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Provider Credentialing Jobs in Tennessee (NOW HIRING)

Hcsc

Network Ops Coordinator II

Nashville, TN · Hybrid

$47K - $86K/yr

Job Summary This position is responsible for the contracting, credentialing, and maintenance of Professional Provider Data to support Marketing, Membership and Network Contracting across all lines of ...

Elevance Health

Credentialing Associate

Nashville, TN · On-site

$19.63 - $32.12/hr

Credentialing Associate Hybrid: This role requires associates to be in-office 1 - 2 days per week ... providing flexibility to support productivity and work-life balance. This approach combines ...

New

University of Rochester

$23.27 - $32.60/hr

Communicates the status of applicant files directly to providers and various department ... Communicates the status of expiring credentials, such as license, DEA, health reviews, PPD ...

CVS Health

Credentialing Specialist

Franklin, TN

$17 - $28.46/hr

Reviews analyzes, evaluates, validates provider/producer information against business/credentialing requirements and maintains information on Credentialing databases. Supports extensive research and ...

University of Rochester

$23.27 - $32.60/hr

Communicates the status of applicant files directly to providers and various department ... Communicates the status of expiring credentials, such as license, DEA, health reviews, PPD ...

University of Rochester

$61K - $85K/yr

Data Management: * Assist in conducting audits of the credentialing database to ensure accurate input and modification of provider data. * Maintain knowledge of state and federal statutory ...

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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 Aug 7, 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.

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.

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, and familiarity with credentialing software and industry standards is beneficial. Entry-level roles often require a high school diploma or equivalent, with some positions preferring an associate's or bachelor's degree.

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
Infographic showing various Provider Credentialing job openings in Tennessee as of July 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 71% Full Time, 12% Part Time, and 14% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $45,984 per year, or $22.1 per hour.

Credentialing Representative

Specialy Care

Brentwood, TN • On-site

$48K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 1 hour ago

Job description

Passionate, driven people dedicated to making a difference in healthcare.
SpecialtyCareis a leading provider of clinical services to hospitals. We partner with hospitals to drive, sustain, and accelerate high performance. We offer a portfolio of solutions that include neuromonitoring, perfusion, surgical assist, autotransfusion, minimally invasive surgical support, and sterile processing. SpecialtyCare's clinicians focus their efforts to improve operational efficiencies, improve outcomes, and maintain exceptional levels of satisfaction. We compete on results.
Job Summary
The Credentialing Representative is part of a collaborative team, and has the flexibility to work on a hybrid schedule in Brentwood,TN. We offer a pay increase after 90 days of employment and successful completion of training. SpecialtyCare also offers a comprehensive benefit plan which includes, medical, dental, vision and life insurance. We have a matching 401k and generous PTO plan. We also provide continuing education and professional development reimbursement.
To learn more about what a "day in the life" would look like, please follow the link to read what one of our Senior Credentialing Representatives has to say about what she does:
A Day in the Life of a Credentialing Representative
The primary role of this position is the collection and maintenance of all information for associate credentialing files for meeting the Joint Commission requirements for the Health Care Staffing Services certification or Joint Commission Accreditation for Ambulatory Health.

  • Processes and maintains the confidential credentialing files for each associate; including evaluation for completeness.
  • Collaborates with clinical management and credentialing staff to obtain missing information as needed.
  • Completes accurate and timely data entry into the credentialing database program (Verity) to ensure all associate files are up to date.
  • Replies timely to all requests for credentialing items and/or inquiries from operations and hospital clients.
  • Completes credentialing file requests for outlying facilities.
  • Basic office functions such as phones, mail, filing, and copying
  • Other duties as assigned.

The Successful Candidate
The successful candidate must bring a high level of ethical, intellectual, professional and personal values that complement the team and company vision. The following competencies are highly valued:
  1. Get Results - Able to demonstrate high personal work standards and a sense of urgency about results; do everything possible to meet goals and deadlines; persist in the face of repeated challenges; accept responsibility for the outcomes of their own work.
  2. Problem Solving and Analysis - Able to gather appropriate data and diagnose the cause of a problem before taking action; separate causes from symptoms; apply lessons learned from others who encountered similar problems or challenges; anticipate problems and develop contingency plans to deal with them; develop and evaluate alternative courses of action.
  3. Flexibility and Change - Able to positively deal with changes that affect job requirements; adapt to shifting priorities in response to the needs of internal and external clients; quickly recognize situations/conditions where change is needed; work to clarify situations where information, instructions, or objectives are ambiguous; support organizational change.
  4. Attention to Detail - Able to review data/documents for accuracy and consistency; take action to prevent mistakes; follow procedures closely; keep records accurate and up to date; test services/applications rigorously when needed.
  5. Relationship Building - Able to establish personal standards of quality for own work; independently improve the quality of own work processes, products, and/or services; identify and apply "best practices" in own work; improve the efficiency of own work by eliminating barriers and streamlining work processes; measure and track own performance.

Salary starts at $45,000 and then advances to $48,000 after 90 days of employment.
SpecialtyCare is an Equal Opportunity and Affirmative Action Employer
Employment with SpecialtyCare is at-will
SC Corp

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