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Credentialing Manager Jobs in Addison, TX (NOW HIRING)

PDS Health

Coordinator, Credentialing

Irving, TX · On-site

$17 - $22.20/hr

Credentialing Administrator Now is the time to join PDS Health. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to take your career to the ...

PDS Health

Coordinator, Credentialing

Irving, TX · On-site

$17/hr

As a Credentialing Administrator at PDS Health you will be coordinating credentials for Dentists with various dental insurance carriers. Being a part of the Contracts Department which is responsible ...

Conflux Systems

Credentialing Coordinator

Dallas, TX · On-site

Credentialing Coordinator POSITION SUMMARY: The Credentialing Coordinator role will be responsible for ensuring compliance with NCQA, URAC, Medicare, Medicaid, Delegation agreements and other ...

New

Adecco US, Inc.

Credentialing Coordinator

Dallas, TX · On-site

$18.20/hr

Data Management: Input, update, and maintain accurate provider data in credentialing databases, adhering to standardized data entry protocols. * File Compliance: Monitor provider files for ...

New

ICONMA

Credentialing Coordinator

Farmers Branch, TX · On-site

Credentialing Coordinator Our client, a healthcare company, is looking for a Credentialing Coordinator for their Farmers Branch, TX/Remote location. Responsibilities: * Verifying state licenses ...

Skill Corp

Credentialing Coordinator

Farmers Branch, TX · On-site

$16.38 - $18.20/hr

In this position, you will be instrumental in credentialing and licensing processes, directly ... Manage the application process for state licensure for clinicians. * Maintain strong cross ...

Aquent

Credentialing Coordinator

Farmers Branch, TX · On-site

$16.38 - $18.20/hr

In this position, you will be instrumental in credentialing and licensing processes, directly ... Manage the application process for state licensure for clinicians. * Maintain strong cross ...

Adecco

Credentialing Coordinator

Dallas, TX · On-site +1

$18.20/hr

Data Management: Input, update, and maintain accurate provider data in credentialing databases, adhering to standardized data entry protocols. * File Compliance: Monitor provider files for ...

Evette

Administrative Credentialing Specialist

Dallas, TX · On-site

$20 - $25/hr

Essential Duties & Responsibilities • Manage the credentialing and recredentialing process for DVMs in accordance with regulatory and organizational requirements. • Collect, review, and verify ...

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All JobsCredentialing JobsCredentialing Manager JobsCredentialing Manager Jobs in Addison, TX

Credentialing Manager information

See Addison, TX salary details

$42.1K

$82.3K

$127.3K

How much do credentialing manager jobs pay per year?

As of Aug 14, 2026, the average yearly pay for credentialing manager in Addison, TX is $82,314.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,000.00 and $91,500.00 per year, depending on experience, location, and employer.

What does a credentialing manager do?

A credentialing manager monitors the credential status of employees and ensuring they are recertified when necessary. As a credentialing manager, your job duties involve maintaining a database of employee certifications and renewal dates, confirming that employee credentials match the requirements of their job, and helping employees renew their credentials on time by finding test dates and locations. Credentialing managers are most commonly found in the health care industry. Qualifications to become a medical credentialing manager include a bachelor’s degree in human resources, business, or a related field, and industry experience.

What is the difference between Credentialing Manager vs Credentialing Specialist?

AspectCredentialing ManagerCredentialing Specialist
ResponsibilitiesOversees entire credentialing process, manages teams, develops policiesPerforms credentialing tasks, verifies credentials, maintains records
Required CredentialsTypically requires experience in healthcare administration, certifications like Certified Provider Credentialing Specialist (CPCS)Often requires similar certifications, entry to mid-level experience
Work EnvironmentManagement level, strategic planning, team supervisionOperational, detail-oriented, administrative tasks
Industry UsageUsed across healthcare organizations, hospitals, clinicsCommonly found in healthcare facilities, physician practices

The Credentialing Manager focuses on overseeing the entire credentialing process, managing teams, and developing policies, while the Credentialing Specialist handles day-to-day credential verification and record maintenance. Both roles require relevant certifications and healthcare industry experience, but the manager role involves more strategic oversight.

What are some common challenges a credentialing manager faces when maintaining compliance with changing regulations?

Credentialing Managers often encounter the challenge of staying updated with frequently changing industry regulations and payer requirements, which can vary by state and organization. Ensuring that all provider files are consistently accurate and compliant requires diligent monitoring, regular audits, and ongoing staff training. Additionally, coordinating with multiple departments and external agencies to gather necessary documentation while meeting tight deadlines can be demanding. Proactively implementing process improvements and leveraging credentialing software can help manage these complexities effectively.

What is a credentialing manager?

