Credentialing specialist vs definer

The differences between credentialing specialists and definers can be seen in a few details. Each job has different responsibilities and duties. Additionally, a definer has an average salary of $51,268, which is higher than the $40,899 average annual salary of a credentialing specialist.

Credentialing specialist vs definer overview

	Credentialing Specialist	Definer
Yearly salary	$40,899	$51,268
Hourly rate	$19.66	$24.65
Growth rate	-8%	-3%
Number of jobs	68,021	88
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 47%	High School Diploma, 50%
Average age	49	43
Years of experience	2	-

Credentialing specialist vs definer salary

Credentialing specialists and definers have different pay scales, as shown below.

	Credentialing Specialist	Definer
Average salary	$40,899	$51,268
Salary range	Between $29,000 And $57,000	Between $24,000 And $106,000
Highest paying City	New York, NY	-
Highest paying state	Maine	-
Best paying company	Hawaii Pacific Health	-
Best paying industry	Insurance	-

Differences between credentialing specialist and definer education

There are a few differences between a credentialing specialist and a definer in terms of educational background:

	Credentialing Specialist	Definer
Most common degree	Bachelor's Degree, 47%	High School Diploma, 50%
Most common major	Business	Dance
Most common college	-	-

Credentialing specialist vs definer demographics

Here are the differences between credentialing specialists' and definers' demographics:

	Credentialing Specialist	Definer
Average age	49	43
Gender ratio	Male, 14.5% Female, 85.5%	Male, 40.0% Female, 60.0%
Race ratio	Black or African American, 9.6% Unknown, 3.8% Hispanic or Latino, 12.0% Asian, 3.8% White, 70.6% American Indian and Alaska Native, 0.4%	Black or African American, 12.8% Unknown, 3.9% Hispanic or Latino, 19.8% Asian, 5.6% White, 57.1% American Indian and Alaska Native, 0.7%
LGBT Percentage	9%	5%

Differences between credentialing specialist and definer duties and responsibilities

Credentialing specialist example responsibilities.

Establish rapport with all PCP offices, hospital personnel, and manage care representatives.
Manage and administer the programs CME accredit education programs/Conferences.
Ensure enrollment and participation with all organization contract managed care plans and perform Medicaid/Medicare provider enrollment.
Process and manage all requests and applications for CME certification and supervise activities relate to credentialing process.
Perform spot claims audits to ensure CMS compliance with ICD-9, HCPCS, CPT, and other requirements.
Maintain and track data for OPPE and FPPE according to hospital policy and regulatory requirements.

Definer example responsibilities.

Test and evaluate switches for automotive applications using electrical, environmental and mechanical techniques.
Interact with the Flexo department to resolve any issues relate to machine performance.

Credentialing specialist vs definer skills

Common credentialing specialist skills

Patients, 10%
Customer Service, 8%
Data Entry, 6%
Primary Source Verification, 5%
NCQA, 5%
CAQH, 4%

Common definer skills

Credentialing Specialist vs. similar jobs

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Updated January 8, 2025

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