Credentialing Associate Salary in United States

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Average Salary for Credentialing Associate in United States

The average salary of a(n) Credentialing Associate in United States is $37,548.

The average hourly rate of a(n) Credentialing Associate in United States is $18.05.

The average bonus of a(n) Credentialing Associate in United States is $901.00.

Job Description:

Provides technical and clerical assistance to facilitate effective and efficient operation of the provider credentialing function. Analyzes and resolves basic provider issues relative to credentialing, enrollment, billing, and payers. Coordinates and performs enrollment of assigned providers and physicians in appropriate health plans to ensure satisfaction of the health plan requirement for acceptance. Typically requires experience sufficient enough to provide a working knowledge of NCQA and JCAHO. Reviews and processes provider applications and determines eligibility by applying NCQA, JCAHO, and URAC standards as related to the network. Performs primary source verification for initial and recredentialing of assigned providers utilizing NCQA and other Federal and State regulatory requirements. Communicates with providers regarding credentialing status and information. Creates and maintains participating provider or practitioner credentialing files. Reviews and analyzes provider file changes. Creates practitioner profiles for recredentialed practitioners. Prepares and sends application packets to participating providers and facility applicants, requesting the return of basic credentialing information. Reviews applications for completeness and assists the applicant in completing the application. Prepares routine credentialing reports. Less

Provides technical and clerical assistance to facilitate effective and efficient operation of the provider credentialing function. Analyzes and resolves basic provider issues relative to credentialing, enrollment, billing, and payers. Coordinates and performs enrollment of assigned providers and physicians in appropriate... More

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Results for Credentialing Associate in United States

Provider Contracting Specialist - Knoxville, TN

Humana

Ensures initial credentialing, managing unresponsive providers through re credentialing, proofing directories and resolves discrepancies....

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HR Coordinator/Credentialing Specialist - Baltimore, MD

Urban Behavioral Associates

Provides credentialing and privileging verifications. Completes providers credentialing and re-credentialing applications;...

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Credentialing Coordinator - North Decatur, GA

DeKalb Medical

Associates degree preferred. Minimum of three (3) year’s experience in Medical Staff Services and credentialing....

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Accounting & Human Resources Associate - Seattle, WA

Leading Retirement Solutions

Accounting & Human Resources Associate*. Associate degree or higher is preferred. Financial assistance with ongoing education and credentialing....

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Credentialing Coordinator - Owings Mills, MD

Avesis Incorporated

Associates degree preferred. Performs administrative support functions for credentialing committee. The Credentialing Coordinator provides administrative...

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