Top 11 Credentialing specialist Jobs in Memphis, Tn

Credentialing Specialist
One GI —Germantown, TN
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
- Health savings account
- Health insurance
Quick Apply
Senior Managed Care Specialist( Provider Enrollment )
St. Jude Children's Research Hospital —Memphis, TN
- $29.00 - $50.50 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Epic
- Paid time off
HSPD-12: Government Badging & Credentialing Specialist (Memphis, TN.*)
Citizant Inc —Memphis, TN
- $38,700 - $42,100 a year
- Full-time
- Administrative experience
- High school diploma or GED
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
Credentialing Specialist
One Federal Solution —Memphis, TN
- Customer service
- Mid-level
- Administrative experience
Quick Apply
16h
Credentialing Specialist - Full Time - Germantown, TN
West Cancer Center —Memphis, TN
- Full-time
- Microsoft Excel
- Ability to walk for extended periods
- Writing skills
Quick Apply
10d
HSPD-12: Government Badging & Credentialing Specialist - Site Lead (Memphis)
Citizant Inc —Memphis, TN
- Full-time
- Office
- High school diploma or GED
- Bachelor's degree
- Disability insurance
- Health insurance
Quick Apply
Provider Enrollment Specialist
LifeLinc Anesthesia —Memphis, TN
- Full-time
- Computer literacy
- Research
- Mid-level
Quick Apply
Credentialing Specialist
LifeLinc Corporation —Memphis, TN
- Full-time
- Computer literacy
- HIPAA
- Mid-level
Specialist-Payer Enrollment
Baptist Memorial Health Care —Memphis, TN
- Mid-level
- High school diploma or GED
- Organizational skills
Provider Enrollment Specialist | FT | Weekdays | Le Bonheur | Hybrid | Memphis
Methodist Le Bonheur Healthcare —Memphis, TN
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
Quick Apply

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Credentialing Specialist
One GI —Germantown, TN
Track license and certification expirations for all providers to ensure timely renewals and assists in submitting license and DEA registration renewal…
Quick Apply

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Credentialing Specialist
Kyo —Columbus, OH
Managing credentialing, recredentialing, and licensure process for clinical staff with health insurance plans, certification boards and other agencies.
$27.88 - $31.25 an hour
Quick Apply
2d
Insurance Credentialing Specialist
TOTAL CARE THERAPY LLC —Dublin, OH
Associate's or Bachelor's degree in Healthcare Administration, Business, or a related field. Verify provider credentials and ensure compliance with payer, state…
$50,000 - $65,000 a year
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10d

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Credentialing Specialist

One GI -
Germantown, TN

Quick Apply

Job Details

Benefits

Health savings account
Health insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off

Qualifications

HIPAA
High school diploma or GED
Health information regulatory compliance

Full Job Description

Credentialing Specialist, OneGI

Are you looking to join a company that values respect, integrity, accountability, and leadership? Do you want to be part of one of the nation’s leading providers of gastroenterology care? If so, One GI® may be the place for you—come join our family!

We are currently seeking a well-versed Credentialing Specialist to join our growing team. The ideal candidate brings strong knowledge of credentialing processes, attention to detail, and a commitment to supporting high-quality patient care through accurate and timely provider credentialing.

Who We Are

One GI® is a true collaboration of top-tier clinical and business professionals, united by a shared focus on what matters most: our patients. Every team member plays a vital role, and your contributions will make a meaningful impact.

Awesome Perks, Just for You!

Excellent paid time off for a healthy work/life balance.
We’ve got your future in mind! With our generous 401(k) plan, we’ll help you grow your nest egg with an employer match that makes saving for retirement even sweeter.
Looking to further your education? We want to help! We offer education reimbursement opportunities, with generous annual support based on your employment status.
Internal growth opportunities. We want to aide in your training and development.
Competitive health and supplemental benefits; with FSA and HSA options.
Love where you work? Spread the word! Refer a friend who’d be a great fit for One GI® and earn a special bonus when they join the team!

What you will do:

Review and screen initial and reappointment credentialing applications for completeness, accuracy, and compliance with federal, state, and local regulations, guidelines, policies, and standards.
Conduct primary source verification, collect, and validate documents to ensure accuracy of all credentialing elements; assess completeness of information and qualifications relative to credentialing standards.
Identify, analyze, and resolve information, discrepancies, time gaps and other idiosyncrasies that could adversely impact ability to credential and enroll practitioners; discover and convey problems to Credentialing Manager.
Maintain knowledge of current health plan and agency requirements for credentialing providers.
Track license and certification expirations for all providers to ensure timely renewals and assists in submitting license and DEA registration renewal applications where desired.
Assist in securing and maintaining enrollment with currently contracted plans as well as newly contracted plans upon identification.
Assist in securing and maintaining facility affiliation where appropriate.
Seek assistance from Payers regarding claims identified by the follow up team as having processed out of network.
Thorough knowledge of compliance with state and federal laws, including HIPAA, required.

What you bring:

High School Diploma or equivalent required
Minimum of two (2) years focused provider credentialing or provider enrollment experience.
Working knowledge of Provider Enrollment portals including but not limited to CAQH, NPDB, Identity & Access Management, NPPES, PECOS, and Availity.
Experience in performing primary data source verifications.
Specific knowledge of provider credentialing and payer enrollment process
Facility Credentialing/ Medical Staff Services experience, preferred.

Quick Apply

Refine Your Search

credentialing specialist jobs in memphis, tn

Credentialing Specialist

Senior Managed Care Specialist( Provider Enrollment )

HSPD-12: Government Badging & Credentialing Specialist (Memphis, TN.*)

Credentialing Specialist

Credentialing Specialist - Full Time - Germantown, TN

HSPD-12: Government Badging & Credentialing Specialist - Site Lead (Memphis)

Provider Enrollment Specialist

Credentialing Specialist

Specialist-Payer Enrollment

Provider Enrollment Specialist | FT | Weekdays | Le Bonheur | Hybrid | Memphis

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