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Provider Credentialing Jobs in Tennessee (NOW HIRING)

One GI

Credentialing Specialist

Germantown, TN · On-site +1

Credentialing Specialist, OneGI Are you looking to join a company that values respect, integrity ... Do you want to be part of one of the nation's leading providers of gastroenterology care? If so ...

One GI, LLC

Credentialing Specialist

Germantown, TN

Credentialing Specialist, OneGI Are you looking to join a company that values respect, integrity ... Do you want to be part of one of the nation's leading providers of gastroenterology care? If so ...

OneOncology

Credentialing Specialist

Nashville, TN · On-site

The specialists will provide consistent, accurate, and timely credentialing support, enhancing the organizations ability to provide professional services. Work includes the accurate, timely and ...

Charlie Health

Credentialing Manager

Nashville, TN · Remote

About the Role The Credentialing & Provider Enrollment Manager will lead Charlie Health's credentialing function and the team of specialists responsible for health plan enrollment across Medicaid and ...

Covenant Health

CREDENTIALING SPEC

Knoxville, TN · On-site

Overview Credentialing Specialist, Business Office Full Time, 80 Hours Per Pay Period, Day Shift ... Enrolls new Facility and Physician Providers with Out of State Medicaid Payers: sends out and ...

Covenant Health

CREDENTIALING SPEC

Knoxville, TN

Credentialing Specialist, Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant ... Enrolls new Facility and Physician Providers with Out of State Medicaid Payers: sends out and ...

Armada Ltd

Credentialing Specialists

Memphis, TN · On-site

Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through ...

Armada Ltd

Credentialing Specialists

Nashville, TN · On-site

Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through ...

Armada Ltd

Credentialing Specialists

Franklin, TN · On-site

Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through ...

Armada Ltd

Credentialing Specialists

Franklin, TN

Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through ...

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All JobsProvider Credentialing JobsProvider Credentialing Jobs in Tennessee

Provider Credentialing information

See Tennessee salary details

$12

$22

$35

How much do provider credentialing jobs pay per hour?

As of Jul 18, 2026, the average hourly pay for provider credentialing 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 is provider credentialing?

Provider credentialing is the process by which healthcare organizations verify and assess the qualifications, experience, and professional background of medical providers, such as doctors, nurses, and specialists. This includes checking education, training, licenses, certifications, work history, and any malpractice or disciplinary actions. Credentialing ensures that providers meet the standards required to deliver care and are eligible for participation in health insurance networks. It is a critical step for patient safety and regulatory compliance. The process must be repeated periodically to maintain up-to-date records and ensure ongoing eligibility.

What are some common challenges faced in a Provider Credentialing role, and how can they be managed?

A common challenge in Provider Credentialing is managing multiple deadlines and ensuring all documentation is accurate and up to date for various healthcare providers. The process often involves coordinating with providers, insurance companies, and regulatory bodies, which can lead to delays if communication is not clear. Staying organized, maintaining detailed records, and using credentialing management software can help streamline workflow and reduce errors. Building strong relationships with providers and team members also aids in resolving issues quickly and efficiently.

What is the difference between Provider Credentialing vs Medical Billing Specialist?

AspectProvider CredentialingMedical Billing Specialist
Required CredentialsLicenses, certifications, provider credentialsBilling certifications, coding knowledge
Work EnvironmentHealthcare facilities, insurance companiesMedical offices, billing companies
Employer & Industry UsageHospitals, clinics, insurance providersMedical practices, billing firms
Search & Comparison IntentUnderstanding credentialing process, requirementsBilling procedures, coding, reimbursement

Provider Credentialing focuses on verifying healthcare providers' qualifications to ensure they meet industry standards, while Medical Billing Specialists handle coding, billing, and reimbursement processes. Both roles are essential in healthcare operations but serve different functions within the industry.

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

To thrive in Provider Credentialing, you need strong attention to detail, organizational skills, and knowledge of healthcare regulations, typically supported by a background in healthcare administration or related fields. Familiarity with credentialing software, databases, and compliance tools such as CAQH ProView and state licensure systems is essential. Exceptional communication, problem-solving, and time management skills help professionals interact with providers and manage complex documentation processes. These competencies ensure accurate provider verification, regulatory compliance, and efficient onboarding, which are critical for healthcare organizations.
What are the most commonly searched types of Provider Credentialing jobs in Tennessee? The most popular types of Provider Credentialing jobs in Tennessee are:
What are popular job titles related to Provider Credentialing jobs in Tennessee? For Provider Credentialing jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Provider Credentialing jobs in Tennessee look for? The top searched job categories for Provider Credentialing jobs in Tennessee are:
Provider Credentialing jobs near you
Credentialing Specialist

Credentialing Specialist

One GI

Germantown, TN • On-site, Remote

Other

Retirement, PTO

Posted 9 days ago

Job description

Credentialing Specialist, OneGI
Are you looking to join a company that values respect, integrity, accountability, and leadership? Do you want to be part of one of the nation's leading providers of gastroenterology care? If so, One GI® may be the place for you-come join our family!
We are currently seeking a well-versed Credentialing Specialist to join our growing team. The ideal candidate brings strong knowledge of credentialing processes, attention to detail, and a commitment to supporting high-quality patient care through accurate and timely provider credentialing.
Who We Are
One GI® is a true collaboration of top-tier clinical and business professionals, united by a shared focus on what matters most: our patients. Every team member plays a vital role, and your contributions will make a meaningful impact.
Awesome Perks, Just for You!
  • Excellent paid time off for a healthy work/life balance.
  • We've got your future in mind! With our generous 401(k) plan, we'll help you grow your nest egg with an employer match that makes saving for retirement even sweeter.
  • Looking to further your education? We want to help! We offer education reimbursement opportunities, with generous annual support based on your employment status.
  • Internal growth opportunities. We want to aide in your training and development.
  • Competitive health and supplemental benefits; with FSA and HSA options.
  • Love where you work? Spread the word! Refer a friend who'd be a great fit for One GI® and earn a special bonus when they join the team!

What you will do:
  • Review and screen initial and reappointment credentialing applications for completeness, accuracy, and compliance with federal, state, and local regulations, guidelines, policies, and standards.
  • Conduct primary source verification, collect, and validate documents to ensure accuracy of all credentialing elements; assess completeness of information and qualifications relative to credentialing standards.
  • Identify, analyze, and resolve information, discrepancies, time gaps and other idiosyncrasies that could adversely impact ability to credential and enroll practitioners; discover and convey problems to Credentialing Manager.
  • Maintain knowledge of current health plan and agency requirements for credentialing providers.
  • Track license and certification expirations for all providers to ensure timely renewals and assists in submitting license and DEA registration renewal applications where desired.
  • Assist in securing and maintaining enrollment with currently contracted plans as well as newly contracted plans upon identification.
  • Assist in securing and maintaining facility affiliation where appropriate.
  • Seek assistance from Payers regarding claims identified by the follow up team as having processed out of network.
  • Thorough knowledge of compliance with state and federal laws, including HIPAA, required.

What you bring:
  • High School Diploma or equivalent required
  • Minimum of two (2) years focused provider credentialing or provider enrollment experience.
  • Working knowledge of Provider Enrollment portals including but not limited to CAQH, NPDB, Identity & Access Management, NPPES, PECOS, and Availity.
  • Experience in performing primary data source verifications.
  • Specific knowledge of provider credentialing and payer enrollment process
  • Facility Credentialing/ Medical Staff Services experience, preferred.

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