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Credentialing Specialist in Princeton, NJ

Credentialing Specialist job description

The credentialing specialist manages the verification and maintenance of provider credentials to ensure compliance with regulatory standards and organizational policies. This role is responsible for processing applications, conducting background checks and maintaining accurate records for healthcare professionals.Working closely with providers, insurance companies and internal teams, the credentialing specialist ensures timely credentialing and recredentialing processes. This position plays a critical role in supporting patient safety, regulatory compliance and operational efficiency.

Typical credentialing specialist duties:

Review and process provider credentialing and recredentialing applicationsVerify licenses, certifications, education and work history for healthcare professionalsConduct background checks and monitor compliance with accreditation standardsMaintain accurate credentialing records in databases and systemsCommunicate with providers and internal teams to resolve credentialing issuesPrepare reports and documentation for audits and regulatory reviewsEnsure compliance with federal, state and payer requirements for credentialingTrack credentialing timelines and follow up to ensure timely completion

Looking for a credentialing specialist or a credentialing specialist job?

Request candidates now and a specialized recruiter will typically contact you within one business day to discuss your staffing needs and help you hire a credentialing specialist.Search credentialing specialist openings and apply now or submit your resume to be considered for opportunities that match your experience.

Salary for Credentialing Specialist in Princeton, NJ

55625 - 72188

Low
55625
The candidate is new to the role or has limited experience and is still developing core skills.
Mid
61250
The candidate has moderate experience in the role or one similar, meets most requirements and may hold transferable skills or relevant certifications.
High
72188
The candidate has extensive experience in the role, demonstrates advanced skills and often brings specialized certifications or industry experience.

Projected salaries for related positions

 Job title Low Mid High Medical Coding Manager 83438 94688 107813 Certified Professional Coder 66875 77188 90313 Medical Customer Service Representative 52500 59375 66250 Insurance Authorization Specialist 51250 56563 61875 Intake/Admissions Specialist 50313 53438 58125 Patient Access/Services Specialist 47500 52500 57188 Medical Scheduler 47813 50625 54688 Medical Data Entry Specialist 45313 50000 55938 Insurance Verification Specialist 46875 53125 59375 Insurance Referral Coordinator 46250 50000 57188 Patient Registration Specialist 45938 53438 60000 Health Information Management Specialist 43438 49375 58750 Electronic Medical Records Specialist 42188 45000 48750

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