Medical offices, billing companies, healthcare providers |
| Employer & Industry Usage | Used in healthcare to verify provider credentials for insurance and licensing | Used in healthcare to process and submit medical claims for reimbursement |
The Credentialing Specialist focuses on verifying healthcare providers' credentials to ensure compliance and eligibility, while the Medical Biller handles billing and claims processing for healthcare services. Both roles are essential in healthcare administration but serve different functions within the industry.
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The top employers for Credentialing Specialist jobs are:
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Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 27 days ago
Description
The Credentialing Specialist position requires an organized individual with good time management skills and related industry experience, (both facility and clinic credentialing / privileging). The Credentialing Specialist will be responsible for the initial credentialing and enrollment of providers for a variety of specialties. Additionally, maintenance of licenses, certifications, privileges, malpractice coverage, and contract specifications (addresses, re-validations, etc.) will be monitored and administrated by the Credentialing Specialist. The Credentialing Specialist is also required to notify providers and work with practice / office managers to facilitate completion of tasks. Professionalism in communication with clients, insurers, and industry contacts is a key component of this position. Duties can vary daily but are expected to be performed within a set period as determined by management.
This position may also support our in-house Contracting Team by taking on overflow.
Requirements
Experience:
Work Location: Hybrid, or in-person available
Pay: DOE; with semi-monthly pay schedule.
Job Type: W2 Employee, Full-time (40-hours / week)
Full-time Benefits:
Schedule:
Ability to commute/relocate:
Sourced by ZipRecruiter
Health care and social assistance
51 - 200 Employees
Tucson, AZ, US