Provider Credentialing & Enrollment Specialist — Part-Time
Apex Integrated Therapy Services
Remote — TexasPart-Time W-2 | 8–12 hours/week
Starting at $20/hour
Join a Growing Therapist-Owned Practice
Apex Integrated Therapy Services is seeking an experienced Provider Credentialing & Enrollment Specialist to support our growing behavioral and allied health private practice.
This is a 100% remote, part-time position for a Texas-based professional who enjoys working independently, solving payer-related issues, and keeping credentialing and enrollment processes organized and moving forward.
The Specialist will support provider credentialing and enrollment across commercial insurance plans, Texas Medicaid/TMHP, Medicaid managed care organizations, and Medicare participation.
What You'll Do
• Complete provider credentialing and enrollment applications for commercial insurance plans
• Complete and manage Texas Medicaid/TMHP enrollment and Medicaid managed care plan requirements
• Add clinicians to payer networks, group affiliations, and provider rosters
• Maintain CAQH, NPI/NPPES, taxonomy, license, and credentialing information
• Track applications, effective dates, recredentialing, and revalidation deadlines
• Follow up with payers regarding pending applications and enrollment issues
• Maintain a provider-by-payer credentialing and enrollment tracker
• Complete payer demographic updates and EFT/ERA enrollment as applicable
• Research payer-specific requirements for different provider types and license levels
• Support future Medicare/PECOS enrollment
• Help identify and resolve credentialing or enrollment issues that may affect billing
Medical billing/revenue cycle experience is a plus and may lead to expanded responsibilities.
What We're Looking For
Required Qualifications
• Previous hands-on provider credentialing and enrollment experience
• Experience with commercial insurance credentialing
• Direct experience with Texas Medicaid/TMHP provider enrollment
• Experience with Texas Medicaid managed care plans
• Working knowledge of CAQH and NPI/NPPES
• Experience with payer portals, provider rosters, and group affiliations
• Strong organization, attention to detail, and follow-through
• Ability to communicate directly with insurance companies and resolve enrollment issues
• Comfortable working independently in a remote environment
Preferred Qualifications
• Behavioral health or allied health (speech, occupational, or physical therapy) credentialing experience
• Experience with Texas Medicaid PEMS
• Availity experience
• Medicare/PECOS enrollment experience
• Medical billing or revenue cycle experience
• EFT/ERA enrollment experience
A college degree is not required. Relevant hands-on experience and demonstrated knowledge are valued.
Schedule & Compensation
• This is a part-time W-2 position with approximately 8–12 hours per week initially.
• The position is 100% remote within Texas, with a flexible part-time schedule. Because payer follow-up may require communication during normal business hours, some daytime availability will be necessary.
• Pay: $20–$23 per hour, based on directly related credentialing, Texas Medicaid/TMHP, Medicaid managed care, and provider enrollment experience.
What We Offer
• Flexible part-time schedule
• 90-day performance and compensation review
• Access to the Apex Thrive Program
• Eligibility for a quarterly performance bonus based on performance and practice needs
• Opportunity for increased hours and expanded responsibilities
• Potential career growth into credentialing, medical billing, and revenue cycle operations
• Opportunity to help shape and improve credentialing and enrollment processes within a growing practice
To Apply
Please submit your resume and briefly describe your direct experience with:
• Commercial insurance credentialing and provider enrollment
• Texas Medicaid/TMHP provider enrollment
• Texas Medicaid managed care plans
We are especially interested in candidates who have personally managed provider enrollment applications from submission through approval and payer effective date.
Apex Integrated Therapy Services, LLC is an Equal Opportunity Employer.
Pay: $20.00 - $23.00 per hour
Benefits
• Flexible schedule
Application Question(s):
• How many years of provider credentialing and enrollment experience do you have?
• Briefly describe your experience with commercial insurance credentialing, Texas Medicaid/TMHP, and Medicaid managed care plans. Please include the types of providers or practices you have supported.
Work Location: Remote