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Provider Enrollment Credentialing Jobs in Tennessee

Tennessee Retina

Credentialing Specialist

Nashville, TN · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Prepares and submits provider enrollment and re-enrollment applications to applicable payers in order to obtain and maintain provider participation status. * Handles all credentialing functions ...

New

University of Rochester

$19.04 - $26.63/hr

Communicates status of files or other payer enrollment/credentialing information directly to providers, various department representatives, and/or outside organizations, clients or affiliates.

University of Rochester

$19.04 - $26.63/hr

Communicates status of files or other payer enrollment/credentialing information directly to providers, various department representatives, and/or outside organizations, clients or affiliates.

USPI, INC.

Credentialing Coordinator PRN

Nashville, TN · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Minimum of 2 years of experience in credentialing or provider enrollment * Knowledge of relevant federal and state regulations * Proficiency with credentialing software and databases * Strong ...

New

Fast Pace Health

Payer Enrollment Specialist

Franklin, TN · On-site

  • Medical

  • Dental

  • Vision

  • PTO

The Payer Enrollment Specialist facilitates all aspects of Fast Pace's credentialing, including initial provider enrollments, reassignments, and maintenance updates, as well as the enrolling of ...

Fast Pace Health

Payer Enrollment Specialist

Franklin, TN · On-site

  • Medical

  • Dental

  • Vision

  • PTO

The Payer Enrollment Specialist facilitates all aspects of Fast Pace's credentialing, including initial provider enrollments, reassignments, and maintenance updates, as well as the enrolling of ...

Fast Pace Health

Payer Enrollment Specialist

Franklin, TN · On-site

  • Medical

  • Dental

  • Vision

  • PTO

The Payer Enrollment Specialist facilitates all aspects of Fast Pace's credentialing, including initial provider enrollments, reassignments, and maintenance updates, as well as the enrolling of ...

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All JobsProvider Enrollment Credentialing JobsProvider Enrollment Credentialing Jobs in Tennessee

Provider Enrollment Credentialing information

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$12

$22

$35

How much do provider enrollment credentialing jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for provider enrollment 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 enrollment credentialing?

Provider enrollment credentialing is the process by which healthcare professionals and organizations are verified and approved to participate with insurance plans, government programs, and other payers. It involves collecting and validating information such as education, licenses, certifications, and work history to ensure providers meet specific standards. This process helps maintain the quality of care and compliance with regulations. Credentialing is essential for providers to be reimbursed for services and to ensure patient safety. The process can be lengthy and requires continual updates to maintain participation.

What are some common challenges faced in a provider enrollment credentialing role, and how can they be addressed?

One of the main challenges in Provider Enrollment Credentialing is managing complex and ever-changing payer requirements, which can vary significantly between insurance companies and states. This often requires strong organizational skills and meticulous attention to detail to ensure timely and accurate submission of documentation. Effective communication with providers and payers is essential to resolve discrepancies quickly. Staying up-to-date with regulatory changes and maintaining a well-organized tracking system can help address these challenges and ensure a smoother credentialing process.

What is the difference between Provider Enrollment Credentialing vs Provider Enrollment Specialist?

AspectProvider Enrollment CredentialingProvider Enrollment Specialist
Primary RoleVerifies provider credentials, licenses, and certifications for insurance enrollmentManages the enrollment process, submits applications, and maintains provider records
Required CredentialsLicenses, certifications, and credentialing documentsKnowledge of enrollment procedures and documentation
Work EnvironmentHealthcare organizations, credentialing companiesInsurance companies, healthcare provider offices

Provider Enrollment Credentialing focuses on verifying provider qualifications, while Provider Enrollment Specialists handle the application process and ongoing enrollment management. Both roles are essential in ensuring providers are properly credentialed and enrolled with insurance plans.

What are the key skills and qualifications needed to thrive as a provider enrollment credentialing specialist?

To thrive as a Provider Enrollment Credentialing Specialist, you need strong attention to detail, organizational skills, and a solid understanding of healthcare compliance and credentialing regulations, often supported by a relevant associate's or bachelor's degree. Familiarity with credentialing software, provider databases, and systems like CAQH, as well as knowledge of payer enrollment processes, is typically required. Excellent communication, problem-solving abilities, and the capacity to manage multiple tasks efficiently are standout soft skills in this role. These skills ensure accurate and timely provider enrollment, compliance with regulatory standards, and smooth healthcare operations.

What are popular job titles related to Provider Enrollment Credentialing jobs in Tennessee?

For Provider Enrollment Credentialing jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Provider Enrollment Credentialing jobs in Tennessee look for?

The top searched job categories for Provider Enrollment Credentialing jobs in Tennessee are:

Provider Enrollment Credentialing jobs near you
Infographic showing various Provider Enrollment Credentialing job openings in Tennessee as of August 2026, with employment types broken down into 90% Full Time, 5% Part Time, and 5% Nights. Highlights an 79% In-person, and 21% Remote job distribution, with an average salary of $45,984 per year, or $22.1 per hour.

Provider Enrollment Specialist

LifeLinc Anesthesia

Memphis, TN • On-site

Full-time

Re-posted 6 days ago

Job description

SUMMARY
Under general supervision, the Enrollment Specialist is responsible for a variety of tasks relating to healthcare provider enrollment. The Enrollment Specialist contacts providers along with government and commercial payers to complete the enrollment process and maintain the status logs of applications.  Additionally, the enrollment specialist communicates with the billing department to resolve provider enrollment items.
EDUCATION AND EXPERIENCE

High school diploma or equivalent required

Two years of college experience preferred (emphasis on Business Administration or Healthcare Management) OR three to five years of enrollment experience

CHARACTERISTIC JOB TASKS AND RESPONSIBILITIES
May include any and/or all of the following:

  • Complete and maintain ALL provider enrollment applications (government and commercial)
  • Strong follow up with submitted applications for all payors
  • Have knowledge of provider enrollment processes across several states, primarily AR, CO, DE, GA, KY, MD, MI, MS, NV, OH, TN and TX
  • Interact professionally with providers and ancillary staff to provide appropriate and timely responses
  • Work closely with billing team to identify and resolve enrollment billing issues
  • Provide routine and thorough enrollment updates to the billing team to identity and resolve enrollment billing issues in a timely manner.
  • Completes all enrollment requirements within 90 to 120 days from the time a provider’s credentialing/enrollment applications are received unless otherwise notated.
  • Can navigate Verity to load, run bolt reports and create forms on provider data.
  • Maintain providers in Avid and the hold queue to release all holds for providers as approved by payers and make sure that claims have been filed once hold has been released.
  • Interact with payers to research, request and obtain initial payer contracts for enrollment.
  • Ability to work in a fast-paced environment

KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS

  • Excellent organizational skills and attention to detail.
  • Ability to think strategically and prioritize the day-to-day tasks in an efficient manner 
  • Ability to maintain a high level of confidentiality
  • Display a sense of motivation and initiative in all assigned duties and tasks

COMMUNICATION

  • Interact effectively with the LifeLinc team, management, colleagues, physicians, and other health care professionals
  • Work with coworkers to obtain required information on a timely basis and to solve outstanding issues, as needed.
  • Promote and contribute positively to the teamwork of the department by assisting coworkers, contributing ideas and problem-solving with colleagues
  • Any other duties as assigned

COMPUTER SKILLS

  • To perform this job successfully, an individual should have general computer literacy skills and knowledge of Microsoft Office applications.

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.

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