About this opportunity
IQVIA lists this Assoc Client Services Rep (Credentialing Specialist/Provider Enrollment Specialist) opportunity in houston, Texas. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Assoc Client Services Rep (Credentialing Specialist/Provider Enrollment Specialist)Houston, United States of America | HybridAs a Client Services Representative, Credentialing at Cedar Gate Technologies, an IQVIA business, you will play a key role in supporting credentialing services for healthcare clients by maintaining accurate provider information, validating data, and resolving credentialing-related discrepancies. Serving as a trusted resource to physician practices, hospitals, and healthcare payers, you will apply your knowledge of provider credentialing processes, industry regulations, and established policies to ensure the integrity and quality of credentialing data.In this fast-paced environment, you will manage multiple priorities while meeting time-sensitive deadlines with exceptional attention to detail and accuracy. You will use sound judgment to research and resolve issues, adapt to evolving client and business needs, and contribute to the successful delivery of high-quality credentialing services. Strong organizational and customer service skills are essential, as you will build productive client relationships, deliver responsive support, and help drive client satisfaction and operational excellence. Your ability to balance precision, responsiveness, and professionalism will make you a valued contributor to both the Credentialing team and Cedar Gate's continued success.Roles & ResponsibilitiesPrepare credentialing information for the client's contracted health plans, including document review and credentialing file preparationPerform primary source verificationsFollow up with individual practitioners and internal and external entities to resolve discrepancies identified during the credentialing processKeep the manager informed of potential credentialing issues or delaysComplete data entry of provider credentialing information into web-based provider databaseMaintain an accurate database of provider credentialing information in a web-based provider database by performing routine data reconciliationPrepare credentialing committee meeting documents for distribution, facilitate committee meetings and record meeting minutesComplete review of scanned provider file documents in OnBase to validate document retentionPrepare and review provider application and client documents for annual payer auditsCommunicate with client's payers to ensure timely receipt of provider payer effective datesParticipate in annual policies and procedures review and revisionFile and maintain credentialing contract file documentsMaintain a working knowledge & application of computer directories, folders, and worksheets for filing and storing dataRespond to all practitioners, client health plans, and internal inquiries in a timely mannerParticipate in team meetings and process improvement initiatives to continuously improve work product quality and efficiencyExperience / Qualifications3+ years of credentialing experience, preferably in a delegated credentialing environmentNAMSS Certified Provider Credentialing Specialist (CPCS) certification preferred or working toward certificationDetail-oriented with the ability to recognize vital information from credentialing documentsProven ability to exercise independent judgment in managing and relaying confidential informationAbility to work well under tight deadlines and respond to changing demands and provide efficient follow-up rapidlyAbility to consistently meet or exceed quality and production expectationsProficiency in data entry and use of databases and other credentialing related databasesProfessional experiences with problem-solving, critical thinking, and deductive reasoning skillsOutstanding oral, written, and interpersonal communication skillsExcellent customer service skillsTo be eligible for this position, you must reside in the same country where the job is located.
Worksite address
houston, TX, 77001, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.