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Provider File Specialist Jobs in Spring, TX (NOW HIRING)

Credentialing Specialist Location: Houston, TX - West Houston Industry: Healthcare / Credentialing ... g., provider files closed per day). * Strong analytical skills and high attention to detail.

Document Specialist

Houston, TX · On-site +1

$18/hr

This role will help us provide everything needed for searching, filing and maintaining of a ... Specialists to help our clients every step of the way. We are looking for goal oriented team ...

Provides day-to-day leadership, direction, and technical guidance to Document Specialists assigned ... Ensures all land files are maintained in accordance with established procedures. * Coordinates ...

Lexitas is a rapidly growing national provider of legal and corporate support services, including ... Ensure all files meet strict quality control standards prior to delivery * Maintain internal ...

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Provider File Specialist information

See Spring, TX salary details

$24K

$37.6K

$60.5K

How much do provider file specialist jobs pay per year?

As of Sep 13, 2026, the average yearly pay for provider file specialist in Spring, TX is $37,642.00, according to ZipRecruiter salary data. Most workers in this role earn between $29,800.00 and $42,700.00 per year, depending on experience, location, and employer.

What is the difference between Provider File Specialist vs Medical Records Coordinator?

AspectProvider File SpecialistMedical Records Coordinator
Required CredentialsHigh school diploma or equivalent; certifications like CPC or RHIT beneficialHigh school diploma or equivalent; certifications like RHIT or RHIA common
Work EnvironmentHealthcare offices, insurance companies, hospitalsHospitals, clinics, healthcare facilities
Employer & Industry UsageUsed in insurance, healthcare providers, billing companiesPrimarily in hospitals and healthcare facilities managing patient records

Both roles involve handling healthcare data, but Provider File Specialists focus on managing provider information and credentials, while Medical Records Coordinators handle patient records and documentation. They share similar certifications and work environments, making them closely related but distinct in their primary responsibilities.

Infographic showing various Provider File Specialist job openings in Spring, TX as of August 2026, with employment types broken down into 2% As Needed, 76% Full Time, 17% Part Time, and 5% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $37,642 per year, or $18.1 per hour.

Credentialing & Provider Enrollment Specialist

Houston, TX • On-site

Texas Hearing Institute
Health Care and Social Assistance • 51 - 200 employees

$23 - $25/hr

Other

Re-posted 5 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