Credentialing Specialist
Memphis, TN · On-site
Credentialing Specialist Reports to: VP of Human Resources or Operations SUMMARY Under general supervision, the Credentialing Specialist is responsible for a variety of tasks relating to healthcare ...
Memphis, TN · On-site
Credentialing Specialist Reports to: VP of Human Resources or Operations SUMMARY Under general supervision, the Credentialing Specialist is responsible for a variety of tasks relating to healthcare ...
Memphis, TN · On-site
Credentialing Specialist Reports to: VP of Human Resources or Operations SUMMARY Under general supervision, the Credentialing Specialist is responsible for a variety of tasks relating to healthcare ...
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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Credentialing Specialist Credentialing Department Exceed Healthcare Why join Exceed Healthcare? At Exceed Healthcare, our mission is simple: improving lives through innovation . We are redefining ...
$18 - $20/hr
What You'll Do as a Credentialing Specialist As a Credentialing Specialist, you'll play a key role in ensuring our operations run smoothly and efficiently. Your responsibilities will include:
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$18 - $20/hr
What You'll Do as a Credentialing Specialist As a Credentialing Specialist, you'll play a key role in ensuring our operations run smoothly and efficiently. Your responsibilities will include:
The Credentialing Specialist for the Credentials Verification Organization (CVO) at A5 Services is responsible for managing and verifying credentialing applications for initial appointments and ...
The Credentialing Specialist for the Credentials Verification Organization (CVO) at A5 Services is responsible for managing and verifying credentialing applications for initial appointments and ...
Credentialing Specialist Our mission is to provide excellent, compassionate care to our patients, their families, and visitors. The responsibility of the Credentialing Specialist is to perform ...
Credentialing Specialist Our mission is to provide excellent, compassionate care to our patients, their families, and visitors. The responsibility of the Credentialing Specialist is to perform ...
Peoria, AZ · On-site
Credentialing Specialist Our mission is to provide excellent, compassionate care to our patients, their families, and visitors. The responsibility of the Credentialing Specialist is to perform ...
Peoria, AZ · On-site
Credentialing Specialist Our mission is to provide excellent, compassionate care to our patients, their families, and visitors. The responsibility of the Credentialing Specialist is to perform ...
Badging & Credentialing Specialist will complete numerous adjudicative, case processing, and records management activities.Process fingerprints via electronic fingerprint machines.Assist with ...
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Badging & Credentialing Specialist will complete numerous adjudicative, case processing, and records management activities.Process fingerprints via electronic fingerprint machines.Assist with ...
Fort Myers, FL · On-site
Tele Specialists is looking for a Credentialing Specialist III responsible for supporting the credentialing process of our providers by completing and/or processing credentialing applications and ...
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Fort Myers, FL · On-site
Tele Specialists is looking for a Credentialing Specialist III responsible for supporting the credentialing process of our providers by completing and/or processing credentialing applications and ...
Home Physicians Group is seeking a detail-oriented and organized Credentialing Specialist to join our growing team. If you enjoy working in a fast-paced healthcare environment and have experience ...
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Home Physicians Group is seeking a detail-oriented and organized Credentialing Specialist to join our growing team. If you enjoy working in a fast-paced healthcare environment and have experience ...
Houston, TX · Remote
$20 - $25/hr
Credentialing Specialist Location: Houston, TX - West Houston Industry: Healthcare / Credentialing & Provider Enrollment Pay: $20 - $25 / hour Benefits: This position is eligible for medical, dental ...
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Houston, TX · Remote
$20 - $25/hr
Credentialing Specialist Location: Houston, TX - West Houston Industry: Healthcare / Credentialing & Provider Enrollment Pay: $20 - $25 / hour Benefits: This position is eligible for medical, dental ...
Saint Louis, MO · On-site +1
$48K - $62K/yr
The Credentialing Specialist for the Credentials Verification Organization (CVO) at A5 Services is responsible for managing and verifying credentialing applications for initial appointments and ...
Saint Louis, MO · On-site +1
$48K - $62K/yr
The Credentialing Specialist for the Credentials Verification Organization (CVO) at A5 Services is responsible for managing and verifying credentialing applications for initial appointments and ...
Manitowoc, WI · On-site
Credentialing Specialist Noble Community Clinics is seeking an Credentialing Specialist to join our team. This position plays an important role in ensuring our providers and clinic locations maintain ...
