... organization's billing and credentialing accurate. Position Summary We are looking for an ... credentialing verification office. * Working knowledge of Texas Medicaid (TMHP/PEMS), Medicare ...
New
... organization's billing and credentialing accurate. Position Summary We are looking for an ... credentialing verification office. * Working knowledge of Texas Medicaid (TMHP/PEMS), Medicare ...
New
... organization's billing and credentialing accurate. Position Summary We are looking for an ... credentialing verification office. * Working knowledge of Texas Medicaid (TMHP/PEMS), Medicare ...
New
Houston, TX · On-site
$23 - $25/hr
... credentialing verification office. * Working knowledge of Texas Medicaid (TMHP/PEMS), Medicare ... Strong organizational and follow-up skills Schedule and Compensation * Monday - Thursday: 7:30 am ...
New
Houston, TX · On-site
$23 - $25/hr
... credentialing verification office. * Working knowledge of Texas Medicaid (TMHP/PEMS), Medicare ... Strong organizational and follow-up skills Schedule and Compensation * Monday - Thursday: 7:30 am ...
New
Houston, TX · On-site
$23 - $25/hr
... organization's billing and credentialing accurate. Position Summary We are looking for an ... credentialing verification office. * Working knowledge of Texas Medicaid (TMHP/PEMS), Medicare ...
New
Houston, TX · On-site
$23 - $25/hr
... organization's billing and credentialing accurate. Position Summary We are looking for an ... credentialing verification office. * Working knowledge of Texas Medicaid (TMHP/PEMS), Medicare ...
New
Houston, TX · Remote
$20 - $25/hr
Addison Group is partnering with a large healthcare organization seeking an experienced ... Conduct primary source verifications (licenses, certifications, DEA, board certifications ...
Quick apply
Houston, TX · Remote
$20 - $25/hr
Addison Group is partnering with a large healthcare organization seeking an experienced ... Conduct primary source verifications (licenses, certifications, DEA, board certifications ...
Houston, TX · On-site
Strong organizational, customer service, and communication skills. * Ability to manage multiple ... Experience supporting HSPD-12 or Personal Identity Verification (PIV) credentialing programs.
Quick apply
Houston, TX · On-site
Strong organizational, customer service, and communication skills. * Ability to manage multiple ... Experience supporting HSPD-12 or Personal Identity Verification (PIV) credentialing programs.
Houston, TX · On-site
Strong organizational, customer service, and communication skills. * Ability to manage multiple ... Experience supporting HSPD-12 or Personal Identity Verification (PIV) credentialing programs.
Houston, TX · On-site
Strong organizational, customer service, and communication skills. * Ability to manage multiple ... Experience supporting HSPD-12 or Personal Identity Verification (PIV) credentialing programs.
Ensure compliance with regulatory standards, payer requirements, and organizational policies * Verify provider credentials including licenses, certifications, malpractice insurance, and work history
Ensure compliance with regulatory standards, payer requirements, and organizational policies * Verify provider credentials including licenses, certifications, malpractice insurance, and work history
Ensure compliance with regulatory standards, payer requirements, and organizational policies * Verify provider credentials including licenses, certifications, malpractice insurance, and work history
Quick apply
Ensure compliance with regulatory standards, payer requirements, and organizational policies * Verify provider credentials including licenses, certifications, malpractice insurance, and work history
Ensure compliance with regulatory standards, payer requirements, and organizational policies * Verify provider credentials including licenses, certifications, malpractice insurance, and work history
Ensure compliance with regulatory standards, payer requirements, and organizational policies * Verify provider credentials including licenses, certifications, malpractice insurance, and work history
Ensure compliance with regulatory standards, payer requirements, and organizational policies * Verify provider credentials including licenses, certifications, malpractice insurance, and work history
Quick apply
Ensure compliance with regulatory standards, payer requirements, and organizational policies * Verify provider credentials including licenses, certifications, malpractice insurance, and work history
Ensure compliance with regulatory standards, payer requirements, and organizational policies * Verify provider credentials including licenses, certifications, malpractice insurance, and work history
Ensure compliance with regulatory standards, payer requirements, and organizational policies * Verify provider credentials including licenses, certifications, malpractice insurance, and work history
Houston, TX · Remote
$95K - $110K/yr
... verification -- so every provider is cleared to deliver care without delay. * Manage multi-state ... Exceptional organization and attention to detail across high volumes of applications, deadlines ...
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Houston, TX · Remote
$95K - $110K/yr
... verification -- so every provider is cleared to deliver care without delay. * Manage multi-state ... Exceptional organization and attention to detail across high volumes of applications, deadlines ...
Houston, TX · On-site
$18.29/hr
Verification and Authentication: * Verify the authenticity of the provided documents and ... Attention to detail and strong organizational skills. * Excellent interpersonal and communication ...
Quick apply
Houston, TX · On-site
$18.29/hr
Verification and Authentication: * Verify the authenticity of the provided documents and ... Attention to detail and strong organizational skills. * Excellent interpersonal and communication ...
Verification and Authentication: * Verify the authenticity of the provided documents and ... Attention to detail and strong organizational skills. * Excellent interpersonal and communication ...
Verification and Authentication: * Verify the authenticity of the provided documents and ... Attention to detail and strong organizational skills. * Excellent interpersonal and communication ...
