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Medical Credentialing Jobs in Tennessee (NOW HIRING)

Credentialing Specialist, Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant ... Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville ...

Overview Credentialing Specialist, Business Office Full Time, 80 Hours Per Pay Period, Day Shift ... Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville ...

OneOncology is positioning community oncologists to drive the future of medical care through a ... The Credentialing Specialist will report to OneOncology's Credentialing Supervisor . The ...

Managing credentialing, recredentialing, and licensure process for clinical staff with health ... Working knowledge of Medical Terminology * Strong organization and verbal communication skills ...

$23.27 - $32.60/hr

Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910397 URMC Medical Staff ... Communicates the status of expiring credentials, such as license, DEA, health reviews, PPD ...

$23.27 - $32.60/hr

Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910397 URMC Medical Staff ... Communicates the status of expiring credentials, such as license, DEA, health reviews, PPD ...

Credentialing Representative SpecialtyCare is a leading provider of clinical services to hospitals ... SpecialtyCare also offers a comprehensive benefit plan which includes, medical, dental, vision and ...

Maintain and update provider/producer records in credentialing databases with a high level of ... The benefits for this position include medical, dental, and vision coverage, paid time off ...

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Medical Credentialing information

See Tennessee salary details

$14

$23

$38

How much do medical credentialing jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for medical credentialing in Tennessee is $23.07, according to ZipRecruiter salary data. Most workers in this role earn between $17.69 and $25.96 per hour, depending on experience, location, and employer.

What is medical credentialing?

Medical credentialing is the process of verifying the qualifications, experience, and professional standing of healthcare providers before they are allowed to work at a medical facility or participate in insurance networks. This involves checking education, training, licensure, certifications, and work history. Credentialing helps ensure that patients receive care from qualified and competent professionals, and it is required by hospitals, clinics, and insurance companies to maintain high standards of care.

How long does it take to become a medical credentialing specialist?

Becoming a medical credentialing specialist typically requires completing a postsecondary certificate or associate degree, which can take from several months to two years. Gaining experience with healthcare documentation, insurance processes, and certification programs like the Certified Provider Credentialing Specialist (CPCS) can enhance job readiness and may influence the time to enter the field.

How to get into medical credentialing?

To enter medical credentialing, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary education or certifications in healthcare administration. Gaining experience with medical records, insurance processes, or healthcare compliance, along with strong organizational and communication skills, can improve job prospects. Certification programs in medical billing and coding can also enhance qualifications for credentialing roles.

What are the key skills and qualifications needed to thrive in medical credentialing, and why are they important?

To excel in Medical Credentialing, you need strong organizational skills, attention to detail, and knowledge of healthcare regulations, often supported by a bachelor's degree or relevant experience. Familiarity with credentialing software (such as CAQH, VerityStream, or MedTrainer), as well as understanding of accreditation standards and payer enrollment processes, is typically required. Excellent communication, problem-solving, and time management abilities help professionals manage complex documentation and interact effectively with healthcare providers and organizations. These skills ensure accuracy, compliance, and timely processing, which are crucial for maintaining provider eligibility and organizational reputation.

What is the difference between Medical Credentialing vs Medical Billing?

AspectMedical CredentialingMedical Billing
Required CredentialsCertifications in healthcare administration, compliance, or related fieldsKnowledge of coding, billing procedures, and insurance policies
Work EnvironmentHealthcare facilities, insurance companies, credentialing agenciesMedical offices, billing companies, healthcare providers
Employer & Industry UsageHospitals, clinics, physician practicesMedical practices, billing services, insurance companies

Medical Credentialing involves verifying healthcare providers' qualifications and licensing to ensure compliance, while Medical Billing focuses on processing insurance claims and managing payments. Both roles are essential in healthcare operations but serve different functions within the industry.

What are some common challenges faced in a medical credentialing role, and how can they be managed effectively?

Professionals in medical credentialing often encounter challenges such as tracking multiple provider applications, staying current with varying state and insurer requirements, and managing tight deadlines for renewals and verifications. To handle these, it's important to use organized tracking systems, regularly update process checklists, and communicate proactively with providers and payers. Building strong attention to detail and maintaining up-to-date knowledge of industry standards can help avoid delays and ensure compliance.

Is medical credentialing a hard job?

Medical credentialing can be challenging due to the detailed review of healthcare providers' qualifications, licenses, and certifications. It requires strong organizational skills, attention to detail, and familiarity with healthcare regulations and credentialing software. The job often involves managing multiple applications and deadlines, which can be demanding but manageable with experience and proper systems in place.

What does a medical credentialing specialist do?

