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Credentialing specialist vs specialist

The differences between credentialing specialists and specialists can be seen in a few details. Each job has different responsibilities and duties. It typically takes 1-2 years to become both a credentialing specialist and a specialist. Additionally, a specialist has an average salary of $58,013, which is higher than the $40,899 average annual salary of a credentialing specialist.

The top three skills for a credentialing specialist include patients, customer service and data entry. The most important skills for a specialist are patients, customer service, and work ethic.

Credentialing specialist vs specialist overview

Credentialing SpecialistSpecialist
Yearly salary$40,899$58,013
Hourly rate$19.66$27.89
Growth rate-8%10%
Number of jobs68,021358,433
Job satisfaction--
Most common degreeBachelor's Degree, 47%Bachelor's Degree, 49%
Average age4942
Years of experience22

What does a credentialing specialist do?

Credentialing specialists are employed by healthcare organizations, primarily to make sure that medical personnel and health facilities maintain compliance with regulations. They keep a record of the medical practitioner's credentials and make sure that their licenses are updated and issued legally for their specialty. They have to inform the medical staff of the upcoming renewal dates of their license and advise them on how to keep their credentials updated. Potential new employees are also monitored and screened for their current and required licenses before getting hired. Applicants for this job must have excellent knowledge and understanding of health information management. They must also work on maintaining licensure and credentials while applying the governing rules and standards.

What does a specialist do?

Specialists are employees who are responsible for specific tasks or activities in the department they are assigned to. The actions or tasks they work on are related to their educational background or work experiences. They are usually highly skilled in specializations related to the work they are assigned to. Specialists are also highly trained on the competencies that are required of their specialty. As such, they are focused on the skills and competencies that are needed to enhance their experience in their specific field further.

Credentialing specialist vs specialist salary

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

Credentialing SpecialistSpecialist
Average salary$40,899$58,013
Salary rangeBetween $29,000 And $57,000Between $32,000 And $104,000
Highest paying CityNew York, NYJersey City, NJ
Highest paying stateMaineNew Jersey
Best paying companyHawaii Pacific HealthThe Citadel
Best paying industryInsurance-

Differences between credentialing specialist and specialist education

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

Credentialing SpecialistSpecialist
Most common degreeBachelor's Degree, 47%Bachelor's Degree, 49%
Most common majorBusinessBusiness
Most common college-Stanford University

Credentialing specialist vs specialist demographics

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

Credentialing SpecialistSpecialist
Average age4942
Gender ratioMale, 14.5% Female, 85.5%Male, 47.5% Female, 52.5%
Race ratioBlack 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, 11.4% Unknown, 5.4% Hispanic or Latino, 16.4% Asian, 10.5% White, 55.9% American Indian and Alaska Native, 0.4%
LGBT Percentage9%11%

Differences between credentialing specialist and specialist 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.
  • Show more

Specialist example responsibilities.

  • Create, manage, and assist users with SharePoint sites.
  • Manage an on-site IRB and company good clinical practice (GCP) inspection.
  • Manage SharePoint sites by creating, editing, and customizing company sites, libraries and security.
  • Manage the building of accounts, assigning of static IP's, and scheduling of business class installations.
  • Convert servers from UNIX to Linux, all hardware diagnostics and repair including printers/plotters/desktops etc.
  • Follow safety procedures such as maintenance of all equipment (Telxon scanners, terminals and ladders).
  • Show more

Credentialing specialist vs specialist skills

Common credentialing specialist skills
  • Patients, 10%
  • Customer Service, 8%
  • Data Entry, 6%
  • Primary Source Verification, 5%
  • NCQA, 5%
  • CAQH, 4%
Common specialist skills
  • Patients, 15%
  • Customer Service, 11%
  • Work Ethic, 5%
  • Patient Care, 4%
  • Exceptional Client, 4%
  • Troubleshoot, 4%

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