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Director Credentialing Verification Office Jobs

$21.02 - $32.59/hr

Credentialing & Reappointment Support * Process medical staff reappointments through the Centralized Verification Office (CVO) for medical staff appointments for LUHS * Develop and maintain monthly ...

$21.02 - $32.59/hr

Credentialing & Reappointment Support * Process medical staff reappointments through the Centralized Verification Office (CVO) for medical staff appointments for LUHS * Develop and maintain monthly ...

$150 - $200/hr

Director, Central Verification Office (CVO) FLSA STATUS: E JOB SUMMARY The Director, Central ... Leads standardization efforts across credentialing document requirements, forms, checklists ...

Office Support Specialist

Peoria, IL ยท On-site

$17.75 - $23.25/hr

... Credentialing Verification Office). Under the direction of the Business Manager, gathers ... Working closely with Course Directors in each Section, assigns preceptors to students taking ...

$60 - $80/hr

This role collaborates with Centralized Verification Office and Medical Center leaders to promote ... Minimum of 3 years of credentialing experience in a Hospital Medical Staff Office with knowledge of ...

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Director Credentialing Verification Office information

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How much do director credentialing verification office jobs pay per year?

As of Sep 9, 2026, the average yearly pay for director credentialing verification office in the United States is $85,031.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,000.00 and $94,500.00 per year, depending on experience, location, and employer.

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Infographic showing various Director Credentialing Verification Office job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $85,031 per year, or $40.9 per hour.

Credentialing & Provider Enrollment Specialist

Houston, TX โ€ข On-site

TEXAS HEARING INSTITUTE
Health Care and Social Assistanceย โ€ขย 51 - 200 employees

$23 - $25/hr

Full-time

Re-posted 2 days ago


Job description

Job Title:Credentialing & Provider Enrollment Specialist

Supervisor:Business Office Director

Texas Hearing Institute (THI) | Houston, TX (On-site)

Schedule:Monday - Thursday: 7:30 am - 5:30 pm Friday: 7:30 am - 3:00 pm 40 hours/week

Compensation:$23-$25


About Us

Texas Hearing Institute is a Houston-based nonprofit dedicated to serving individuals with hearing loss. Our programs include audiology, speech therapy, family services, and the Melinda Webb School. The Business Office team supports all of these programs by keeping operations running smoothly and the organization's billing and credentialing accurate.


Position Summary

We are looking for an experienced Credentialing & Provider Enrollment Specialist to oversee all aspects of provider credentialing, enrollment, recredentialing, payer contracting support, and regulatory compliance. This position serves as the primary liaison between THI, providers, and commercial and government payers to ensure providers remain credentialed, enrolled, and eligible for reimbursement. This role will provide front desk coverage only as needed to support departmental operations.

What You Will Do

  • Complete initial credentialing and recredentialing for all providers.ย 

  • Submit and monitor provider enrollment applications.ย 

  • Maintain provider files and credentialing documentation.ย 

  • Maintain CAQH, PECOS, TMHP/PEMS, and other payer portals.ย 

  • Track expiration dates for: Medical licenses/ DEA registrations/ Board certifications/ Professional liability insurance/ CPR certifications (if applicable)ย 

  • Recredentialing cyclesย 

  • Follow up with payers until providers are confirmed in-network.ย 

  • Maintain provider enrollment status reports.ย 

  • Ensure compliance with payer enrollment requirements.

  • Assist with provider contracting activities.ย 

  • Coordinate payer participation requests.ย 

  • Maintain contract documentation.ย 

  • Monitor provider participation status.ย 

  • Communicate enrollment or contracting issues to leadership.

  • Monitor credentialing and enrollment timelines.ย 

  • Identify providers approaching expiration or termination.ย 

  • Prepare weekly credentialing reports.ย 

  • Maintain accurate documentation for audits.ย 

  • Maintain confidentiality in accordance with HIPAA regulations.


What We're Looking For

  • High school diploma or equivalent required; associate or bachelor degree preferred

  • Minimum 2 years of provider credentialing and enrollment managed care plan, medical Staff Services, or credentialing verification office.ย 

  • Working knowledge of Texas Medicaid (TMHP/PEMS), Medicare (PECOS), CHIP, and commercial payer enrollment requirements.ย 

  • Experience maintaining CAQH provider profiles.ย 

  • Basic understanding of credentialing Joint Commission, NCQA, and URAC accreditation standards

  • Working knowledge of provider contracting and payer enrollment processes.ย 

  • Understanding of healthcare regulatory and compliance standards.ย 

  • Strong organizational and follow-up skills


Schedule and Compensation

  • Monday - Thursday: 7:30 am - 5:30 pm/ Friday: 7:30 am - 3:00 pm

  • $23-$25/hr

Employment Type: FULL_TIME