A medical credentialing specialist is responsible for verifying healthcare providers' qualifications, licenses, certifications, and work history to ensure compliance with insurance companies and regulatory agencies. They manage the credentialing process, maintain accurate records, and often use specialized software to track provider credentials. Attention to detail and knowledge of healthcare regulations are essential for this role.
What are the most commonly searched types of Medical Credentialing jobs in Tennessee? The most popular types of Medical Credentialing jobs in Tennessee are:
What cities in Tennessee are hiring for Medical Credentialing jobs? Cities in Tennessee with the most Medical Credentialing job openings:
Infographic showing various Medical Credentialing job openings in Tennessee as of August 2026, with employment types broken down into 77% Full Time, 17% Part Time, and 6% Contract. Highlights an 83% In-person, and 17% Remote job distribution, with an average salary of $47,984 per year, or $23.1 per hour.

Medical Staff Credentialing Specialist

Lifepoint Health

Brentwood, TN • Remote

$20 - $25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago


LifePoint Health rating

6.0

Company rating: 6.0 out of 10

Based on 271 frontline employees who took The Breakroom Quiz

748th of 887 rated healthcare providers


Job description

Your experience matters

At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Lifepoint Business Services (LBS) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier .

More about our team

Our LBS Credentialing Support Services team is a highly detail-oriented, collaborative group that plays a critical role in supporting timely provider onboarding and patient care coverage across Lifepoint facilities. Working in a fully remote environment, team members operate with a high degree of independence while partnering closely with peers and facilities to manage urgent priorities, maintain compliance, and drive accurate verification. If you are organized, trustworthy, and motivated by meaningful work, you'll truly be part of something bigger with this team.

How you'll contribute

A Credentialing Support Services Specialist who excels in this role:

  • Process initial appointments, reappointments, and privileging applications for physicians and advanced practice providers in accordance with Medical Staff Bylaws, accreditation standards, and organizational policies.

  • Perform comprehensive primary source verification of licensure, education, training, board certification, work history, professional references, malpractice coverage, sanctions, and other credentialing requirements.

  • Prepare credentialing files for review by Medical Staff Services leadership, credentialing committees, Medical Executive Committees, and Governing Boards.

  • Maintain provider credentialing records within MD-Staff and other credentialing systems while ensuring accuracy and regulatory compliance.

  • Collaborate closely with Medical Staff Professionals, providers, facility leadership, and department stakeholders to obtain required documentation and resolve credentialing deficiencies.

  • Monitor provider expirables, including licenses, DEA registrations, board certifications, malpractice insurance, and other required credentials to ensure ongoing compliance.

  • Support privileging activities, including processing delineation of privileges forms and maintaining provider privilege records.

  • Ensure compliance with Joint Commission, CMS, NCQA, state regulatory requirements, and Medical Staff Bylaws.

  • Manage multiple credentialing files simultaneously while meeting established turnaround times and service level expectations.

  • Participate in quality assurance activities, audits, and process improvement initiatives to support credentialing accuracy and operational effectiveness.

What we're looking for

Applicants should have a high school diploma or equivalent, or combination of education and experience required for the job. Additional requirements include:

  • Minimum 2 years of provider credentialing experience required; hospital Medical Staff credentialing experience strongly preferred.

  • Experience credentialing physicians, advanced practice, or other licensed healthcare providers.

  • Experience performing primary source verification, provider file review, and credentialing compliance activities.

  • Knowledge of Joint Commission, CMS, NCQA, and Medical Staff credentialing standards preferred.

  • Experience supporting credentialing committees, Medical Executive Committees, privileging processes, or provider onboarding preferred.

  • Experience utilizing credentialing systems such as MD-Staff, CredentialStream, Cactus, Symplr, or similar credentialing platforms preferred.

  • Strong organizational skills with the ability to manage multiple provider files and competing deadlines simultaneously.

  • Demonstrated ability to work independently in a remote environment while maintaining productivity and quality standards.

Why join us 

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:

  • Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.

  • Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.

  • Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.

  • Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).

  • Professional Development: Ongoing learning and career advancement opportunities.

Pay range: $20 - $25 per hour.

EEOC Statement

Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

Employment Sponsorship Statement

You must be authorized to work in the United States without employer sponsorship.

Pay Transparency Notice (Washington State)

If you believe this job posting does not include accurate or complete pay information in accordance with the Washington State Equal Pay and Opportunities Act, please inform us immediately.  You can contact us at 833-271-4269 to report the issue.  For more information on your rights under Washington's pay transparency laws, visit the Washington State Department of Labor and Industries website at: https://lni.wa.gov

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.

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About LifePoint Health

Sourced by ZipRecruiter

Lifepoint Health serves patients, clinicians, communities and partners across the healthcare continuum. Our diversified healthcare delivery network extends from coast to coast, consisting of community hospitals, rehabilitation and behavioral health hospitals, and additional sites of care.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Brentwood, TN, US

Year founded

1999

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