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Full Time Credentialing Verification Organization Jobs

Anders

Credentialing Specialist

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 ...

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How much do full time credentialing verification organization jobs pay per hour?

As of Jul 28, 2026, the average hourly pay for full time credentialing verification organization in the United States is $24.36, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $27.64 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Credentialing Verification Organization (CVO) professional, and why are they important?

To thrive as a Credentialing Verification Organization (CVO) professional, you need strong attention to detail, knowledge of healthcare credentialing standards, and experience with data management, typically supported by a background in healthcare administration or a related field. Familiarity with credentialing software systems (such as CACTUS or Verity), NCQA/URAC standards, and compliance documentation processes is essential. Excellent organizational skills, integrity, and effective communication help professionals manage sensitive information and interact with healthcare providers and regulatory bodies. These skills ensure accurate, timely credentialing, compliance with regulations, and the maintenance of trust and safety in healthcare organizations.

What is a Credentialing Verification Organization (CVO)?

A Credentialing Verification Organization (CVO) is a specialized company or department that verifies the credentials of healthcare providers, such as physicians, nurses, and other practitioners. CVOs collect, review, and validate information like education, licenses, certifications, work history, and malpractice history to ensure healthcare professionals meet regulatory and industry standards. By outsourcing credential verification to a CVO, healthcare organizations can streamline their hiring and compliance processes while maintaining high standards of patient safety and care. Full-time employees in CVOs typically handle these tasks on a daily basis and may interact with both providers and clients to gather and confirm necessary documentation.

Is credentialing specialist a stressful job?

Credentialing specialists often work in detail-oriented environments that require accuracy and adherence to strict deadlines, which can contribute to stress. The job involves managing large volumes of documentation and coordinating with healthcare providers, but workload and stress levels vary depending on the organization and workload management. Proper training and organizational skills can help mitigate stress in this role.

How to become a benefits verification specialist?

To become a benefits verification specialist, candidates typically need a high school diploma or equivalent and should develop skills in healthcare billing, insurance policies, and data entry. Certification in medical billing or coding can enhance job prospects, and familiarity with electronic health record systems is often required.

What is the difference between Full Time Credentialing Verification Organization vs Credentialing Specialist?

AspectFull Time Credentialing Verification OrganizationCredentialing Specialist
Primary RoleManages credentialing processes for multiple healthcare providers within an organizationPerforms credentialing tasks for individual providers or small groups
Work EnvironmentTypically employed by healthcare organizations or credentialing companiesEmployed by healthcare facilities, clinics, or insurance companies
Certifications NeededKnowledge of credentialing standards; certifications like NCCP or CPHQ are beneficialSimilar certifications; often required or preferred

In summary, a Full Time Credentialing Verification Organization oversees credentialing for multiple providers within an organization, focusing on process management, while a Credentialing Specialist handles individual provider credentialing tasks. Both roles require similar certifications and work in healthcare settings, but their scope and responsibilities differ.

What are some common challenges faced in a Full Time Credentialing Verification Organization role, and how can they be managed?

Professionals in a Full Time Credentialing Verification Organization often encounter challenges such as managing high volumes of credentialing files, staying up-to-date with changing regulatory requirements, and ensuring accuracy under tight deadlines. These challenges can be addressed by developing strong organizational skills, utilizing credentialing software to streamline processes, and maintaining clear communication with healthcare providers and regulatory bodies. Regular training and staying informed about industry updates also help in maintaining compliance and reducing errors.

What degree do you need to be a credentialing specialist?

A credentialing verification specialist typically needs at least a high school diploma or equivalent; however, many employers prefer candidates with an associate's or bachelor's degree in healthcare administration, business, or a related field. Relevant skills include attention to detail, knowledge of healthcare regulations, and experience with credentialing software or databases.

How much does a credentialing specialist make in the US?

A credentialing specialist in the US typically earns between $40,000 and $55,000 annually, depending on experience, location, and employer. Salaries can vary based on certifications, such as Certified Provider Credentialing Specialist (CPCS), and the complexity of the credentialing process they handle.
What cities are hiring for Full Time Credentialing Verification Organization jobs? Cities with the most Full Time Credentialing Verification Organization job openings:
What are the most commonly searched types of Credentialing Verification Organization jobs? The most popular types of Credentialing Verification Organization jobs are:
What states have the most Full Time Credentialing Verification Organization jobs? States with the most job openings for Full Time Credentialing Verification Organization jobs include:
Full Time Credentialing Verification Organization jobs near you
Credentialing Specialist

