Credentialing Specialist: PSV & Recredentialing Expert

Ardent Health; Nashville (TN); On-site; USD 42,000 - 65,000; Full time

Job summary

Ardent Health in Brentwood, Tennessee, is seeking a Credentialing Specialist to perform full primary source verification and assemble credentialing files across its hospitals and managed care network. The role focuses on accuracy, compliance, and timely processing.

You will query NPDB and exclusion databases, document results, manage expirables, support recredentialing cycles, and uphold audit-ready records while meeting defined productivity standards.

Qualifications

• 1+ years of experience with provider credentialing and primary source verification.
• Working knowledge of verification sources and credentialing documentation standards.
• Proficiency with credentialing software and standard office applications.

Responsibilities

• Perform full PSV and file construction for initial credentialing and recredentialing across Ardent facilities.
• Query NPDB and exclusion databases (OIG, SAM, state lists) and document results.
• Build complete credentialing files in credentialing software to established standards.
• Identify, document, and escalate discrepancies, gaps adverse findings, and unresolved verification issues.
• Manage assigned expirables inventory, initiating outreach and follow-up ahead of expiration dates.
• Support recredentialing cycles on the required cadence.
• Meet defined productivity and turnaround standards as determined by leadership.
• Maintain accurate, audit-ready documentation of every verification attempt and outcome.

Skills

Credentialing

Primary source verification

Credentialing software

Office apps

Job description

Ardent Health in Brentwood, Tennessee, is seeking a Credentialing Specialist to perform full primary source verification and assemble credentialing files across its hospitals and managed care network. The role focuses on accuracy, compliance, and timely processing.

You will query NPDB and exclusion databases, document results, manage expirables, support recredentialing cycles, and uphold audit-ready records while meeting defined productivity standards.