Credentialing Specialist
LHH · Nashville, Tennessee, United States
FULL TIME
Job Description
Credentialing Specialist
Is your CV ready If so, and you are confident this is the role for you, make sure to apply asap.
Location: Nashville, TNJob Type: Contract-to-HireIndustry: Healthcare
Our growing healthcare client in Nashville is seeking a highly organized and detail-oriented Credentialing Specialist to join their expanding team. This individual will play a critical role in ensuring healthcare providers are properly credentialed, enrolled, and compliant with regulatory, payer, and organizational requirements.
This is an excellent opportunity for a healthcare professional who thrives in a fast-paced environment and enjoys managing complex processes that directly support patient care and operational success.
Key ResponsibilitiesCoordinate initial credentialing, recredentialing, and provider enrollment activities for physicians, advanced practice providers, and other healthcare professionalsCollect, verify, and maintain provider credentials, including licenses, certifications, education, training, malpractice coverage, and work historyPrepare and submit credentialing applications to hospitals, health systems, insurance payers, and regulatory agenciesMonitor expiration dates and ensure timely renewal of provider licenses, certifications, DEA registrations, and other required documentationMaintain accurate provider records within credentialing databases and systemsRespond to credentialing inquiries from providers, payers, and internal stakeholdersTrack application status and follow up with insurance carriers and credentialing entities to resolve delaysCollaborate with provider relations, revenue cycle, medical staff, and operations teams to support onboarding and ongoing compliance
Qualifications3+ years of credentialing, provider enrollment, medical staff services, or healthcare administration experience preferredKnowledge of healthcare credentialing processes, payer enrollment, and provider licensing requirementsStrong knowledge of Medicare, Medicaid, and commercial payer enrollment proceduresProficiency with Microsoft Office, including Excel and OutlookExcellent organizational skills with strong attention to detailAbility to manage multiple deadlines and prioritize effectivelyStrong written and verbal communication skills
Benefit offerings include PTO, medical, dental, vision, life insurance, short-term disability, and 401K plan. Provides employees the flexibility to choose the type of coverage that meets their individual needs.
If you meet the qualifications above and this sounds like the opportunity for you, apply today! xzbcwsv Not quite what you're looking for? Check out the LHH website for more opportunities in your area!
Is your CV ready If so, and you are confident this is the role for you, make sure to apply asap.
Location: Nashville, TNJob Type: Contract-to-HireIndustry: Healthcare
Our growing healthcare client in Nashville is seeking a highly organized and detail-oriented Credentialing Specialist to join their expanding team. This individual will play a critical role in ensuring healthcare providers are properly credentialed, enrolled, and compliant with regulatory, payer, and organizational requirements.
This is an excellent opportunity for a healthcare professional who thrives in a fast-paced environment and enjoys managing complex processes that directly support patient care and operational success.
Key ResponsibilitiesCoordinate initial credentialing, recredentialing, and provider enrollment activities for physicians, advanced practice providers, and other healthcare professionalsCollect, verify, and maintain provider credentials, including licenses, certifications, education, training, malpractice coverage, and work historyPrepare and submit credentialing applications to hospitals, health systems, insurance payers, and regulatory agenciesMonitor expiration dates and ensure timely renewal of provider licenses, certifications, DEA registrations, and other required documentationMaintain accurate provider records within credentialing databases and systemsRespond to credentialing inquiries from providers, payers, and internal stakeholdersTrack application status and follow up with insurance carriers and credentialing entities to resolve delaysCollaborate with provider relations, revenue cycle, medical staff, and operations teams to support onboarding and ongoing compliance
Qualifications3+ years of credentialing, provider enrollment, medical staff services, or healthcare administration experience preferredKnowledge of healthcare credentialing processes, payer enrollment, and provider licensing requirementsStrong knowledge of Medicare, Medicaid, and commercial payer enrollment proceduresProficiency with Microsoft Office, including Excel and OutlookExcellent organizational skills with strong attention to detailAbility to manage multiple deadlines and prioritize effectivelyStrong written and verbal communication skills
Benefit offerings include PTO, medical, dental, vision, life insurance, short-term disability, and 401K plan. Provides employees the flexibility to choose the type of coverage that meets their individual needs.
If you meet the qualifications above and this sounds like the opportunity for you, apply today! xzbcwsv Not quite what you're looking for? Check out the LHH website for more opportunities in your area!
Details
| Company | LHH |
| Location | Nashville, Tennessee, United States |
| Type | FULL TIME |
| Niche | healthcare |