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Provider Enrollment Manager Jobs in Texas (NOW HIRING)

BCforward

Provider Enrollment

Austin, TX

$16/hr

Manager Notes: *Resources should be available within the hours of 7am-7pm, they would have a ... provider enrollment and file maintenance for Medicaid programs (including dental, vision, ambulance ...

idexcel

Provider Enrollment

Austin, TX

$16/hr

Manager Notes: *Resources should be available within the hours of 7am-7pm, they would have a ... provider enrollment and file maintenance for Medicaid programs (including dental, vision, ambulance ...

Regency Group

Provider Enrollment (86410)

Austin, TX · On-site

Regency's Provider Enrollment Department is seeking a detail-oriented and highly organized Provider ... Ability to manage multiple priorities and meet firm deadlines. * Proficiency in Microsoft Office ...

Uplift Education

Enrollment Manager

Dallas, TX

The Uplift Enrollment Manager will serve as a leader of our scholar enrollment for all Uplift ... Ability to provide appropriate verbal and nonverbal responses to families and campus leaders in all ...

Uplift Education

Enrollment Manager

Dallas, TX · On-site

The Uplift Enrollment Manager will serve as a leader of our scholar enrollment for all Uplift ... Ability to provide appropriate verbal and nonverbal responses to families and campus leaders in all ...

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Provider Enrollment Manager information

See Texas salary details

$33.1K

$80.5K

$109K

How much do provider enrollment manager jobs pay per year?

As of Aug 16, 2026, the average yearly pay for provider enrollment manager in Texas is $80,475.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,900.00 and $108,500.00 per year, depending on experience, location, and employer.

What is a provider enrollment manager?

A Provider Enrollment Manager is responsible for overseeing the process by which healthcare providers become authorized to bill insurance companies, Medicare, or Medicaid for their services. They manage applications, verify credentials, and ensure compliance with regulations to maintain active provider statuses. Their role is crucial in minimizing delays in reimbursement and avoiding compliance issues for healthcare organizations. Provider Enrollment Managers typically work in hospitals, healthcare systems, or insurance companies, and they often supervise a team that handles provider credentialing and enrollment tasks.

What are the key skills and qualifications needed to thrive as a provider enrollment manager?

To thrive as a Provider Enrollment Manager, you need expertise in healthcare regulations, credentialing processes, and provider data management, typically supported by a degree in healthcare administration or a related field. Familiarity with enrollment software, credentialing databases, and compliance tracking systems is essential. Strong organizational skills, attention to detail, and effective communication are crucial soft skills for managing complex documentation and liaising with multiple stakeholders. These capabilities ensure timely and accurate provider enrollments, regulatory compliance, and efficient healthcare operations.

What is the difference between Provider Enrollment Manager vs Provider Relations Specialist?

AspectProvider Enrollment ManagerProvider Relations Specialist
CredentialsTypically requires healthcare administration, insurance, or related certificationsOften requires customer service, healthcare, or administrative certifications
Work EnvironmentOffice-based, focused on enrollment processes and complianceOffice or hospital-based, focused on communication and relationship building
Employer & Industry UsageHealth insurance companies, healthcare providers, government programsHospitals, clinics, healthcare networks, insurance companies
Search & Comparison IntentUnderstanding enrollment processes, credentialing, and complianceBuilding provider relationships, resolving provider issues

The Provider Enrollment Manager primarily handles provider credentialing, enrollment, and compliance with insurance plans, ensuring providers are properly registered. In contrast, the Provider Relations Specialist focuses on maintaining positive relationships with providers, addressing their concerns, and facilitating communication. Both roles are essential in healthcare administration but serve different functions within the provider network.

How to become a certified provider enrollment manager?

To become a certified provider enrollment manager, individuals typically need relevant experience in healthcare administration or billing, along with knowledge of enrollment processes. Certification programs such as the Certified Provider Enrollment Specialist (CPES) offered by industry organizations can enhance credentials. Gaining familiarity with enrollment systems and maintaining ongoing education are also beneficial for career advancement.

What are some common challenges faced by provider enrollment managers, and how can they be effectively addressed?

Provider Enrollment Managers often encounter challenges such as navigating complex payer requirements, managing high volumes of applications, and ensuring timely credentialing to prevent delays in provider onboarding. Staying organized, maintaining clear communication with payers and internal teams, and utilizing enrollment management software can help mitigate these challenges. Building strong relationships with both providers and insurance representatives also facilitates smoother processes and quicker resolution of issues.

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

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

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

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

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

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

What cities in Texas are hiring for Provider Enrollment Manager jobs?

Cities in Texas with the most Provider Enrollment Manager job openings:

Provider Enrollment Manager jobs near you
Infographic showing various Provider Enrollment Manager job openings in Texas as of August 2026, with employment types broken down into 87% Full Time, and 13% Part Time. Highlights an 77% In-person, and 23% Remote job distribution, with an average salary of $80,475 per year, or $38.7 per hour.

Credentialing & Provider Enrollment Specialist

Texas Hearing Institute

Houston, TX • On-site

$23 - $25/hr

Other

Posted 7 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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