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how much do certified provider credentialing specialists make

by Vada Wilderman Published 3 years ago Updated 2 years ago

Salary Ranges for Credentialing Specialists
The salaries of Credentialing Specialists in the US range from $22,239 to $99,920 , with a median salary of $58,350 . The middle 50% of Credentialing Specialists makes between $49,328 and $51,938, with the top 83% making $99,920.

Full Answer

How much does a medical billing specialist make?

Medical billers and coders earn an average median salary of $44,090 per year, or $21.20 per hour in 2021 according to the Bureau of Labor Statistics’s (BLS), but many things impact how much you can earn.

How much money does a retina specialist earn?

Some retina specialists work in laboratories, researching diseases of the eye. Eye doctor salary varies according to training and credentials. Newly trained retina specialists typically receive starting salaries between $175,000 and $350,000, depending on geographic location and employer.

How much does a billing specialist make?

These charts show the average hourly wage (core compensation), as well as the average total hourly cash compensation for the job of Medical Billing Specialist in the United States. The average hourly rate for Medical Billing Specialist ranges from $19 to $23 with the average hourly pay of $21.

How much does a medical billing and Coding Specialist Make?

While ZipRecruiter is seeing annual salaries as high as $52,500 and as low as $19,500, the majority of Medical Billing And Coding Specialist salaries currently range between $30,500 (25th percentile) to $41,500 (75th percentile) with top earners (90th percentile) making $45,500 annually across the United States.

Is a credentialing specialist a good job?

Based on 219 responses, the job of Credentialing Specialist has received a job satisfaction rating of 4.01 out of 5. On average, Credentialing Specialists are highly satisfied with their job.

What does a credentialing specialist do?

Credentialing Specialists ensure that medical staff members' maintain current credentials and licenses to work legally in their field or specialty. These specialists monitor upcoming renewal dates and work with medical staff to advise them of the required steps to maintain their credentials.

How do you become a credentialing manager?

The primary qualifications for becoming a credentialing manager depend on the industry, but they usually include a bachelor's degree in a relevant field and several years of experience in a supervisory or management role. Some industries, such as health care, have special credentials or licenses for this role.

How do I become a good credentialing coordinator?

Credentialing Coordinator Requirements: Knowledge of medical credentialing and privileging procedures and standards. Excellent verbal and written communication skills. Proficient with Microsoft Office Word and Excel. Proficient touch-typing skills.

Is credentialing stressful?

Credentialing specialist is under pressure to complete the credentialing and approves the application: When credentialing staff has insufficient time or resources to complete a thorough credentialing, they can become stressed and overwhelmed.

What is it like being a credentialing specialist?

Credentialing specialists need to be highly organized and have meticulous attention to detail. These professionals are responsible for the accuracy and completeness of medical facilities' records.

What is the CPCS exam?

The CPCS exam tests specifically in the areas of credentialing, privileging, and primary source verification. Hands-on experience with the application of accreditation standards and experience with conducting the credentialing activities is a requisite for the candidate for certification.

What is the difference between CPCS and Cpmsm?

The difference? While the CPCS® exam focuses on accreditation standards and credentialing verification requirements, the CPMSM® exam encompasses leadership, meeting management, Robert's Rules, budgeting, fair hearing, and precedent-setting legal cases that impact the industry.

What is credentialing experience?

Credentialing is a term for a process that consists of two parts, credentialing and privileging. Credentialing is the verification of competency, as demonstrated by education, training, licensing and work experience.

What is a CV for credentialing?

A CV provides extensive information and details about your professional background – in particular, about your credentials. These credentials should always include your education, degrees earned, professional training and industry-specific certifications.

What is a credentialing administrator?

Credentialing Administrator I Maintains specialized focus on federal credentialing process and requirements. Maintains strict adherence to all Government and State rules and regulations regarding confidentiality of Personally…

What is credentialing in healthcare?

Credentialing is a formal process that utilizes an established series of guidelines to ensure that patients receive the highest level of care from healthcare professionals who have undergone the most stringent scrutiny regarding their ability to practice medicine.

What is credentialing in healthcare?

Credentialing is a formal process that utilizes an established series of guidelines to ensure that patients receive the highest level of care from healthcare professionals who have undergone the most stringent scrutiny regarding their ability to practice medicine.

What is credentialing experience?

Credentialing is a term for a process that consists of two parts, credentialing and privileging. Credentialing is the verification of competency, as demonstrated by education, training, licensing and work experience.

How much does a provider credentialing specialist make in 2021?

