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Credential Analyst Jobs in Tennessee (NOW HIRING)

Budget Analyst

Memphis, TN · On-site

$106.44K/yr

Analyzing and presenting financial data through word processing, spreadsheets, graphics, and ... You must show proof the education credentials have been deemed to be at least equivalent to that ...

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Credential Analyst information

See Tennessee salary details

$10

$25

$56

How much do credential analyst jobs pay per hour?

As of May 28, 2026, the average hourly pay for credential analyst in Tennessee is $25.06, according to ZipRecruiter salary data. Most workers in this role earn between $16.26 and $29.12 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Credential Analyst, and why are they important?

To thrive as a Credential Analyst, you need strong analytical skills, attention to detail, and knowledge of credential evaluation processes, often supported by a bachelor's degree in education or a related field. Familiarity with student information systems, transcript evaluation tools, and sometimes specialized software like Banner or PeopleSoft is typically required. Excellent communication, organizational skills, and the ability to interpret complex documentation help you excel in this role. These skills ensure accurate credential assessments, compliance with regulations, and efficient processing for academic or professional advancement.

What are some common challenges faced by Credential Analysts when evaluating international transcripts?

Credential Analysts often encounter challenges such as language barriers, varying educational systems, and differences in grading scales when evaluating international transcripts. Interpreting foreign credentials requires attention to detail, up-to-date knowledge of global education systems, and sometimes collaboration with translation services or credential evaluation agencies. Additionally, staying current with international education trends and changes is essential to ensure accurate assessments and maintain compliance with institutional or regulatory standards.

What are Credential Analysts?

Credential Analysts are professionals who review, evaluate, and verify academic and professional credentials to ensure that individuals meet specific requirements for certifications, licenses, or employment. They often work in educational institutions, government agencies, or credentialing organizations, helping to determine whether applicants have the necessary qualifications. Their duties may include assessing transcripts, verifying degrees, interpreting educational equivalencies, and ensuring compliance with relevant policies and regulations. Credential Analysts play a vital role in maintaining standards and integrity within education and professional fields.

What is the difference between Credential Analyst vs Background Check Specialist?

AspectCredential AnalystBackground Check Specialist
Required CredentialsTypically a bachelor's degree; certifications like CCA or CPE are commonHigh school diploma or equivalent; certifications vary but are less common
Work EnvironmentOffice setting, often in healthcare, education, or corporate sectorsOffice or remote, primarily in security, HR, or staffing agencies
Employer & Industry UsageHospitals, universities, corporations, government agenciesBackground screening companies, HR departments, staffing firms

Credential Analysts focus on verifying and evaluating professional credentials, licenses, and certifications, mainly in regulated industries. Background Check Specialists conduct comprehensive background screenings, including criminal, employment, and educational history. While both roles involve verification, Credential Analysts primarily handle credential validation, whereas Background Check Specialists perform broader background investigations.

Infographic showing various Credential Analyst job openings in Tennessee as of May 2026, with employment types broken down into 50% Full Time, and 50% Temporary. Highlights an 100% In-person job distribution, with an average salary of $52,120 per year, or $25.1 per hour.
Revenue Integrity Credentialing Specialist

