Senior Credentialing Specialist

Sr. Credentialing Specialist

Houston, TX

Location: Houston, TX

Industry: Healthcare / Provider Credentialing

Pay: $21.00 – $25.00 / Per Hour

Job Type: Contract

Benefits: This position is eligible for medical, dental, vision, life insurance and 401k.

Job Description:

The Sr. Credentialing Specialist will coordinate credentialing and privileging activities for physicians and providers across hospital and specialty care settings. This position requires strong experience processing hospital privileging applications and performing comprehensive primary source verifications to ensure regulatory compliance and patient safety.

Key Responsibilities:

• Process provider credentialing and hospital privileging applications from start to completion.
• Perform primary source verifications, including:
  • Education and employment verification
  • Board certifications and licensure checks
  • DEA registration verification
  • Criminal background checks
  • Peer reference verification
  • Sanctions and exclusion list review
• Review case logs and credentialing documentation to ensure provider competency aligns with requested privileges.
• Investigate potential red flags uncovered during credentialing reviews.
• Coordinate with providers to obtain additional documentation or clarification.
• Maintain accurate provider records within credentialing systems.
• Serve as a liaison between providers, credentialing leadership, and internal teams.
• Ensure credentialing processes meet regulatory, accreditation, and organizational requirements.

Qualifications:

• 2+ years of hospital credentialing and privileging experience required.
• Experience processing hospital privileging applications required.
• Strong experience performing comprehensive primary source verifications.
• Knowledge of regulatory credentialing standards and compliance practices.
• Strong attention to detail and ability to identify discrepancies or red flags.
• Excellent communication and documentation skills.
• High school diploma or GED required.

Additional Details:

• Schedule: Monday–Friday, 8:00am–5:00pm
• Work Model:
  • Training: 3–4 weeks onsite (MUST BE LOCAL TO HOUSTON)
  • After training: rotating schedule (1 week onsite / 1 week remote)
• Assignment Type: Contract
• Start Date: ASAP
• Environment: Business Office