The average Provider Credentialing Specialist I salary in the United States is $41,700 as of June 28, 2021, but the range typically falls between $37,400 and $47,100 . Salary ranges can vary widely depending on many important factors, including education, certifications, additional skills, the number of years you have spent in your profession.

What is a provider credentialing specialist?

The Provider Credentialing Specialist I mails, reviews, and verifies credentialing applications. Processes credentialing and recredentialing applications for health care providers. Being a Provider Credentialing Specialist I tracks license and certification expirations for all providers to ensure timely renewals. Sets up and maintains provider information in an online credentialing database system. In addition, Provider Credentialing Specialist I may require an associate's degree or equivalent. May require certification as a Certified Provider Credentialing Specialist (CPCS).Typically reports to a supervisor or manager. Being a Provider Credentialing Specialist I works under moderate supervision. Gains or has attained full proficiency in a specific area of discipline. Working as a Provider Credentialing Specialist I typically requires 1-3 years of related experience, or may need 0 years of experience with additional specialized training and/or certification. (Copyright 2021 Salary.com)

How much should you be paid?

For a real-time salary target, tell us more about your role in the four categories below.

Most common benefits

The average salary for a credentialing specialist is $18.68 per hour in the United States. 1.3k salaries reported, updated at February 18, 2022.

How much should you be earning?

Get an estimated calculation of how much you should be earning and insight into your career options. See more details

What is the Pay by Experience Level for Credentialing Specialists?

An entry-level Credentialing Specialist with less than 1 year experience can expect to earn an average total compensation (includes tips, bonus, and overtime pay) of $17.33 based on 53 salaries. An early career Credentialing Specialist with 1-4 years of experience earns an average total compensation of $18.60 based on 563 …Read more

Where do credentialing specialists work?

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, ...

How much does a medical credentialing specialist make?

What is the highest salary for a Medical Credentialing Specialist in United States? The highest salary for a Medical Credentialing Specialist in United States is $117,333 per year.

What is the lowest salary for a medical credentialing specialist?

The lowest salary for a Medical Credentialing Specialist in United States is $40,271 per year. What is the a Medical Credentialing Specialist career path and salary trajectory?

What do you need to be a certified provider credentialing specialist?

Certified Provider Credentialing Specialists need to have an understanding of medical terminology and related healthcare topics. The educational requirements for these positions vary by employer. The more related work experience that a candidate has, the less education they may need along with it.

How much will healthcare jobs increase in 2029?

The healthcare industry is constantly growing and jobs in the field are expected to increase by 15% from 2019 to 2029. This will create more positions, meaning more organizations may be hiring CPCSs to verify the credentials and ensure regulatory compliance.

What are the courses required for CPCS?

Students will take a combination of general education and program-specific courses. General education courses can include communication, English, social sciences and math.

What is a CPCS?

A Certified Provider Credentialing Specialist, or CPCS, work in healthcare settings, like hospitals, doctors' offices and more. They are tasked with confirming the credentials of healthcare workers, including their education and licensure.

Why Earn Your CPCS Certification?

Certification by NAMSS puts you in the driver’s seat: It increases your potential for advancement in any healthcare environment and indicates to your supervisor (s) and accreditation surveyors that you are an expert in the field, both of which enhance your value and job security. Here are some other reasons for credentialing specialists to seek certification by NAMSS:

What are the responsibilities of a CPCS?

A CPCS is an integral part of a credentialing team whose responsibilities include but are not limited to: 1 Maintaining compliance with regulatory and accrediting bodies; 2 Participating in the development and implementation of credentialing processes and procedures; 3 Credentialing of physicians, allied health and other practitioners; 4 Overseeing or participating in the development of and adherence to:#N#Governance bylaws;#N#Department rules and regulations;#N#Policies pertaining to medical staff, practitioner/provider, and the organization; and 5 Collecting and maintaining an accurate practitioner database and analyzing verification information.

What is CPCS exam?

The CPCS exam tests specifically in the areas of credentialing, privileging, and primary source verification. Hands-on experience with the application of accreditation standards and experience with conducting the credentialing activities is a requisite for the candidate for certification.

What is a CPCS?

A CPCS is an integral part of a credentialing team whose responsibilities include but are not limited to: Maintaining compliance with regulatory and accrediting bodies; Participating in the development and implementation of credentialing processes and procedures;

Is NAMSS a NCCA accredited certification?

NCCA Accreditation: NAMSS certifications are the only NCCA accredited certifications for the medical services profession. By holding an accredited certification, you are demonstrating to your employer, the MSP community, and to yourself that you have the skills and knowledge required to complete your job as defined by the leading authority in the credentialing industry.