Revenue Integrity Credentialing Specialist

West Tennessee Healthcare

Jackson, TN • On-site

Full-time

Posted 10 days ago


West Tennessee Healthcare rating

6.0

Company rating: 6.0 out of 10

Based on 77 frontline employees who took The Breakroom Quiz

708th of 864 rated healthcare providers


Job description

Category:
Admin Support
City:
Jackson
State:
Tennessee
Shift:
8 - Day (United States of America)
Job Description Summary:
This position is responsible for supporting management in all aspects of the credentialing and re-credentialing processes for organizational providers. Requires working knowledge of the Revenue Cycle and the importance of evaluating and securing all appropriate information between the providers and the health plans to maximize reimbursement to the health system. The Revenue Integrity Credentialing Analyst must have expert knowledge in credentialing and re-credentialing processes with major organizational networks to include: Medicare, Medicaid, TennCare MCO's, BCBS, Cigna, Aetna, United Healthcare, PHCS, Tricare. The Revenue Integrity Credentialing Analyst must also have knowledge of accounting, healthcare, general office procedures, standard PC word processing, payer website navigation, and spreadsheet applications, and be capable of communicating clearly and concisely, both verbally and in writing, with peers, supervisors, payers, physicians, patients, other departments, etc. The Revenue Integrity Credentialing Analyst is responsible for working with multiple payers' representatives in issue resolution, screening provider applications for additional information requirements, resolving outstanding credentialing issues, managing correspondence with payers and providers to ensure timely applications' processing and continuously working to improve aging of outstanding applications while minimizing controllable losses. This position assumes the clinical and financial risk of the organization when enrolling providers into organizational networks. Additional responsibilities include reconciling pending application records with pending claim inventories, assisting patients and organizational departments with network participation questions, and timely monitoring of CMS databases for upcoming provider revalidation processes. The Revenue Integrity Credentialing Analyst works directly with customers, physicians, and payer representatives to provide information and resolve issues in a highly responsive manner. Commitment to customer service and process improvement are critical to this position, as are communication and conflict resolution skills. The Revenue Integrity Credentialing Analyst must complete all initial and annual training relevant to the role and comply with all relevant laws, regulations, and policies.
Responsibilities
  • Process Coordinates initial provider enrollment processes with the administration and organizational provider representatives to include: completion of provider information packets, proper provider documentation for credentialing purposes, e.g., work history, state license, DEA, board certifications, etc.
  • Maintains and evaluates the timeliness of detailed credentialing information in the various system and online databases, spreadsheets, and shared drives.
  • Prepares, reviews, and submits credentialing and re-credentialing applications as required by insurance payers.
  • Analyzes specific payer and contract requirements, e.g., applications, forms, supporting documentation, and timelines.
  • Monitors and performs follow up on pending applications, forms required and other correspondence via phone, email, internet, and other available resources.
  • Obtains necessary approvals within the timeframe set forth by management and payer guidelines, including provider numbers, effective dates, and group information essential to the billing process.
  • Communicates provider participating status to administration and organizational provider representatives.
  • Updates credentialing database and project management tools to reflect information received via payer communication.
  • Evaluates and makes recommendations on issues pertaining to the enrollment process in order to maximize the use of organizational resources and to improve organizational efficiency.
  • Assesses any reimbursement issues related to provider enrollment and communicates findings to revenue cycle leadership.
  • Provides detailed status reports on pending providers, as well as any pending payer issues on a monthly basis to revenue cycle leadership and other organizational representatives.
  • Monitor, predict and develop action plans for potential and actual trending payer opportunities.
  • Retains, updates and stores credentialing documents for all providers as required by retention guidelines.
  • Ensures all supporting documentation is acquired and renewed with payers on a timely basis.
  • Updates and maintains current payer manuals and reference materials pertaining to provider enrollment and credentialing.
  • Serves as a liaison between providers, organizational provider representatives, payers, and administration for provider enrollment and credentialing.
  • Provides accurate credentialing information upon request for verification.
  • Represents the organization at monthly operations meetings.
  • Researches and maintains current knowledge of changing payer enrollment landscape including clinic versus hospital versus behavioral health requirements and others as directed by management.
  • Customer Service Assists customers regarding 'provider enrollment related' billing questions and ensures appropriate resolution of problems.
  • Keeps updated on changes with regulatory issues.
  • Communication Serves as contact for others regarding 'provider enrollment related' questions/account issue resolution.
  • Mentors and trains other staff as necessary regarding 'provider enrollment related' matters.
  • Communicates daily via the telephone or written communication with payers, patients, departments to obtain and provide all information for payers to process outstanding enrollment applications and pay claims quickly and accurately.
  • Other Takes personal accountability for professional growth and development.

QUALIFICATIONS:
EDUCATION:
  • High School Diploma required; completion of Bachelors degree preferred.

LICENSURE, REGISTRATION, CERTIFICATION:
  • N/A

EXPERIENCE:
  • At least twelve (12) months of healthcare-related experience (physician office, business office, and medical staff office) required.

NONDISCRIMINATION NOTICE STATEMENT
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, disability, religion, national origin, gender, gender identity, gender expression, marital status, sexual orientation, age, protected veteran status, or any other characteristic protected by law.

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