Credentialing Specialist

Location: Memorial City, TX (Houston Area)


Schedule: Monday - Friday, 8:00 AM - 5:00 PM


Work Type: Hybrid (Onsite for the first 30 days of training, then switches to an alternating 1-week onsite / 1-week remote schedule)

About the Role


We are seeking a detail-oriented Credentialing Specialist to ensure our clinical team meets the highest standards of safety and compliance. In this role, you will act as the frontline investigator, processing provider applications, verifying medical backgrounds, and maintaining pristine provider files.

Core Responsibilities

• Data & Verification: Import provider files, scrub data for accuracy, and conduct Primary Source Verification (PSV) for licensing, education, and history.
• Provider Communication: Serve as the main point of contact for providers, answering timeline questions and chasing down expiring credentials (DEA, state licenses).
• Compliance & Safety: Monitor physician sanction sources and immediately escalate any "red flags" or compliance concerns to leadership.
• File Maintenance: Meet department metrics by efficiently processing and closing approximately 17-20 provider files per week.

What We're Looking For

• Experience: 2+ years of credentialing experience specifically within a hospital, health system, or medical clinic environment.
• Industry Knowledge: A solid foundational understanding of NCQA and Joint Commission accreditation standards.
• Tech Skills: Proficiency with basic computer programs, including Microsoft Word and Excel.
• Soft Skills: High attention to detail, strong analytical skills, and excellent written/verbal communication.

Preferred Skills (Plus Tools)

• Previous experience using credentialing software systems (e.g., symplr, MD-Staff, Modio Health, CredentialStream, MedTrainer ).

* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).


* As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.