Houston, TX · On-site
... by the organization, commercial payers, Medicare and Medicaid. This position will also be ... Verify prospective and current providers' license, liability insurance, CDS certificate, and DEA ...
Quick apply
Houston, TX · On-site
... by the organization, commercial payers, Medicare and Medicaid. This position will also be ... Verify prospective and current providers' license, liability insurance, CDS certificate, and DEA ...
Houston, TX · On-site
... by the organization, commercial payers, Medicare and Medicaid. This position will also be ... Verify prospective and current providers' license, liability insurance, CDS certificate, and DEA ...
Houston, TX · On-site
... by the organization, commercial payers, Medicare and Medicaid. This position will also be ... Verify prospective and current providers' license, liability insurance, CDS certificate, and DEA ...
Houston, TX · On-site
... by the organization, commercial payers, Medicare and Medicaid. This position will also be ... Verify prospective and current providers' license, liability insurance, CDS certificate, and DEA ...
Houston, TX · On-site
... by the organization, commercial payers, Medicare and Medicaid. This position will also be ... Verify prospective and current providers' license, liability insurance, CDS certificate, and DEA ...
Houston, TX · On-site
$55 - $65/hr
... organizations throughout Texas. Our mission is to connect exceptional clinicians with flexible ... Ability to pass background check, drug screening, and credential verification Why Join PUSH ...
Quick apply
Houston, TX · On-site
$55 - $65/hr
... organizations throughout Texas. Our mission is to connect exceptional clinicians with flexible ... Ability to pass background check, drug screening, and credential verification Why Join PUSH ...
Houston, TX · On-site
$55 - $65/hr
... organizations throughout Texas. Our mission is to connect exceptional clinicians with flexible ... Ability to pass background check, drug screening, and credential verification Why Join PUSH ...
Quick apply
Houston, TX · On-site
$55 - $65/hr
... organizations throughout Texas. Our mission is to connect exceptional clinicians with flexible ... Ability to pass background check, drug screening, and credential verification Why Join PUSH ...
Houston, TX · On-site
$124K/yr
... organization positions held, presentations, national psychiatry awards, etc. * Multi-lingual ... internship, fellowship, or residency program for verification at the time you apply. AND Graduate ...
Houston, TX · On-site
$124K/yr
... organization positions held, presentations, national psychiatry awards, etc. * Multi-lingual ... internship, fellowship, or residency program for verification at the time you apply. AND Graduate ...
$10.05 - $11.45
2% of jobs
$11.45 - $12.85
0% of jobs
$12.85 - $14.25
3% of jobs
$14.25 - $15.65
8% of jobs
$16.31 is the 25th percentile. Wages below this are outliers.
$15.65 - $17.05
24% of jobs
The median wage is $18.13 / hr.
$17.05 - $18.46
16% of jobs
$18.46 - $19.86
9% of jobs
$20.78 is the 75th percentile. Wages above this are outliers.
$19.86 - $21.26
18% of jobs
$21.26 - $22.66
11% of jobs
$22.66 - $24.06
5% of jobs
$24.06 - $25.46
3% of jobs
$10
$18
$25
| Aspect | Internship Credentialing Verification Organization | Credentialing Specialist |
|---|---|---|
| Primary Role | Verifies credentials for internship programs and related entities | Verifies and maintains healthcare provider credentials for individual practitioners |
| Work Environment | Healthcare institutions, internship programs, credentialing organizations | Hospitals, clinics, healthcare networks |
| Required Certifications | Often none; focus on organizational accreditation and verification processes | Certifications like Certified Provider Credentialing Specialist (CPCS) |
The Internship Credentialing Verification Organization primarily focuses on verifying credentials for internship programs and related organizations, ensuring compliance and accreditation. In contrast, a Credentialing Specialist verifies individual healthcare providers' credentials to facilitate their employment and practice. While both roles involve credential verification, the organization handles program-level verification, whereas the specialist manages individual practitioner credentials.

$23 - $25/hr
Full-time
Posted 3 days ago
New
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.Â
Submit and monitor provider enrollment applications.Â
Maintain provider files and credentialing documentation.Â
Maintain CAQH, PECOS, TMHP/PEMS, and other payer portals.Â
Track expiration dates for: Medical licenses/ DEA registrations/ Board certifications/ Professional liability insurance/ CPR certifications (if applicable)Â
Recredentialing cyclesÂ
Follow up with payers until providers are confirmed in-network.Â
Maintain provider enrollment status reports.Â
Ensure compliance with payer enrollment requirements.
Assist with provider contracting activities.Â
Coordinate payer participation requests.Â
Maintain contract documentation.Â
Monitor provider participation status.Â
Communicate enrollment or contracting issues to leadership.
Monitor credentialing and enrollment timelines.Â
Identify providers approaching expiration or termination.Â
Prepare weekly credentialing reports.Â
Maintain accurate documentation for audits.Â
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.Â
Working knowledge of Texas Medicaid (TMHP/PEMS), Medicare (PECOS), CHIP, and commercial payer enrollment requirements.Â
Experience maintaining CAQH provider profiles.Â
Basic understanding of credentialing Joint Commission, NCQA, and URAC accreditation standards
Working knowledge of provider contracting and payer enrollment processes.Â
Understanding of healthcare regulatory and compliance standards.Â
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
Sourced by ZipRecruiter
Health care and social assistance
51 - 200 Employees
Houston, TX, US
1947