What certifications are available for a credentialing specialist?

The National Association of Medical Staff Services (NAMSS) offers the Certified Provider Credentialing Specialist (CPCS) certification. To earn this, you will need three total years of experience, one of which must be directly leading up to the exam.

What is a credentialing specialist?

A credentialing specialist, also known as a medical credentialist, is responsible for tracking medical professionals' proper training, licensure and credentialing. Credentialing specialists will also ensure that their employer meets state, federal and other regulations for quality of care.

What is the credentialing specialist work environment?

Credentialing specialists typically work a 9-to-5 full-time schedule in hospitals, medical offices, insurance companies or other facilities. In this role, you will spend the majority of your time in an office working on a computer in a fast-paced environment You will interact frequently with other medical personnel, governmental officials and employees at other organizations.

What is the job outlook for credentialing specialists?

The US Bureau of Labor Statistics does not have specific data for credentialing specialists, however, they estimate that the job growth rate for all human resources specialists to be 5% between 2018 and 2028 , which is the average for all occupations. Additionally, the training and development specialist field is expected to grow 9%. Based on these, credentialing specialists may have an expected outlook in a similar range.

What is the growth rate for human resources specialists?

The US Bureau of Labor Statistics does not have specific data for credentialing specialists, however, they estimate that the job growth rate for all human resources specialists to be 5% between 2018 and 2028, which is the average for all occupations. Additionally, the training and development specialist field is expected to grow 9%. Based on these, credentialing specialists may have an expected outlook in a similar range.

1.Credentialing Specialist Salary | Salary.com

Url:https://www.salary.com/research/salary/listing/credentialing-specialist-salary

15 hours ago The average Credentialing Specialist salary in the United States is $43,245 as of , but the salary range typically falls between $38,863 and $48,878. Salary ranges can vary widely depending on many important factors, including education, certifications, additional skills, the number of years you have spent in your profession.

2.Provider Credentialing Specialist I Salary | Salary.com

Url:https://www.salary.com/research/salary/alternate/provider-credentialing-specialist-i-salary

12 hours ago These charts show the average base salary (core compensation), as well as the average total cash compensation for the job of Provider Credentialing Specialist I in the United States. The base salary for Provider Credentialing Specialist I ranges from $38,400 to $48,300 with the average base salary of $42,800. The total cash compensation, which includes base, and annual …

3.Credentialing Specialist salary in United States - Indeed

Url:https://www.indeed.com/career/credentialing-specialist/salaries

2 hours ago  · The average salary for a Credentialing Specialist is $19.64 per hour in United States. Learn about salaries, benefits, salary satisfaction and where you could earn the most.

4.Credentialing Specialist Hourly Pay | PayScale

Url:https://www.payscale.com/research/US/Job=Credentialing_Specialist/Hourly_Rate

14 hours ago According to the 2020 OfficeTeam Salary Guide, the salary midpoint (or median national salary) for credentialing specialists in administrative healthcare is

5.Salary: Medical Credentialing Specialist (August, 2022)

Url:https://www.glassdoor.com/Salaries/medical-credentialing-specialist-salary-SRCH_KO0,32.htm

9 hours ago The average hourly pay for a Credentialing Specialist is $19.69. Visit PayScale to research credentialing specialist hourly pay by city, experience, skill, employer and more.

6.Certified Provider Credentialing Specialist Training

Url:https://learn.org/articles/certified_provider_credentialing_specialist_training_certification.html

34 hours ago  · Possible Range. The estimated total pay for a Medical Credentialing Specialist is $56,542 per year in the United States area, with an average salary of $38,656 per year. These numbers represent the median, which is the midpoint of the ranges from our proprietary Total Pay Estimate model and based on salaries collected from our users.

7.CPCS® - NAMSS

Url:https://www.namss.org/Certification/CPCS

16 hours ago MSPs planning to take the Certified Provider Credentialing Specialist (CPCS) Certification Exam. NAMSS members and non-members are welcome. CEs: This online course has been approved for 3.5 CE credits. Cost: NAMSS members: $279 Non-members: $359. To Register: Visit the NAMSS Online Store to purchase this course.

8.What does a Credentialing Specialist do | Indeed.com

Url:https://www.indeed.com/career/credentialing-specialist

8 hours ago Certified Provider Credentialing Specialist : $58,771: Credentialing Specialist : $50,000: Credentialing Supervisor : $59,000: Credentialing Coordinator : …

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