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Provider Credentialing Jobs in Texas (NOW HIRING)

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Provider Credentialing information

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$36

How much do provider credentialing jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for provider credentialing in Texas is $22.69, according to ZipRecruiter salary data. Most workers in this role earn between $17.93 and $25.77 per hour, depending on experience, location, and employer.

What is provider credentialing?

Provider credentialing is the process by which healthcare organizations verify and assess the qualifications, experience, and professional background of medical providers, such as doctors, nurses, and specialists. This includes checking education, training, licenses, certifications, work history, and any malpractice or disciplinary actions. Credentialing ensures that providers meet the standards required to deliver care and are eligible for participation in health insurance networks. It is a critical step for patient safety and regulatory compliance. The process must be repeated periodically to maintain up-to-date records and ensure ongoing eligibility.

What are the key skills and qualifications needed to thrive in provider credentialing, and why are they important?

To thrive in Provider Credentialing, you need strong attention to detail, organizational skills, and knowledge of healthcare regulations, typically supported by a background in healthcare administration or related fields. Familiarity with credentialing software, databases, and compliance tools such as CAQH ProView and state licensure systems is essential. Exceptional communication, problem-solving, and time management skills help professionals interact with providers and manage complex documentation processes. These competencies ensure accurate provider verification, regulatory compliance, and efficient onboarding, which are critical for healthcare organizations.

What are some common challenges faced in a provider credentialing role, and how can they be managed?

A common challenge in Provider Credentialing is managing multiple deadlines and ensuring all documentation is accurate and up to date for various healthcare providers. The process often involves coordinating with providers, insurance companies, and regulatory bodies, which can lead to delays if communication is not clear. Staying organized, maintaining detailed records, and using credentialing management software can help streamline workflow and reduce errors. Building strong relationships with providers and team members also aids in resolving issues quickly and efficiently.

What is the difference between Provider Credentialing vs Medical Billing Specialist?

AspectProvider CredentialingMedical Billing Specialist
Required CredentialsLicenses, certifications, provider credentialsBilling certifications, coding knowledge
Work EnvironmentHealthcare facilities, insurance companiesMedical offices, billing companies
Employer & Industry UsageHospitals, clinics, insurance providersMedical practices, billing firms
Search & Comparison IntentUnderstanding credentialing process, requirementsBilling procedures, coding, reimbursement

Provider Credentialing focuses on verifying healthcare providers' qualifications to ensure they meet industry standards, while Medical Billing Specialists handle coding, billing, and reimbursement processes. Both roles are essential in healthcare operations but serve different functions within the industry.

How to get into provider credentialing?

To enter provider credentialing, candidates typically need a background in healthcare administration, medical billing, or related fields, along with strong organizational and communication skills. Gaining certification such as the Certified Provider Credentialing Specialist (CPCS) can enhance job prospects. Familiarity with healthcare regulations and credentialing software is also beneficial.

Is provider credentialing hard?

Provider credentialing can be a complex process that involves verifying a healthcare professional’s qualifications, licenses, and work history, often requiring attention to detail and organization. It typically involves working with multiple organizations and adhering to specific regulations, which can make the process time-consuming and challenging for some providers. Strong communication skills and familiarity with credentialing software can help streamline the process.

What does a provider credentialing specialist do?

A provider credentialing specialist is responsible for verifying healthcare providers' qualifications, licenses, and certifications to ensure they meet the standards required by insurance companies and healthcare organizations. They manage the credentialing process, maintain accurate provider records, and ensure compliance with regulatory requirements, often using specialized credentialing software. This role requires attention to detail, knowledge of healthcare regulations, and strong organizational skills.

What are the most commonly searched types of Provider Credentialing jobs in Texas?

The most popular types of Provider Credentialing jobs in Texas are:

What are popular job titles related to Provider Credentialing jobs in Texas?

For Provider Credentialing jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Provider Credentialing jobs in Texas look for?

The top searched job categories for Provider Credentialing jobs in Texas are:

What cities in Texas are hiring for Provider Credentialing jobs?

Cities in Texas with the most Provider Credentialing job openings:

Provider Credentialing jobs near you
Infographic showing various Provider Credentialing job openings in Texas as of August 2026, with employment types broken down into 100% Full Time. Highlights an 85% In-person, and 15% Remote job distribution, with an average salary of $47,202 per year, or $22.7 per hour.

Physician / Provider Credentialing

Dallas, TX

Assist Point Inc
See more jobs at Assist Point Incexternal

Full-time

Posted 26 days ago

Job description

Physician / Provider Credentialing

Location: Dallas, TX 75219

Job Description

We are seeking a detail-oriented and organized Physician / Provider Credentialing Specialist to join our team in Dallas, TX. The ideal candidate will be responsible for managing and maintaining the credentialing process for physicians and other healthcare providers to ensure compliance with regulatory requirements and payer standards.

Responsibilities
  • Coordinate and manage the credentialing and re-credentialing process for physicians and healthcare providers.
  • Verify provider qualifications, including education, licensure, certifications, work history, and malpractice insurance.
  • Maintain accurate and up-to-date credentialing files and databases.
  • Communicate with providers, hospitals, insurance companies, and regulatory agencies to obtain necessary documentation.
  • Ensure compliance with all applicable regulatory and accreditation standards.
  • Prepare and submit credentialing applications to insurance panels, hospitals, and other entities.
  • Track expiration dates and initiate re-credentialing processes in a timely manner.
  • Assist with audits and respond to credentialing inquiries as needed.
  • Collaborate with internal departments to support provider onboarding and network participation.
Qualifications
  • High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred.
  • Minimum of 2 years experience in provider credentialing or related healthcare administrative role.
  • Knowledge of credentialing processes, NCQA, URAC, and payer requirements.
  • Familiarity with credentialing software and databases.
  • Strong attention to detail and organizational skills.
  • Excellent communication and interpersonal skills.
  • Ability to handle confidential information with discretion.
  • Proficient in Microsoft Office Suite (Word, Excel, Outlook).
Work Environment

This position is based in our Dallas, TX office located in the 75219 zip code area. The role typically involves office-based work with standard business hours.

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