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Credentialing Verifier Jobs in Tennessee (NOW HIRING)

At least 2+ years of credentialing or healthcare onboarding experience * Experience managing ... verification with commercial and government payers, preferred * Ability to stay organized and ...

At least 2+ years of credentialing or healthcare onboarding experience * Experience managing ... verification with commercial and government payers, preferred * Ability to stay organized and ...

Verify provider credentials, including licenses, certifications, education, training, and work history * Confirm board certifications and review malpractice history * Review pending credentialing ...

Schedule: Monday-Friday Day Shift Duration: 8 weeks with potential for extension Key Responsibilities: • Coordinate provider credentialing and re-credentialing processes • Verify licenses ...

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Credentialing Verifier information

See Tennessee salary details

$12

$22

$35

How much do credentialing verifier jobs pay per hour?

As of May 28, 2026, the average hourly pay for credentialing verifier in Tennessee is $22.11, according to ZipRecruiter salary data. Most workers in this role earn between $17.45 and $25.10 per hour, depending on experience, location, and employer.

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

To thrive as a Credentialing Verifier, you need strong attention to detail, organizational skills, and knowledge of credentialing standards, typically supported by a high school diploma or equivalent and sometimes additional certification in medical staff services. Familiarity with credentialing management software, databases, and document verification systems is essential. Excellent communication, time management, and problem-solving abilities are important soft skills for efficiently handling sensitive information and coordinating with healthcare providers. These skills ensure accurate and timely verification processes, supporting regulatory compliance and patient safety in healthcare organizations.

What are some common challenges faced by Credentialing Verifiers, and how can they be addressed?

Credentialing Verifiers often encounter challenges such as navigating complex documentation requirements, keeping up with changing regulations, and managing tight deadlines for provider onboarding. To address these, it helps to stay organized using tracking systems, maintain up-to-date knowledge of regulatory changes, and foster clear communication with providers and internal teams. Building strong attention to detail and time management skills is key to ensuring accuracy and timely completion of credentialing processes.

What are Credentialing Verifiers?

Credentialing Verifiers are professionals responsible for verifying the qualifications and credentials of healthcare providers, such as doctors, nurses, and therapists. They review documents such as licenses, certifications, education, and work history to ensure all providers meet the necessary standards and regulatory requirements. This process is essential for maintaining patient safety, compliance with laws, and the reputation of healthcare organizations. Credentialing Verifiers often work for hospitals, insurance companies, or third-party credentialing agencies.

What is the difference between Credentialing Verifier vs Credentialing Specialist?

AspectCredentialing VerifierCredentialing Specialist
Primary RoleVerify credentials and licenses of healthcare providersManage entire credentialing process, including application submission and approval
Work EnvironmentHealthcare organizations, insurance companiesHospitals, clinics, healthcare networks
Required CertificationsNone typically required, but familiarity with healthcare credentials helpsOften requires certifications like Certified Provider Credentialing Specialist (CPCS)

While both roles involve credential verification, Credentialing Verifiers focus primarily on checking credentials, whereas Credentialing Specialists oversee the full credentialing process. The Verifier role is more task-specific, often supporting Credentialing Specialists in healthcare settings.

What cities in Tennessee are hiring for Credentialing Verifier jobs? Cities in Tennessee with the most Credentialing Verifier job openings:

Credentialing Specialist

LifeLinc Corporation

Memphis, TN • On-site

Full-time

Posted 23 days ago


Job description

Overview
Position: Credentialing SpecialistReports to: VP of Human Resources or Operations
SUMMARYUnder general supervision, the Credentialing Specialist is responsible for a variety of tasks relating to healthcare provider credentialing. The Credentialing Specialist contacts providers and healthcare facilities to complete the credentialing process and maintain the status logs of applications. The Credentialing Specialist will be responsible for maintaining up-to-date provider files for all current and new providers according to the established departmental standards. This is not a remote position.
Responsibilities
CHARACTERISTIC JOB TASKS AND RESPONSIBILITIESMay include any and/or all of the following:
  • Complete ALL provider and facility credentialing applications.
  • Strong follow up with all submitted applications.
  • Application and reapplication for provider's State and DEA licenses. Strong follow up.
  • Maintain all renewal of licenses from our data base by sending out courtesy notifications of expiring licenses.
  • Interact professionally with providers and ancillary staff to provide appropriate and timely responses.
  • Verifications of providers' credentials using various websites and other forms of communication - state licenses, liability insurance, CDS and/or DEA certificates, education, hospital privileges, board certification, NPDB, OIG, etc.
  • Maintain neat and accurate records utilizing applicable software.
  • Maintain credentialing information by reviewing, entering, and following up on missing information.
  • Stay up-to-date on industry trends and credentialing tools and resources

KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS
  • Demonstrated ability to manage files or the collection and coordination of data
  • General computer literacy skills and knowledge of Microsoft Office applications
  • Utilize a high degree of independent decision-making regarding applicant credentials, skill level, and experience
  • Maintain a focus on accuracy
  • Ability to display professional interpersonal/human relations skills
  • Ability to think strategically and prioritize the day-to-day tasks in an efficient manner
  • Ability to maintain confidentiality
  • Ability to be flexible and adapt in a fast-paced environment with providers starting on short notice
  • Display a sense of motivation and initiative in all assigned duties and tasks

COMMUNICATION
  • Interact effectively and professionally with the LifeLinc team, management, facility administration, physicians, and other health care professionals
  • Work with coworkers to obtain required information on a timely basis and to solve outstanding issues, as appropriate
  • Promote and contribute positively to the teamwork of the department by assisting coworkers, contributing ideas, and problem-solving with colleagues
  • Ability to effectively provide regular updates and requested reporting as needed

COMPLIANCE AND HIPAA
  • Ensures and adheres to strict confidentiality when handling patient information, according to the HIPAA Privacy Act and hospital policy and procedure regarding confidentiality
  • Complies with all information security practices
  • Has knowledge of and adheres to all compliance regulations, policies and procedures
  • Completes annual Compliance and HIPAA exam

Qualifications
REQUIRED & PREFERRED QUALIFICATIONS
  • High school diploma or equivalent required
  • Two years of college experience preferred (emphasis on Business Administration or Healthcare Management)
  • Three years of credentialing experience preferred, including experience with applying for provider licensure
  • Experience using an online credentialing platform, preferably HealthStream/CredentialStream

PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit; use hands to type and use a computer mouse; and talk or hear. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.