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

Connect Med 360

Patient Support Case Manager

Houston, TX · On-site

$60K/yr

... payers, and manufacturers. Salary range starting at $60k and up depending on experience Patient ... enrollment, access and other program related processes. In addition, the manager will help ensure ...

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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 21, 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 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 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 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 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 are popular job titles related to Payer Enrollment Manager jobs in Spring, TX?

For Payer Enrollment Manager jobs in Spring, TX, the most frequently searched job titles are:

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 & Provider Enrollment Specialist

Texas Hearing Institute

Houston, TX • On-site

$23 - $25/hr

Other

Posted 12 days ago

Job description

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

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.
  • Submit and monitor provider enrollment applications.
  • Maintain provider files and credentialing documentation.
  • Maintain CAQH, PECOS, TMHP/PEMS, and other payer portals.
  • Track expiration dates for: Medical licenses/ DEA registrations/ Board certifications/ Professional liability insurance/ CPR certifications (if applicable)
  • Recredentialing cycles
  • Follow up with payers until providers are confirmed in-network.
  • Maintain provider enrollment status reports.
  • Ensure compliance with payer enrollment requirements.
  • Assist with provider contracting activities.
  • Coordinate payer participation requests.
  • Maintain contract documentation.
  • Monitor provider participation status.
  • Communicate enrollment or contracting issues to leadership.
  • Monitor credentialing and enrollment timelines.
  • Identify providers approaching expiration or termination.
  • Prepare weekly credentialing reports.
  • Maintain accurate documentation for audits.
  • 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.
  • Working knowledge of Texas Medicaid (TMHP/PEMS), Medicare (PECOS), CHIP, and commercial payer enrollment requirements.
  • Experience maintaining CAQH provider profiles.
  • Basic understanding of credentialing Joint Commission, NCQA, and URAC accreditation standards
  • Working knowledge of provider contracting and payer enrollment processes.
  • Understanding of healthcare regulatory and compliance standards.
  • 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

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