Payor Credentialing Assistant - FT

Uvalde Memorial Hospital; Uvalde (TX); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

CPES/CPCS certification support

Job summary

Uvalde Memorial Hospital is seeking a detail-oriented Payor Credentialing Assistant to join our Patient Accounting team in Uvalde, TX. This role ensures credentialing and payer enrollment with Medicare, Medicaid and commercial plans, maintaining accurate provider records and meeting critical deadlines.

You will coordinate credentialing, re-credentialing and enrollment, monitor statuses, and act as the liaison with insurers and regulatory bodies to support compliant revenue cycle operations.

Qualifications

• Bachelor's degree required.
• Experience in hospital, healthcare billing, provider enrollment or credentialing preferred.
• Excellent written and verbal communication; detail oriented.

Responsibilities

• Coordinate provider and facility credentialing, re-credentialing, and payer enrollment.
• Prepare, submit, and monitor credentialing applications with Medicare, Medicaid, and commercial plans.
• Maintain provider documentation including licenses, certifications, education, and malpractice insurance.
• Monitor credentialing deadlines to ensure timely renewals and participation.
• Serve as primary contact between providers, clinics, payors and regulators.
• Maintain databases, generate reports, and track application status.
• Ensure compliance with federal/state/payer requirements while supporting revenue cycle.

Skills

Analytical skills

Organizational skills

Problem solving

Communication skills

Excel proficiency

Credentialing software

Education

Bachelor's degree in Business, Healthcare Administration, Finance, Accounting, or related field

Tools

Credentialing software

Job description

Job DetailsJob Location: Uvalde, TX 78801Position Type: Full TimeEducation Level: Bachelors DegreeJob Shift: DayPayor Credentialing Assistant

Location: Uvalde Memorial Hospital Department: Patient Accounting Job Type: Full-Time

Build Provider Networks. Ensure Compliance. Support Quality Patient Care.

Uvalde Memorial Hospital is seeking a detail-oriented and motivated Payor Credentialing Assistant to join our Patient Accounting team. This position plays a vital role in ensuring our hospital, outpatient clinics, and providers remain credentialed and enrolled with commercial insurance carriers, Medicare, Medicaid, and other payors. By maintaining timely credentialing and payer enrollment, you'll help prevent reimbursement delays, support regulatory compliance, and ensure uninterrupted patient access to care.

This is an excellent opportunity for an organized professional who enjoys working in a fast-paced healthcare environment and wants to make a direct impact on the hospital's financial success and provider operations.

In This Role, You Will:

• Coordinate provider and facility credentialing, re-credentialing, and payer enrollment activities.
• Prepare, submit, and monitor credentialing applications with Medicare, Medicaid, commercial insurance plans, and other payors.
• Maintain accurate provider documentation, including licenses, certifications, education, malpractice insurance, and other required records.
• Monitor credentialing deadlines to ensure timely renewals and uninterrupted provider participation with insurance networks.
• Serve as the primary point of contact between providers, clinics, insurance carriers, and regulatory agencies regarding credentialing matters.
• Maintain accurate databases, generate reports, and track application status using credentialing software.
• Ensure compliance with federal, state, payer, and regulatory requirements while supporting revenue cycle operations.
• Collaborate with hospital leadership and providers to resolve credentialing issues and maintain efficient reimbursement processes.

We're Looking For Someone Who:

• Holds a Bachelor's degree in Business, Healthcare Administration, Finance, Accounting, or a related field (required).
• Has experience in a hospital, healthcare billing, administrative, provider enrollment, or credentialing environment (preferred).
• Possesses strong analytical, organizational, and problem-solving abilities with exceptional attention to detail.
• Demonstrates excellent written, verbal, and interpersonal communication skills.
• Is highly proficient in Microsoft Office, particularly Excel, with experience using credentialing software preferred.
• Can effectively manage multiple priorities, meet deadlines, and work independently while contributing to a collaborative team environment.
• Is willing to obtain Certified Provider Enrollment Specialist (CPES) certification within 18 months of hire; Certified Provider Credentialing Specialist (CPCS) certification is preferred.

Why Join Uvalde Memorial Hospital?

At Uvalde Memorial Hospital, you'll become part of a team dedicated to ensuring providers can deliver uninterrupted, high-quality patient care. Your work will directly support regulatory compliance, strengthen the hospital's revenue cycle, and contribute to the overall success of our organization. We offer a collaborative environment, opportunities for professional development, and the chance to make a meaningful impact every day.

Join UMH and help keep our providers connected, compliant, and ready to serve our community.