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Manitowoc, WI · On-site
Credentialing Specialist Noble Community Clinics is seeking an Credentialing Specialist to join our team. This position plays an important role in ensuring our providers and clinic locations maintain ...
Odessa, FL · On-site
A Credentialing Specialist in a private orthopedic surgeon's office is responsible for ensuring physicians and advanced practice providers (physician assistants and nurse practitioners) are properly ...
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Odessa, FL · On-site
A Credentialing Specialist in a private orthopedic surgeon's office is responsible for ensuring physicians and advanced practice providers (physician assistants and nurse practitioners) are properly ...
Credentialing Specialist Noble Community Clinics is seeking an Credentialing Specialist to join our team. This position plays an important role in ensuring our providers and clinic locations maintain ...
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Credentialing Specialist Noble Community Clinics is seeking an Credentialing Specialist to join our team. This position plays an important role in ensuring our providers and clinic locations maintain ...
Nashville, TN · On-site
The Credentialing Specialist will report to OneOncology's Credentialing Manager . The credentialing specialist is responsible for all aspects of the privileging and credentialing process for ...
Nashville, TN · On-site
The Credentialing Specialist will report to OneOncology's Credentialing Manager . The credentialing specialist is responsible for all aspects of the privileging and credentialing process for ...
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Des Peres, MO · Remote
$60K/yr
We're seeking a detail-oriented Credentialing Specialist who thrives in a fast-paced environment and is passionate about delivering exceptional service. Position Summary The Credentialing Specialist ...
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Des Peres, MO · Remote
$60K/yr
We're seeking a detail-oriented Credentialing Specialist who thrives in a fast-paced environment and is passionate about delivering exceptional service. Position Summary The Credentialing Specialist ...
$60K - $70K/yr
The Credentialing Specialist will ensure the efficient operation of medical licensing, credentialing, and payer contracts to maximize provider efficiency. Responsibilities * Credential/Re-credential ...
$60K - $70K/yr
The Credentialing Specialist will ensure the efficient operation of medical licensing, credentialing, and payer contracts to maximize provider efficiency. Responsibilities * Credential/Re-credential ...
New York, NY · On-site
$30 - $32/hr
New York City's Largest Dermatology Practice The Credentialing Specialist Lead serves as the senior subject matter expert within our credentialing team, overseeing the end-to-end credentialing and re ...
New York, NY · On-site
$30 - $32/hr
New York City's Largest Dermatology Practice The Credentialing Specialist Lead serves as the senior subject matter expert within our credentialing team, overseeing the end-to-end credentialing and re ...
Salt Lake City, UT · On-site +1
Credentialing Specialist Department: Credentialing Reports To: Credentialing Manager Location: Salt Lake City, UT preferred (open to remote for the right candidate) Employment Type: Full-time ...
Salt Lake City, UT · On-site +1
Credentialing Specialist Department: Credentialing Reports To: Credentialing Manager Location: Salt Lake City, UT preferred (open to remote for the right candidate) Employment Type: Full-time ...
Roseville, MN · On-site
$22 - $25/hr
The credentialing specialist is responsible for all aspects of the credentialing, recredentialing and privileging process for all medical providers who provide care with Midwest Radiology.
Roseville, MN · On-site
$22 - $25/hr
The credentialing specialist is responsible for all aspects of the credentialing, recredentialing and privileging process for all medical providers who provide care with Midwest Radiology.
$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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Full-time
Re-posted 20 days ago
Position: Credentialing Specialist
Reports to: VP of Human Resources or Operations
SUMMARY
Under general supervision, the Credentialing Specialist is responsible for a variety of tasks relating to healthcare provider credentialing. The Credentialing Specialist contacts providers and healthcare facilities to complete the credentialing process and maintain the status logs of applications. The Credentialing Specialist will be responsible for maintaining up-to-date provider files for all current and new providers according to the established departmental standards. This is not a remote position.
CHARACTERISTIC JOB TASKS AND RESPONSIBILITIES
May include any and/or all of the following:
KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS
COMMUNICATION
COMPLIANCE AND HIPAA
REQUIRED & PREFERRED QUALIFICATIONS
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit; use hands to type and use a computer mouse; and talk or hear. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.