Healthcare Credentialing Specialist | Enroll & Compliance

LHH Recruitment Solutions; Nashville (TN); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

PTO

Medical insurance

Dental insurance

Vision insurance

Life insurance

Short-term disability

401K

Job summary

Nashville-based healthcare client is seeking a Credentialing Specialist to join their team. This role focuses on credentialing, enrollment, and ongoing compliance to support patient care and operational success.

Ideal candidates bring 3+ years in credentialing or healthcare administration, with strong knowledge of Medicare/Medicaid and payer enrollment, and proficiency in Microsoft Office.

Qualifications

• 3+ years of credentialing, provider enrollment, medical staff services, or healthcare administration experience preferred.
• Knowledge of healthcare credentialing processes, payer enrollment, and provider licensing requirements.
• Strong knowledge of Medicare, Medicaid, and commercial payer enrollment procedures.
• Proficiency with Microsoft Office, including Excel and Outlook.

Responsibilities

• Coordinate initial credentialing, recredentialing, and provider enrollment activities for physicians, advanced practice providers, and other healthcare professionals.
• Collect, verify, and maintain provider credentials, including licenses, certifications, education, training, malpractice coverage, and work history.
• Prepare and submit credentialing applications to hospitals, health systems, insurance payers, and regulatory agencies.
• Monitor expiration dates and ensure timely renewal of provider licenses, certifications, DEA registrations, and other required documentation.
• Maintain accurate provider records within credentialing databases and systems.
• Respond to credentialing inquiries from providers, payers, and internal stakeholders.
• Track application status and follow up with insurance carriers and credentialing entities to resolve delays.
• Collaborate with provider relations, revenue cycle, medical staff, and operations teams to support onboarding and ongoing compliance.

Skills

Organizational skills

Attention to detail

Communication skills

multitasking

Tools

Microsoft Office Suite

Excel

Outlook

Job description

Nashville-based healthcare client is seeking a Credentialing Specialist to join their team. This role focuses on credentialing, enrollment, and ongoing compliance to support patient care and operational success.

Ideal candidates bring 3+ years in credentialing or healthcare administration, with strong knowledge of Medicare/Medicaid and payer enrollment, and proficiency in Microsoft Office.