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Senior Provider Relations Representative Jobs in Spring, TX

Oxy

Community Relations Advisor

Houston, TX · On-site

Oxy produces, markets and transports oil and natural gas to maximize value and provide resources ... Represent Oxy at community meetings, nonprofit events, volunteer activities, and public engagement ...

Oxy

Community Relations Advisor

Houston, TX

Oxyproduces,markets and transportsoil and natural gas to maximize value and provide resources ... Represent Oxy at community meetings, nonprofit events, volunteer activities, and public engagement ...

ADP, Inc.

Senior Records Representative

Houston, TX · On-site

$50 - $70/hr

Legal Support is looking for a Senior Records Representative to join our team! In this role, you ... Key Responsibilities Customer & Custodian Relations * Respond to inbound and outbound calls and ...

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All JobsProvider Relations Representative JobsSenior Provider Relations Representative JobsSenior Provider Relations Representative Jobs in Spring, TX

Senior Provider Relations Representative information

See Spring, TX salary details

$40K

$91.5K

$108.1K

How much do senior provider relations representative jobs pay per year?

As of Sep 3, 2026, the average yearly pay for senior provider relations representative in Spring, TX is $91,510.00, according to ZipRecruiter salary data. Most workers in this role earn between $73,900.00 and $103,700.00 per year, depending on experience, location, and employer.

What is a senior provider relations representative?

A Senior Provider Relations Representative serves as a liaison between healthcare providers and an insurance company or healthcare organization. They manage provider networks, address concerns, ensure contract compliance, and support providers with policy updates and operational processes. This role often involves analyzing provider performance, resolving escalated issues, and improving relationships to enhance service delivery. Strong communication, negotiation, and problem-solving skills are essential for success in this role.

What are the primary responsibilities of a senior provider relations representative?

Senior Provider Relations Representatives focus on maintaining and expanding relationships with healthcare providers, addressing inquiries regarding contracts, claims, and credentialing. On a typical day, they may negotiate new provider agreements, resolve escalated issues, conduct site visits, and provide education on network policies and processes. They also collaborate frequently with internal teams such as network development, claims processing, and quality assurance to ensure the provider experience is seamless. This role often requires proactive outreach to providers and responding to fast-paced, complex challenges unique to the healthcare industry.

What are the key skills and qualifications needed to thrive as a senior provider relations representative?

A Senior Provider Relations Representative typically requires a background in healthcare administration or related fields, with experience in provider network management and contract negotiations. Familiarity with healthcare claims platforms, customer relationship management (CRM) systems, and knowledge of regulations such as HIPAA are important. Strong interpersonal, problem-solving, and organizational skills enable effective communication and issue resolution with healthcare providers. These competencies ensure successful relationship building, compliance, and a smooth provider experience within the healthcare network.

How much does a senior provider relations representative make?

The average salary for a senior provider relations representative typically ranges from $60,000 to $85,000 annually, depending on experience, location, and employer. In Florida, salaries tend to be within this range, with factors such as certifications and healthcare industry knowledge influencing compensation.

What are popular job titles related to Senior Provider Relations Representative jobs in Spring, TX?

For Senior Provider Relations Representative jobs in Spring, TX, the most frequently searched job titles are:

What job categories do people searching Senior Provider Relations Representative jobs in Spring, TX look for?

The top searched job categories for Senior Provider Relations Representative jobs in Spring, TX are:

What cities near Spring, TX are hiring for Senior Provider Relations Representative jobs?

Cities near Spring, TX with the most Senior Provider Relations Representative job openings:

Senior Provider Relations Representative jobs near you
Infographic showing various Senior Provider Relations Representative job openings in Spring, TX as of August 2026, with employment types broken down into 84% Full Time, 14% Part Time, and 2% Contract. Highlights an 81% Physical, 1% Hybrid, and 18% Remote job distribution, with an average salary of $91,510 per year, or $44 per hour.

Credentialing and Enrollment Specialist

Senior PsychCare

Houston, TX • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 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