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Payer Enrollment Manager Jobs in Spring, TX (NOW HIRING)

Medix

Medical Collections Specialist

Houston, TX · On-site

$25 - $32/hr

Experience with Medicare, Medicaid, managed care, commercial insurance, and out-of-state payers ... Enrollment dates are 1/1, 4/1, 7/1, and 10/1). * Short Term Disability Insurance. * Term Life ...

Medix

Clinic Coder (Rural Health)

Houston, TX · On-site

$20 - $23/hr

Ensure coding is compliant with federal regulations, payer guidelines, and industry coding ... Work independently in a fully remote environment while effectively managing workload and deadlines.

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All JobsPayer Enrollment JobsPayer Enrollment Manager JobsPayer Enrollment Manager Jobs in Spring, TX

Payer Enrollment Manager information

See Spring, TX salary details

$31.6K

$76.9K

$104.1K

How much do payer enrollment manager jobs pay per year?

As of Aug 6, 2026, the average yearly pay for payer enrollment manager in Spring, TX is $76,868.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,400.00 and $103,700.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a payer enrollment manager, and why are they important?

To thrive as a Payer Enrollment Manager, you need a deep understanding of healthcare provider enrollment processes, regulatory compliance, and experience in medical credentialing, often supported by a bachelor’s degree in healthcare administration or a related field. Familiarity with payer portals, credentialing software, and knowledge of relevant regulations such as CAQH and NPI systems are typically required. Attention to detail, strong organizational skills, and effective communication are essential soft skills for coordinating between providers, payers, and internal teams. These competencies are vital for ensuring timely and accurate provider enrollment, minimizing claim denials, and maintaining compliance within healthcare organizations.

What are some common challenges faced by a payer enrollment manager, and how can they be addressed?

Payer Enrollment Managers often encounter challenges such as navigating complex and varying payer requirements, ensuring timely submission of provider information, and managing communication between healthcare providers and insurance companies. Addressing these challenges typically involves staying up-to-date with payer policies, implementing robust tracking systems, and fostering strong relationships with both internal teams and external contacts. Proactive problem-solving and attention to detail are essential to prevent delays and maintain compliance, which ultimately supports smooth operations for the healthcare organization.

What is a payer enrollment manager?

A Payer Enrollment Manager oversees the process of enrolling healthcare providers and organizations with insurance payers to ensure they can bill and receive payments for services rendered. This role involves managing credentialing documentation, maintaining compliance with regulatory requirements, and serving as a liaison between providers and insurance companies. Payer Enrollment Managers help streamline administrative processes, resolve enrollment issues, and keep up with changing payer policies to minimize delays in reimbursement.

What is the difference between Payer Enrollment Manager vs Payer Credentialing Specialist?

AspectPayer Enrollment ManagerPayer Credentialing Specialist
CredentialsTypically requires healthcare administration or related certifications, with experience in payer enrollmentOften requires similar credentials, focusing on credentialing and provider verification
Work EnvironmentManages enrollment processes, liaises with payers, and oversees team activitiesPerforms credentialing tasks, verifies provider credentials, and maintains provider files
Employer & Industry UsageCommon in healthcare organizations, insurance companies, and billing firmsFound in healthcare provider offices, credentialing firms, and insurance companies

The Payer Enrollment Manager oversees the entire payer enrollment process, managing teams and ensuring compliance, while the Payer Credentialing Specialist focuses on verifying provider credentials and maintaining accurate provider records. Both roles require similar certifications and work within healthcare and insurance settings, but their responsibilities differ in scope and focus.

What job categories do people searching Payer Enrollment Manager jobs in Spring, TX look for? The top searched job categories for Payer Enrollment Manager jobs in Spring, TX are:
What cities near Spring, TX are hiring for Payer Enrollment Manager jobs? Cities near Spring, TX with the most Payer Enrollment Manager job openings:
Payer Enrollment Manager jobs near you
Infographic showing various Payer Enrollment Manager job openings in Spring, TX as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $76,868 per year, or $37 per hour.

Credentialing and Enrollment Specialist

Senior PsychCare

Houston, TX

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

Job description

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


About Us:

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


Apply