Unknown Company

Assoc Client Services Rep (Credentialing Specialist/Provider Enrollment Specialist)

houston, tx • Posted 1 weeks ago
Remote Part Time General

Client Services Representative, CredentialingCedar Gate Technologies, an IQVIA business, enables payers, providers, employers, and service administrators to excel at value-based care with a unified technology and services platform delivering analytics, care, and payment technology on a single data management foundation. At Cedar Gate, you'll be part of a collaborative, innovative environment where great ideas thrive. We invest deeply in our people through ongoing training, comprehensive benefits, and a strong culture of teamwork, offering the chance to grow your skills while contributing to high impact initiatives for some of the world's most dynamic companies.As 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 efficiencyJob Location: Houston, TX, highly preferred – Hybrid (1 day in office, 4 remote); May also consider anywhere in the United States. U.S.

residents only; work must be performed within the United States.Experience / 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.IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide.IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law.IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete.

Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.The potential base pay range for this role, when annualized, is $37,400.00 - $93,600.00. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.

Assoc Client Services Rep (Credentialing Specialist/Provider Enrollment Specialist) in houston at Unknown Company

This position is listed as part time and able to be worked remotely.

Back to Job Search