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Credentialing Specialist in San Francisco, CA

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 San Francisco, CA

60520 - 78540

Low
60520
The candidate is new to the role or has limited experience and is still developing core skills.
Mid
66640
The candidate has moderate experience in the role or one similar, meets most requirements and may hold transferable skills or relevant certifications.
High
78540
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 90780 103020 117300 Certified Professional Coder 72760 83980 98260 Medical Customer Service Representative 57120 64600 72080 Insurance Authorization Specialist 55760 61540 67320 Intake/Admissions Specialist 54740 58140 63240 Patient Access/Services Specialist 51680 57120 62220 Medical Scheduler 52020 55080 59500 Medical Data Entry Specialist 49300 54400 60860 Insurance Verification Specialist 51000 57800 64600 Insurance Referral Coordinator 50320 54400 62220 Patient Registration Specialist 49980 58140 65280 Health Information Management Specialist 47260 53720 63920 Electronic Medical Records Specialist 45900 48960 53040

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