Credentialing Specialist

Anders

Saint Louis, MO • On-site, Remote

$48K - $62K/yr

Full-time

Posted 19 days ago

Job description

A5 Healthcare (Anders Affiliate) one of one of the fastest-growing Credentialing Verification Organizations in the country is seeking a Credentialing Specialist who is motivated to learn, excited to collaborate and passionate about delivering outstanding results. This individual will have a direct impact on our firm's mission of serving as a catalyst for those striving to achieve their highest potential.
The Credentialing Specialist for the Credentials Verification Organization (CVO) at A5 Services is responsible for managing and verifying credentialing applications for initial appointments and reappointments across multiple facilities. This role involves thorough data analysis, primary source verification, and the monitoring of expiring provider documents to ensure compliance with regulatory and accreditation standards. The Specialist plays a key part in supporting credentialing workflows, maintaining turnaround times, and communicating effectively with internal staff, providers, and external organizations.
This role requires discretion, strong documentation and analytical skills, and the ability to handle confidential and complex credentialing tasks while exemplifying a high standard of professionalism and customer service.
What You'll Do:
Credentialing Operations
  • Perform comprehensive application management, including requesting, receiving, processing, and verifying initial and reappointment applications.
  • Conduct preliminary analysis of application data and verification information to identify any red flags or adverse findings.
  • Monitor expiring provider data such as professional licenses, DEA registrations, board certifications, and malpractice insurance.
  • Communicate timely updates to providers and member organizations regarding application status and outstanding requirements.
  • Prepare credentialing files accurately and submit them for facility audits and approvals in accordance with turnaround standards.
  • Maintain working knowledge of relevant accreditation and regulatory standards (TJC, AAAHC, DNV, NCQA, and CMS).
  • Assist with continuous improvement of credentialing workflows, including process alignment and development of forms.
  • Participate in special projects and team initiatives as assigned.

General Responsibilities
  • Maintain credentialing documentation and records with accuracy and confidentiality.
  • Follow organizational policies and escalate issues beyond scope as needed.
  • Collaborate effectively with CVO leadership and credentialing team members.
  • Attend training sessions and professional development meetings to stay current with industry best practices.

Competencies
  • Decision Making: Uses general instructions and established practices to make decisions; may recommend improvements to moderately complex issues.
  • Problem Solving: Analyzes and interprets varied situations to resolve credentialing issues based on industry knowledge and precedent.
  • Independence of Action: Follows established policies, organizes work effectively, and seeks guidance for complex or unusual scenarios.
  • Written & Oral Communications: Communicates clearly with providers and facilities; able to explain credentialing requirements effectively.
  • Knowledge Application: Demonstrates working knowledge of credentialing procedures and applies them accurately in day-to-day tasks.
  • Team Collaboration: Engages in teamwork to support department objectives, share knowledge, and contribute to continuous improvement.

What We're Looking For:
  • Strong documentation and analytical skills with high attention to detail.
  • Ability to interpret and apply credentialing standards and regulatory guidelines.
  • Excellent verbal and written communication skills.
  • Proven ability to organize, prioritize, and manage multiple responsibilities.
  • Ability to work independently and in a team-based remote environment.
  • Sound problem-solving and decision-making capabilities.
  • Commitment to confidentiality and professional ethics.

Your Qualifications:
  • High school diploma or GED required.
  • 1-3 years of relevant credentialing experience, preferably within a CVO or similar setting.
  • Proficiency with Microsoft Office applications (Word, Excel, Outlook) and web-based systems.
  • Knowledge of credentialing software platforms and auditing processes preferred.

Applicants to the Credentialing Specialist position must be located within the Greater St. Louis, MO area.
The stated pay scale reflects the range that Anders reasonably expects to pay for this position. The actual pay rate for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and firm business practices.
Salary Range
$48,000-$62,000 USD
Why You'll Love Working Here:
At Anders, taking care of our employees is a top priority. Our welcoming and collaborative culture will make you feel like a part of the team from day one. From professional development opportunities to benefits that directly impact mental, physical and financial wellness, Anders offers unique incentives that enrich your life and facilitate growth, including our Work Flex program which gives you the opportunity to work at our Chesterfield office, our Downtown St. Louis office, remotely, adopt a hybrid approach or even switch between these options as you prefer. Learn more about our full benefit offerings, Work Flex program, and our Inclusion Network at our careers page: anderscpa.com/careers/working-at-anders/
All applicants for this position must be authorized to work in the United States now and in the future without requiring sponsorship.
For 60 years, Anders has delivered full-service accounting, tax, audit and advisory services to growth-oriented companies, organizations and individuals. Every day, our partners and staff serve as a catalyst for those striving to achieve their highest potential and carry this mentality on to our clients and community. Ranked #75 on Accounting Today's List of Top Accounting Firms and continually named a Top Workplace, Anders is a member firm of LEA Global, one of the largest international associations of independent accounting firms. For more information on Anders, visit anderscpa.com and follow us on Facebook, LinkedIn, and Instagram: @AndersCPA
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