Credentialing Specialist

MyCHN; Alvin (TX); On-site; USD 58,000 - 76,000; Full time

Job summary

MyCHN is seeking an experienced Credentialing Specialist who is organized, analytical, detail-oriented, and ready to take ownership of provider credentialing from start to finish.

You’ll help ensure our physicians, advanced practice providers, dentists, behavioral health professionals, pharmacists, and other healthcare professionals are properly credentialed, privileged, and enrolled so they can focus on patient care.

Qualifications

• 3 to 5 years of healthcare credentialing, provider enrollment, privileging, or medical staff services experience.
• Experience independently managing credentialing files from start to finish.
• Working knowledge of CAQH, NPDB, NPPES, Medicare, Medicaid, OIG screening, and payer enrollment.

Responsibilities

• Manage initial credentialing and recredentialing from initiation through completion.
• Perform primary source verification and maintain audit-ready credentialing files.
• Complete and monitor NPDB queries, exclusion screenings, licenses, certifications, DEA registrations, and expirable credentials.
• Support CAQH, NPPES, Medicare, Medicaid, and commercial payer enrollment.
• Coordinate privileging documentation and provider enrollment activities.
• Identify missing information, discrepancies, enrollment barriers, and potential compliance risks.
• Track credentialing deadlines and help prevent delays affecting start dates or payer participation.
• Partner with providers, HR, Operations, Revenue Cycle, Compliance, and clinical leadership to resolve credentialing issues.
• Support credentialing activities for new clinics, acquisitions, and organizational growth.
• Serve as the primary support personnel to the Credentialing Manager, helping maintain workflow and deadlines.

Skills

Attention to detail

Organization

Critical thinking

Problem solving

Communication skills

Multitasking

Education

High school diploma or equivalent

Tools

CAQH

NPDB

NPPES

Payer enrollment

Job description

Are you ready for new challenges and new opportunities?

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Ready to take the next step in your credentialing career?

MyCHN is seeking an experienced Credentialing Specialist who is organized, analytical, detail-oriented, and ready to take ownership of provider credentialing from start to finish.

This is more than a paperwork-processing role. You’ll help ensure our physicians, advanced practice providers, dentists, behavioral health professionals, pharmacists, and other healthcare professionals are properly credentialed, privileged, and enrolled so they can focus on what matters most - caring for our patients and communities.

What You’ll Do

• Manage initial credentialing and recredentialing from initiation through completion
• Perform primary source verification and maintain accurate, audit-ready credentialing files
• Complete and monitor NPDB queries, exclusion screenings, licenses, certifications, DEA registrations, and other expirable credentials
• Support CAQH, NPPES, Medicare, Medicaid, and commercial payer enrollment
• Coordinate privileging documentation and provider enrollment activities
• Identify missing information, discrepancies, enrollment barriers, and potential compliance risks
• Track credentialing deadlines and help prevent delays that could affect provider start dates or payer participation
• Partner with providers, HR, Operations, Revenue Cycle, Compliance, and clinical leadership to resolve credentialing issues
• Support credentialing activities for new clinics, acquisitions, and organizational growth
• Serve as the primary support personnel to the Credentialing Manager, helping maintain workflow and critical deadlines when needed

What Makes You a Great Fit

You’re someone who doesn’t just identify a credentialing problem—you work to solve it.

You can manage multiple providers and competing deadlines while maintaining exceptional accuracy. You communicate professionally, follow through on commitments, recognize potential risks, and are comfortable working independently.

What You’ll Bring

• High school diploma or equivalent required
• 3 to 5 years of healthcare credentialing, provider enrollment, privileging, or medical staff services experience
• Experience independently managing credentialing files from start to finish
• Working knowledge of CAQH, NPDB, NPPES, Medicare, Medicaid, OIG screening, and payer enrollment
• Strong attention to detail, organization, critical thinking, and problem-solving skills
• Strong written and verbal communication skills
• Ability to manage multiple priorities and deadlines in a fast-paced environment
• Proficiency with Microsoft Office and electronic credentialing/database systems
• Preferred: Experience in an FQHC, community health center, hospital, medical group, or multi-site healthcare organization. CPCS certification through NAMSS is a plus.

Why MyCHN?

MyCHN is growing—and credentialing plays a critical role in that growth.

You’ll have the opportunity to strengthen your expertise, solve meaningful operational challenges, support new providers and locations, improve credentialing processes, and become a trusted resource across the organization.

If you’re looking for a credentialing role where your accuracy, judgment, initiative, and expertise truly matter, we’d love to hear from you.