Physician Credentialing Specialist — Hybrid Role

Texas Regional Physicians; Houston (TX); Hybrid; USD 34,000 - 55,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) retirement plan

Paid time off

Life insurance

Disability coverage

NAMSS certification support

Job summary

Texas Regional Physicians is seeking a detail-oriented Credentialing Specialist to manage initial credentialing, re-credentialing, privileging, and payer enrollment for physicians and advanced practice providers across TRP entities.

This role ensures timely, accurate credentialing in line with NCQA, CMS, The Joint Commission, and Texas Medical Board requirements, serving as the liaison between TRP providers, hospital staff offices, and payers.

Qualifications

• Two years of provider credentialing experience in a medical setting.
• NAMSS CPCS/CPMSM preferred or willingness to obtain.

Responsibilities

• Process initial credentialing and re-credentialing for physicians and APPs.
• Perform primary source verification of education, licensure, and certifications.
• Coordinate hospital privileging applications and delineation of privileges.
• Maintain audit-ready provider files in NCQA, CMS, and Texas Medical Board standards.
• Submit payer enrollment applications (Medicare, Texas Medicaid, commercial plans).

Skills

Attention to detail

Communication

Discretion

Organization

Education

Healthcare Administration or related degree preferred

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

Texas Regional Physicians is seeking a detail-oriented Credentialing Specialist to manage initial credentialing, re-credentialing, privileging, and payer enrollment for physicians and advanced practice providers across TRP entities.

This role ensures timely, accurate credentialing in line with NCQA, CMS, The Joint Commission, and Texas Medical Board requirements, serving as the liaison between TRP providers, hospital staff offices, and payers.