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Credentialing Associate Jobs in Texas (NOW HIRING)

Parallon

Credentialing Specialist II

Houston, TX · On-site

Associate's degree or equivalent work experience. Bachelor's degree preferred * 5+ years' experience in healthcare credentialling with Parallon or HCA required * Experience with Credentialing ...

Bracane Co

Credentials Liaison Specialist

Plano, TX

Surveys Audits Accreditation reviews Regulatory inspections Maintain credentialing dashboards and compliance tracking systems Qualifications Education Associate?s or Bachelor?s degree in: Healthcare ...

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Credentialing Associate information

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$22

$36

How much do credentialing associate jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for credentialing associate in Texas is $22.69, according to ZipRecruiter salary data. Most workers in this role earn between $17.93 and $25.77 per hour, depending on experience, location, and employer.

What is a credentialing associate?

Credentialing Associates are professionals who manage and verify the qualifications and credentials of healthcare providers, such as doctors and nurses, to ensure they meet all necessary standards and regulations. Their responsibilities include collecting, verifying, and maintaining documentation like licenses, certifications, and work history. They play a crucial role in healthcare organizations by ensuring that only qualified providers are allowed to deliver patient care, helping maintain patient safety and regulatory compliance.

What are the key skills and qualifications needed to thrive as a credentialing associate, and why are they important?

To thrive as a Credentialing Associate, you need strong organizational skills, attention to detail, and familiarity with credentialing processes, typically supported by a high school diploma or relevant associate degree. Proficiency in credentialing management software, databases, and knowledge of regulatory standards such as NCQA or The Joint Commission is important. Excellent communication, time management, and problem-solving abilities help you effectively interact with providers and resolve documentation issues. These skills ensure accurate and timely credentialing, compliance with regulations, and the smooth onboarding of healthcare professionals.

What are some common challenges credentialing associates face when verifying practitioner credentials, and how can they be addressed?

Credentialing Associates often encounter challenges such as missing or incomplete documentation, discrepancies in practitioner information, and delays in responses from licensing boards or references. To address these issues, it is essential to develop strong organizational skills, maintain diligent follow-ups, and utilize checklists or credentialing software to track progress. Collaborating closely with providers and other team members also helps streamline the process and resolve issues efficiently.

What is the difference between Credentialing Associate vs Credentialing Specialist?

AspectCredentialing AssociateCredentialing Specialist
Required CredentialsHigh school diploma or equivalent; some roles may prefer certificationHigh school diploma or equivalent; certification often preferred
Work EnvironmentHealthcare organizations, insurance companies, or credentialing firmsHealthcare facilities, insurance companies, or credentialing agencies
Employer & Industry UsageCommonly used in healthcare and insurance sectorsWidely used in healthcare credentialing departments
Search & Comparison IntentOften compared for entry-level roles or career progressionCompared for specialized credentialing tasks

The Credentialing Associate and Credentialing Specialist roles share similar environments and required credentials, often involving healthcare or insurance organizations. The main difference lies in scope: Credentialing Specialists typically handle more complex credentialing processes and may require more experience or certifications. Both roles are essential in ensuring providers meet licensing and credentialing standards, but the Specialist role often involves more responsibility and expertise.

What are the most commonly searched types of Credentialing jobs in Texas?

The most popular types of Credentialing jobs in Texas are:

What cities in Texas are hiring for Credentialing Associate jobs?

Cities in Texas with the most Credentialing Associate job openings:

Credentialing Associate jobs near you
Infographic showing various Credentialing Associate job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 70% Full Time, 25% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $47,202 per year, or $22.7 per hour.

Credentialing and Enrollment Specialist

Houston, TX • On-site

Senior PsychCare
Offices of Mental Health Practitioners • 51 - 200 employees
Learn more about Senior PsychCareexternal

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago

Job description

Credentialing and Enrollment Specialist (Medallion Platform)- Houston, TX 77027

Senior Psych Care provides fully integrative behavioral health services to the long-term care patient, at their facility.

Job Summary:

The Credentialing and Enrollment Specialist is responsible for managing provider credentialing, re-credentialing, and payer enrollment processes using the Medallion credentialing platform. This role ensures that healthcare providers are properly credentialed and enrolled with insurance networks in a timely and compliant manner.

Key Responsibilities:
  • Manage end-to-end provider credentialing and re-credentialing processes using the Medallion platform
  • Coordinate and process provider enrollment applications with commercial and government payers (e.g., Medicare, Medicaid, and private insurers)
  • Maintain accurate and up-to-date provider records within Medallion and internal systems
  • Track application status, follow up with payers, and resolve delays or discrepancies
  • Ensure compliance with regulatory standards, payer requirements, and organizational policies
  • Verify provider credentials including licenses, certifications, malpractice insurance, and work history
  • Prepare and submit credentialing packets and enrollment applications
  • Communicate with providers to obtain required documentation and updates
  • Monitor expiration dates and initiate recredentialing cycles proactively
  • Generate reports and maintain audit-ready documentation
  • Collaborate with internal departments such as billing, compliance, and HR
Required Qualifications:
  • High school diploma or equivalent (Associate's or Bachelor's degree preferred)
  • 2+ years of experience in provider credentialing and enrollment
  • Hands-on experience with the Medallion credentialing platform (strongly preferred)
  • Knowledge of payer enrollment processes, CAQH, and healthcare regulations
  • Familiarity with Medicare, Medicaid, and commercial insurance requirements
  • Strong attention to detail and organizational skills
  • Excellent communication and follow-up skills
  • Ability to manage multiple tasks and meet deadlines
Preferred Qualifications:
  • Certification such as CPCS (Certified Provider Credentialing Specialist) or CPMSM
  • Experience working in a healthcare organization, medical group, or managed care environment
  • Experience with credentialing audits and compliance standards (e.g., NCQA, Joint Commission)
Key Skills:
  • Proficiency in Medallion platform and credentialing tools
  • Data entry and record management accuracy
  • Problem-solving and issue resolution
  • Time management and prioritization
  • Customer service and provider relations
Work Environment:
  • Office-based
  • Fast-paced healthcare administrative setting
  • Job Summary:
    The Credentialing and Enrollment Specialist is responsible for managing provider credentialing, recredentialing, and payer enrollment processes using the Medallion credentialing platform. This role ensures that healthcare providers are properly credentialed and enrolled with insurance networks in a timely and compliant manner.
What We Offer:
  • Competitive salary, commensurate with experience
  • Comprehensive benefits package including:
  • Medical
  • Dental
  • Vision
  • Short and Long Term Disability
  • Life Insurance
  • 401 (k)
  • Paid Time Off and Paid Holidays
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