Physician Credentialing Specialist

Job overview

The Physician Credentialing Specialist role is based at Texas Regional Physicians’ administrative office in Houston, TX. The posting describes competitive hourly compensation commensurate with experience and certification; numeric compensation is not specified. Texas Regional Physicians is a physician-led, multi-specialty medical group serving the greater Houston area. The specialist manages provider credentialing, privileging, and payer enrollment so physicians and advanced practice providers can meet applicable requirements and maintain billing eligibility. The role coordinates with providers, hospitals, health plans, and internal teams while keeping records accurate, confidential, and ready for audits and reviews.

What you'll do

• Process initial and re-credentialing applications
• verify provider education, training, licensure, certifications, and other credentials through approved sources
• maintain audit-ready files and track expirables
• coordinate hospital privileging and payer enrollment
• maintain credentialing databases and provider data systems
• prepare files and reports for committee review
• support audits and communicate with providers about documentation and deadlines.

What we're looking for

Skills & competencies

physician credentialing specialist

texas regional physicians

houston tx

provider credentialing

re-credentialing

hospital privileging

payer enrollment

ncqa

cms

caqh

healthcare administration

credentialing audits

hipaa

Work arrangement

• Weekend coverage required

Benefits & perks

• Medical, dental, and vision insurance
• 401(k) with employer contribution
• paid time off and holidays
• life and disability coverage
• continuing education and NAMSS certification support.

Why this role

Requires at least two years of provider credentialing experience and a high school diploma or equivalent. CPCS or CPMSM certification is preferred, or willingness to obtain. Hybrid arrangements may be available depending on business needs; the role is primarily office-based with limited travel.

About the employer

Texas Regional Physicians is hiring for this role. Industry: Offices of Physicians (except Mental Health Specialists). Sector: 62.