Credentialing Managers are professionals responsible for overseeing the process of verifying the qualifications, licenses, and background of healthcare providers before they are allowed to work with patients or participate in insurance networks. They ensure that all providers meet regulatory and organizational standards, and maintain up-to-date records for compliance purposes. Credentialing Managers often work in hospitals, healthcare organizations, or insurance companies, collaborating with medical staff, administrators, and external agencies to manage and streamline the credentialing process.

What are the key skills and qualifications needed to thrive as a credentialing manager?

To thrive as a Credentialing Manager, you need thorough knowledge of healthcare credentialing processes, compliance standards, and experience with provider enrollment, often supported by a bachelor's degree in healthcare administration or a related field. Familiarity with credentialing software systems like CACTUS or Verity, and understanding of regulatory requirements such as NCQA or The Joint Commission, are typically expected. Attention to detail, strong organizational skills, and effective communication are standout soft skills for this position. These competencies ensure accurate and efficient management of provider credentials, minimize compliance risks, and maintain quality standards within healthcare organizations.
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Credentialing Manager jobs near you

Credentialing Specialist

Behavioral Innovations

Plano, TX • Hybrid

Full-time

Medical, Dental, Vision, PTO

Re-posted 19 days ago

Behavioral Innovations rating

5.4

Company rating: 5.4 out of 10

Based on 74 frontline employees who took The Breakroom Quiz

181st of 240 rated social care providers

Job description

Overview

Credentialing Specialist

** Applicants must have at least 3 years of recent provider credentialing and enrollment experience

Location: Plano, TX (Park/Tollway)

Schedule: Monday-Friday | Full-Time | Hybrid-role, starts onsite full-time during initial 90 day training period, with ability to transition to RCM hybrid scheduled based on performance.

Why Choose Behavioral Innovations:
  • Compensation: Competitive Hourly Rate

  • Work-Life Balance: 10 days PTO, 7 paid holidays.

  • Comprehensive Benefits: Medical, Vision, Dental, and Supplemental Insurance Policies.

  • Wellbeing: Tools and programs to support physical, mental, and emotional wellness.

  • Employee Assistance Program (EAP): Comprehensive support.

  • Family-Centric Culture: Caring, collaborative environment.

  • Award-Winning Culture: Recognized for clinical excellence and ethical standards.

  • Mission-Driven Work: Help children with autism reach their full potential.

  • Values-Driven Organization: Caring, accountability, collaboration, and family-focused care.

  • Recognized Industry Leader: Named Company of the Year in 2022, reflecting our continued growth and impact in the ABA field.

  • National Recognition: Proudly ranked on the Inc. 5000 list as one of America’s Fastest Growing Private Companies — for 3 consecutive years!

Your Work and How You'll Make a Difference:

We are seeking a Credentialing Specialist to oversee the full credentialing and enrollment process for our providers in Behavioral Healthcare. This role ensures clinicians are accurately enrolled with commercial and government payors so services can be reimbursed on time. Responsibilities include maintaining and auditing provider records, processing enrollment and revalidation applications, and conducting consistent follow-up with payors. This position partners closely with revenue cycle, clinical leadership, HR recruitment, and providers to support smooth onboarding and resolve credentialing issues. The role also manages provider contracting, ensures HIPAA and regulatory compliance, assists with out-of-state Medicaid enrollments, and responds to provider inquiries within 24 hours. Your work directly strengthens operational efficiency, reimbursement accuracy, and timely access to care.

Qualifications:
  • Minimum of 3 years of direct experience managing provider credentialing and enrollment processes within a healthcare environment, including payer enrollment, recredentialing, and compliance with applicable regulatory requirements.
  • Associates degree or related work experience may be substituted in lieu of educational qualifications.
  • 1-3 years of knowledge in a behavioral health or medical clinic setting preferred, but not necessary.
  • Familiarity with Electronic Medical Records (EMR) and billing systems.
  • Strong communication and interpersonal skills to collaborate with internal teams and external payors.
  • Take the initiative to identify and resolve issues
  • Excellent organizational, problem-solving, and follow-up skills.
  • Proficiency in Microsoft Word and Excel.

About Behavioral Innovations:

Since 2000, Behavioral Innovations (BI) has been a leading provider committed to transforming lives by providing compassionate, center-based Applied Behavioral Analysis (ABA) therapy for children with autism, ages 18 months to 10 years. With more than 100+ locations across TX, OK, CO, VA, MD, NC - and more to come - we’re continuing to expand rapidly. Join our dynamic team and make a meaningful difference in the lives of the families we serve.

Ready to make an impact? Apply today and become a vital part of our mission at Behavioral Innovations!

Be an Credentialing Specialist at Behavioral Innovations. Where Potential Thrives.

CORP2026

#LI-SN1

#LI-Hybrid

Qualifications:UNAVAILABLEEducation:UNAVAILABLEEmployment Type: FULL_TIME

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