Payor Credentialing & Enrollment Specialist

UVALDE COUNTY HOSPITAL AUTHORITY UVALDE MEMORIAL HOSPITAL; Uvalde (TX); On-site; USD 42,000 - 60,000; Full time

Job summary

Uvalde Memorial Hospital is seeking a Payor Credentialing Assistant to join our Patient Accounting team in Uvalde, TX. This role focuses on credentialing, re-credentialing, and payer enrollment across the hospital, clinics, and providers.

The position requires accuracy, strong communication, and the ability to manage deadlines using credentialing software. A Bachelor's degree is required, and CPES/CPCS certification is encouraged with a path for professional development.

Qualifications

• Bachelor's degree required in Business, Healthcare Administration, Finance, Accounting, or related field.
• Experience in hospital, healthcare billing, administrative, provider enrollment, or credentialing environment preferred.
• Strong analytical, organizational, and problem-solving abilities with attention to detail.

Responsibilities

• Coordinate provider and facility credentialing, re-credentialing, and payer enrollment activities.
• Prepare, submit, and monitor credentialing applications with Medicare, Medicaid, commercial plans, and other payors.
• Maintain accurate provider documentation (licenses, certifications, education, malpractice insurance).
• Monitor credentialing deadlines to ensure timely renewals and uninterrupted participation with networks.
• Serve as primary point of contact between providers, clinics, insurers, and regulators regarding credentialing matters.
• Maintain 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 leadership and providers to resolve credentialing issues and maintain efficient reimbursement processes.

Skills

Analytical thinking

Organizational skills

Attention to detail

Communication

Education

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

Tools

Excel

Credentialing software

Job description

Uvalde Memorial Hospital is seeking a Payor Credentialing Assistant to join our Patient Accounting team in Uvalde, TX. This role focuses on credentialing, re-credentialing, and payer enrollment across the hospital, clinics, and providers.

The position requires accuracy, strong communication, and the ability to manage deadlines using credentialing software. A Bachelor's degree is required, and CPES/CPCS certification is encouraged with a path for professional development.