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

IQVIA LLC; Houston (TX); Hybrid; USD 37,000 - 94,000; Full time

Job summary

Cedar Gate Technologies, an IQVIA business, seeks a Client Services Representative in Credentialing to maintain accurate provider data, verify credentials, and resolve discrepancies for healthcare clients.

Join a fast-paced, detail-focused team delivering high-quality credentialing services; hybrid work in Houston with emphasis on accuracy and client satisfaction.

Qualifications

• 3+ years of credentialing experience in a delegated environment.
• NAMSS CPCS certification preferred or working toward certification.
• Detail-oriented with ability to extract vital information from credentialing documents.
• Ability to exercise independent judgment when handling confidential information.
• Able to meet tight deadlines and adapt to changing demands.
• Consistently meet or exceed quality and production expectations.
• Proficient in data entry and credentialing databases.
• Strong problem-solving, critical thinking, and deductive reasoning skills.
• Excellent written and verbal communication; outstanding customer service.

Responsibilities

• Prepare credentialing information for client health plans, including document review and file prep.
• Perform primary source verifications.
• Follow up with practitioners and entities to resolve discrepancies.
• Maintain an accurate credentialing database and reconcile data.
• Prepare credentialing committee documents and record meeting minutes.
• Review OnBase provider files for document retention.
• Prepare and review documents for annual payer audits.
• Communicate with payers to confirm provider payer effective dates.
• Participate in policy/procedure reviews and process improvements.
• Respond promptly to inquiries from practitioners and clients.

Skills

Credentialing experience

Data entry

Customer service

Communication skills

Education

NAMSS CPCS certification

Detail-oriented training

Tools

OnBase

Provider databases

Job description

About Cedar Gate Technologies Cedar 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.

Position Summary 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 & Responsibilities

• Prepare credentialing information for the client's contracted health plans, including document review and credentialing file preparation
• Perform primary source verifications
• Follow up with individual practitioners and internal and external entities to resolve discrepancies identified during the credentialing process
• Keep the manager informed of potential credentialing issues or delays
• Complete data entry of provider credentialing information into web-based provider database
• Maintain an accurate database of provider credentialing information in a web-based provider database by performing routine data reconciliation
• Prepare credentialing committee meeting documents for distribution, facilitate committee meetings and record meeting minutes
• Complete review of scanned provider file documents in OnBase to validate document retention
• Prepare and review provider application and client documents for annual payer audits
• Communicate with client's payers to ensure timely receipt of provider payer effective dates
• Participate in annual policies and procedures review and revision
• File and maintain credentialing contract file documents
• Maintain a working knowledge & application of computer directories, folders, and worksheets for filing and storing data
• Respond to all practitioners, client health plans, and internal inquiries in a timely manner
• Participate in team meetings and process improvement initiatives to continuously improve work product quality and efficiency

Job Location

Job 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 / Qualifications

• 3+ years of credentialing experience, preferably in a delegated credentialing environment
• NAMSS Certified Provider Credentialing Specialist (CPCS) certification preferred or working toward certification
• Detail-oriented with the ability to recognize vital information from credentialing documents
• Proven ability to exercise independent judgment in managing and relaying confidential information
• Ability to work well under tight deadlines and respond to changing demands and provide efficient follow-up rapidly
• Ability to consistently meet or exceed quality and production expectations
• Proficiency in data entry and use of databases and other credentialing related databases
• Professional experiences with problem‑solving, critical thinking, and deductive reasoning skills
• Outstanding oral, written, and interpersonal communication skills
• Excellent customer service skills

Eligibility

To be eligible for this position, you must reside in the same country where the job is located.

Equal Opportunity & Diversity

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. https://jobs.iqvia.com/eoe

Salary

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.

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. Learn more at https://jobs.iqvia.com 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. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create connections that accelerate the development and commercialization of innovative medical treatments. Everything we do is part of a journey to improve patient outcomes and population health worldwide. To get there, we seek out diverse talent with curious minds and a relentless commitment to innovation and impact. No matter your role, everyone at IQVIA contributes to our shared goal of helping customers improve the lives of patients everywhere. Thank you for your interest in growing your career with us.