Hourly Wage for Medical Staff Credentialing Specialist Salary

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.

To apply for credentialing with Anthem, go to the CAQH website at https://www.caqh.org and select CAQH ProView™. There is no application fee. We encourage practitioners to begin the credentialing process as soon as possible when new physicians join a practice.

Based on 267 responses, the job of Credentialing Specialist has received a job satisfaction rating of 3.82 out of 5. On average, Credentialing Specialists are highly satisfied with their job.

Take these three steps to become a certified provider credentialing specialist….Steps to Become a CPCS

1. Step 1: Complete Your Associate’s Degree. While it’s not a requirement for all jobs, many employers prefer candidates with an associate’s degree.
2. Step 2: Gain Work Experience.
3. Step 3: Get Certified.

What skills do credentialing specialists need?

1. Ability to complete thorough research.
2. Organization.
3. Teamwork.
4. Database management.
5. Understanding of laws, regulations and procedures.
6. Computer proficiency.
7. Familiarity with medical terminology.

What does a medical credentialing specialist do? These administrative specialists’ job is to verify that the professional training, certifications and licensing of healthcare professionals, which need to be renewed periodically, are up to date and in compliance with state and federal regulations.

How Do I Get Credentialed with Insurance Companies as a New Provider?

1. Get your NPI number.
2. Know how you are billing for your services.
3. Obtain malpractice insurance.
4. Complete the CAQH application.
5. Register with Medicare.
6. Contact each insurance company with which you want to be in-network.

CAQH is an online data repository of credentialing data. Practitioners self report demographic, education and training, work history, malpractice history, and other relevant credentialing information for insurance companies to access.

Credentialing specialists can get certified through the National Association Medical Staff Services (NAMSS) if they have at least 3 years of experience in the medical services profession and have been employed for the past consecutive 12 months in a medical services position.

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.

The difference between a credentialing coordinator and a credentialing specialist is one of seniority. However, a credentialing specialist is often a more advanced position, requiring extra certification, such as a specialist certification from the National Association of Medical Staff Services.

All in all, Anthem is a recommended health insurance company. It is new as a business and limited in terms of location. However, if Anthem health insurance plans are available in your state, then the benefits provided are well worth it. Nov 4 2019

The following Anthem Blue Cross and Blue Shield plans offer Medicare Advantage Prescription Drug plan coverage to Connecticut residents. Medicare Advantage plans are an alternative way to get your Original Medicare. These plans help cover the costs of services provided by hospitals, doctors, lab tests and some preventive screenings.

Anthem Blue Cross and Blue Shield (Anthem) is part of the Anthem family of brands and is a blue health plan brand. Anthem’s vision is to be America’s valued health partner, and we work towards this vision by being accountable, caring, innovative, trustworthy and easy to do business with.

Anthem Blue Cross and Blue Shield offers Preferred Provider Organization (PPO) health plans for individuals and families. Blue Cross and Blue Shield define PPOs as “an arrangement designed to supply health care services at a discounted cost by providing incentives for members to use designated health providers.”.