Credentialing Specialist - REMOTE *TEXAS Residents

Credentialing Specialist - REMOTE
* TEXAS Residents Only*

Join Little Spurs Pediatric Urgent Care as a Credentialing Specialist to support our healthcare providers. This full‑time, exempt position is remote and requires Texas residency.

Base pay range: $39,000.00 /year – $45,000.00 /year (actual pay determined by skills and experience).

• Status:
  Full-time, Exempt
• Schedule:
  
  Monday – Friday
• Location:
  
  Remote

The Credentialing Specialist will maintain the credentialing database, ensuring all licensures, insurance, board certifications for our healthcare providers are current. The role reports to the Central Business Office Manager and ensures compliance with governmental, state regulations, and UCA requirements.

• Maintain credentialing database and provider records.
• Verify and ensure compliance with licensure, insurance, and board certification requirements.
• Coordinate provider enrollment and re‑enrollment through portals such as CAQH, PECOS, PEMS, and TMHP.
• Communicate professionally with physicians and physician extenders regarding credentialing matters.
• Assist with delegated credentialing activities.
• Stay current on federal and state regulatory requirements and accreditation standards.

• High School diploma or equivalent.
• Minimum 3 years of provider credentialing experience.
• Bachelor’s degree in health care administration, business management, or related field (preferred).
• Proficiency with credentialing software and payor portals.
• Intermediate proficiency in Excel, Word, Outlook, and Adobe.
• Knowledge of federal and state regulatory requirements and accreditation standards (Joint Commission, NCQA, UCA, CMS) (preferred).
• CPCS or CPMSM certification (preferred).

• Medical, Dental & Vision benefits for employee, spouse, and dependents.
• Voluntary Short‑Term & Long‑Term Disability & Voluntary Life Insurance.
• 401(k) with 4% company match on 5% employee contribution.
• 80 hours of PTO annually with rollover; additional PTO after 3 and 5 years of service.
• No cost for in‑house medical care for employee and dependent children.
• Employee recognition and appreciation programs.

Texas residents only. Residential compliance required. Referrals increase your chances of interviewing by 2x.