Insurance Credentialing Specialist: Travel-Ready

Su Clinica Familiar; Harlingen (TX); On-site; USD 42,000 - 62,000; Full time

Job summary

Su Clinica Familiar in Harlingen, TX seeks a Credentialing Coordinator to oversee credentialing and re-credentialing for providers and facilities. You will coordinate with payers, CMS, and CAQH/PECOS, ensuring timely enrollments and accurate records.

The role requires detailed knowledge of credentialing processes, strong customer service, and ability to work across teams. Travel to different clinics is expected as needed.

Qualifications

• Knowledge of PCMH model and care coordination.
• Familiarity with third-party billing and payer enrollment.
• Experience with CPT/ICD coding basics.
• Strong customer service and communication skills.
• Bilingual English/Spanish preferred.

Responsibilities

• Manage provider enrollment applications and renewals.
• Track enrollment status and ensure timely linkage to entities.
• Maintain enrollment records and CAQH/PECOS entries.
• Process re-credentialing applications with facilities and payers.
• Address denials or authorization issues with billing teams.
• Travel to clinics to gather credentialing information.
• Ensure accuracy of insurance directories and provider data.

Skills

Provider enrollment

Credentialing knowledge

Customer service

Spanish fluency

Education

High school or GED

Medical Office Specialist certification

Tools

Microsoft Word

Excel

Outlook

Job description

Su Clinica Familiar in Harlingen, TX seeks a Credentialing Coordinator to oversee credentialing and re-credentialing for providers and facilities. You will coordinate with payers, CMS, and CAQH/PECOS, ensuring timely enrollments and accurate records.

The role requires detailed knowledge of credentialing processes, strong customer service, and ability to work across teams. Travel to different clinics is expected as needed.