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Provider Credentialing Jobs in Tennessee (NOW HIRING)

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

Credentialing Specialist

Nashville, TN · On-site

$27.88 - $31.25/hr

Kyo is a leading provider of Applied Behavior Analysis (ABA) therapy, dedicated to empowering ... Managing credentialing, recredentialing, and licensure process for clinical staff with health ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

Akumin is a leading provider of outpatient radiology and oncology services, partnering with top ... Provide credentialing progress updates on new hires and existing Team Member to Recruiters ...

Akumin is a leading provider of outpatient radiology and oncology services, partnering with top ... Provide credentialing progress updates on new hires and existing Team Member to Recruiters ...

This position supports credentialing services for federal personnel and contractors while providing leadership and operational support to credentialing teams. Key Responsibilities * Support ...

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Provider Credentialing information

See Tennessee salary details

$12

$22

$35

How much do provider credentialing jobs pay per hour?

As of Sep 3, 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 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 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.

How to get into provider credentialing?

To enter provider credentialing, candidates typically need a background in healthcare administration, medical billing, or related fields, along with strong organizational and communication skills. Gaining certification such as the Certified Provider Credentialing Specialist (CPCS) can enhance job prospects. Familiarity with healthcare regulations and credentialing software is also beneficial.

Is provider credentialing hard?

Provider credentialing can be a complex process that involves verifying a healthcare professional’s qualifications, licenses, and work history, often requiring attention to detail and organization. It typically involves working with multiple organizations and adhering to specific regulations, which can make the process time-consuming and challenging for some providers. Strong communication skills and familiarity with credentialing software can help streamline the process.

What does a provider credentialing specialist do?

A provider credentialing specialist is responsible for verifying healthcare providers' qualifications, licenses, and certifications to ensure they meet the standards required by insurance companies and healthcare organizations. They manage the credentialing process, maintain accurate provider records, and ensure compliance with regulatory requirements, often using specialized credentialing software. This role requires attention to detail, knowledge of healthcare regulations, and strong organizational skills.

What are the most commonly searched types of Provider Credentialing jobs in Tennessee?

The most popular types of Provider Credentialing jobs in Tennessee are:

Infographic showing various Provider Credentialing job openings in Tennessee as of August 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 75% Full Time, 16% Part Time, 5% Contract, and 1% Nights. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $45,984 per year, or $22.1 per hour.

Credentialing & Enrollment Specialist

Matter Healthcare

Nashville, TN • On-site

$60 - $75/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New


Job description

About Matter Health

Matter Health delivers primary and preventive healthcare directly to older adults living in affordable housing communities. Our mission is simple: to improve healthcare access by meeting patients where they are and building trusted relationships within the communities we serve. As we rapidly expand across the country, we are building a team of mission-driven professionals who thrive in fast-paced, collaborative environments.

Total Healthcare. Where you live.

About the Role

Matter Health is seeking an experienced Credentialing & Enrollment Specialist to join our growing team. In this role, you will manage the credentialing, enrollment, and ongoing maintenance of our physicians and advanced practice providers across multiple markets.

As a key member of our Credentialing & Enrollment team, you will ensure providers are credentialed, enrolled, and prepared to deliver care. You will collaborate closely with Clinical Operations, Revenue Cycle, Compliance, Human Resources, and external payer organizations.

This position is ideal for someone who takes ownership, thrives in a detail-oriented environment, and excels at keeping complex processes organized from start to finish. You will play a critical role in supporting Matter Health’s continued growth by guiding providers through the credentialing and enrollment lifecycle.

Responsibilities
  • Manage all aspects of provider credentialing, recredentialing, and payer enrollment activities from start to finish
  • Prepare, submit, monitor, and maintain Medicare, Medicaid, and commercial payer enrollment applications
  • Maintain provider records in CAQH, PECOS, NPPES, and other relevant information systems
  • Track credentialing and enrollment timelines to ensure providers are approved and ready to practice
  • Coordinate provider demographic updates, revalidations, and enrollment changes with payer organizations
  • Monitor application status and proactively resolve credentialing and enrollment issues
  • Maintain accurate provider records and organize credentialing documentation
  • Collaborate closely with Clinical Operations, Compliance, Revenue Cycle, HR, and external organizations throughout the credentialing process
  • Ensure compliance with internal policies, regulatory requirements, and payer guidelines
  • Identify and implement opportunities to improve credentialing workflows, documentation, and operational efficiency
  • Support organizational growth by credentialing providers across new and existing markets
Qualifications
  • 3+ years of provider credentialing and payer enrollment experience preferred
  • Demonstrated experience independently managing credentialing and enrollment from application to approval
  • Working knowledge of Medicare, Medicaid, and commercial payer enrollment processes
  • Experience using CAQH, PECOS, NPPES, Availity, and payer enrollment portals
  • Strong understanding of credentialing documentation requirements and provider lifecycle management
  • Excellent organizational skills with the ability to manage multiple providers and deadlines simultaneously
  • Meticulous attention to detail and a commitment to accuracy
  • Exceptional written and verbal communication skills
  • Ability to work independently while collaborating across multiple departments
  • Proficiency with Microsoft Office, including Excel
Preferred Qualifications
  • Experience within value-based care, primary care, physician groups, or Medicare Advantage organizations
  • Experience supporting multi-state credentialing and enrollment
  • Familiarity with delegated credentialing programs
  • Experience working with advanced practice providers and physicians
  • Knowledge of credentialing software and provider database management
  • Process improvement or workflow optimization experience
What Success Looks Like
  • Managing provider credentialing and payer enrollment with minimal supervision
  • Maintaining accurate credentialing records and consistently meeting deadlines
  • Building strong partnerships with providers, payers, and internal stakeholders
  • Identifying and implementing enhancements to credentialing and enrollment processes
  • Supporting Matter Health’s continued expansion by efficiently credentialing and enrolling providers
  • Delivering exceptional service while maintaining compliance and operational excellence
Work Location

This role follows a hybrid work schedule. Team members are expected to work onsite at our Nashville office on a regular basis, with the flexibility to work remotely as well. Specific in-office days may be determined in collaboration with your manager.

Why Matter Health

We believe where someone lives should never determine the healthcare they receive. Every team member at Matter Health plays an important role in expanding healthcare access for older adults living in affordable housing communities. Our work removes barriers to care and improves lives through relationship-based healthcare.

If you are passionate about supporting providers, improving healthcare operations, and contributing to a mission-driven organization, we want to meet you.

Total Healthcare. Where you live.

Working at Matter Health

We are committed to supporting the whole person—at work and beyond. Full-time team member benefits begin the first of the month following your start date.

Health & Wellness
  • Medical, dental, and vision coverage
  • Employer-funded HSA and FSA options
  • Employer-paid life and disability insurance
  • Voluntary illness, accident, and hospitalization coverage
  • Access to Matter Health’s in-person and virtual care services
Financial Security
  • Competitive compensation
  • 401(k) with company match beginning at Day 60
  • Access to financial wellness resources
Time Away
  • Up to 4 weeks of Paid Time Off
  • 10 paid company holidays
  • 2 volunteer days annually
Equal Opportunity Employer

Matter Health is an equal opportunity employer committed to building a diverse and inclusive workplace. We welcome applicants from all backgrounds and experiences and are dedicated to creating an environment where every team member feels valued, respected, and supported.

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