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The graph below is a comparison of salary data for 10 jobs in Nashville, Tennessee, as provided by the free SalaryExpert® Salary Report and Salary Calculator. If you are a professional who requires compensation survey data for your work please consult ERI Economic Research Institute's Salary Assessor.

Credentialing Administrator:
Credentials and recredentials participating providers and facilities in the health plan. Analyzes and resolves complex provider issues relative to credentialing, enrollment, billing, and payers. Coordinates and performs enrollment of assigned providers and physicians in appropriate health plans to ensure satisfaction... [+] More

Credentialing Administrator:
Credentials and recredentials participating providers and facilities in the health plan. Analyzes and resolves complex provider issues relative to credentialing, enrollment, billing, and payers. Coordinates and performs enrollment of assigned providers and physicians in appropriate health plans to ensure satisfaction of the health plan requirement for acceptance. Typically requires a bachelor's degree in a health care field or be a Registered Health Information Administrator (RHIA). Typically requires experience sufficient to provide a working knowledge of NCQA and JCAHO.

Reviews and processes provider applications and determines eligibility by applying NCQA, JCAHO, and URAC standards as related to the network. Performs primary source verification for initial and recredentialing of assigned providers utilizing NCQA and other federal and state regulatory requirements. Communicates with providers regarding credentialing status and information. Creates and maintains participating provider or practitioner credentialing files. Reviews and analyzes provider file changes. Creates practitioner profiles for recredentialed practitioners. Prepares and sends application packets to participating providers and facility applicants, requesting the return of basic credentialing information. Reviews applications for completeness and assists the applicant in completing the application. Prepares routine credentialing reports. Reviews and monitors provider complaint and grievance files. (Source: eDOT Job Description) [-] Less

A renter's cost of living for someone making $55,137 in Nashville, Tennessee is 95.1% of the US National Average. For more information, or to compare cost of living data between two cities, click here.

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Credentialing Manager, Credentialing Supervisor, Administrator College, Medical Practice Administrator, College Administrator, Assisted Living Administrator, MRI Administrator, Nursing Home Assistant Administrator, Administrator Social Welfare, Credentialing Associate, Administrator School (Primary/High School), Compensation and Benefits Administrator, Historic Sites Administrator, Payroll Administrator, Quality Control Supervisor/Administrator, Fitness Center Administrator, Hospital Administrator, Medical Records Administrator, Contract Administrator, Database Administrator, IT Procurement Administrator, LAN/WAN Administrator, Regulatory Administrator, Systems Administrator, Unix Administrator, Web Administrator, Web Content Administrator, Wellness Program Administrator, Workers' Compensation Administrator, Benefits Administrator

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