Top 13 Credentialing specialist Jobs in Houston Tx

Assoc Client Services Rep (Credentialing Specialist/Provider Enrollment Specialist)
IQVIA —Houston, TX
- $37,400 - $93,600 a year
- Full-time
- Mid-level
- Office
- Continuous improvement
13d
Credentialing & Provider Enrollment Specialist
TEXAS HEARING INSTITUTE —Houston, TX
- $23 - $25 an hour
- Full-time
- Medical office experience
- Mid-level
- Office
Quick Apply
Credentialing Specialist II
Parallon —Houston, TX
- Full-time
- 5 years
- Mid-level
- Experience equivalent to degree accepted
- Employee stock purchase plan
- Disability insurance
Quick Apply
10d
Credentialing Specialist
One Federal Solution —Houston, TX
- Customer service
- Mid-level
- Administrative experience
Quick Apply
Medical Credentialing Specialist
Altus Community Healthcare —Houston, TX
- Full-time
- Research
- Mid-level
- Databases
Quick Apply
Physician Credentialing Specialist
Texas Regional Physicians —Houston, TX
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Medical Credentialing Specialist
Boson Health —Houston, TX
- $20 - $24 an hour
- Full-time
- Microsoft Outlook
- Mid-level
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
2d
Executive Assistant/Credentialing Specialist
Bee Busy Wellness Center —Houston, TX
- $45,000 - $55,000 a year
- Full-time
- 3 years
- Analysis skills
- Project management
- Health insurance
- Dental insurance
Quick Apply
3d
HSPD-12: Government Badging & Credentialing Specialist (Houston, TX.*)
Citizant Inc —Houston, TX
- $18.29 an hour
- Full-time
- Administrative experience
- High school diploma or GED
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
Multi-State Licensure Specialist
Next Level Urgent Care —Houston, TX
- Microsoft Excel
- Microsoft Outlook
- Customer service
Quick Apply
Credentialing and Enrollment Specialist
Senior PsychCare —Houston, TX
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply

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Integrated Services for Behavioral Health —Columbus, OH
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Assoc Client Services Rep (Credentialing Specialist/Provider Enrollment Specialist)

IQVIA -
Houston, TX

Apply Now

Job Details

Full-time
$37,400 - $93,600 a year
13 days ago

Qualifications

Customer communication
Confidential information handling
Clinical data entry
Customer service problem-solving
Quality data entry

Full Job Description

Houston, United States of America | Full time | Hybrid | R1555240

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

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
To 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. Learn more at https://jobs.iqvia.com

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

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.

Where you'll work

Hybrid

You’ll split your time between home and the office, giving you the flexibility to focus where you work best while still building strong in-person connections with your team. This model combines the autonomy of remote work with the collaboration, energy and resources of an office environment.

Culture

Culture at IQVIA is built on a shared belief: that when people are empowered with better data, smarter technology and deeper expertise, they can change what’s possible for patients. Across every team and every corner of the globe, you’ll find colleagues who genuinely care — about the mission and about each other. That’s what makes this a place where people tend to stay, grow and do the best work of their careers.

Apply Now

Refine Your Search

credentialing specialist jobs in houston tx

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

Credentialing & Provider Enrollment Specialist

Credentialing Specialist II

Credentialing Specialist

Medical Credentialing Specialist

Physician Credentialing Specialist

Medical Credentialing Specialist

Executive Assistant/Credentialing Specialist

HSPD-12: Government Badging & Credentialing Specialist (Houston, TX.*)

Multi-State Licensure Specialist

Credentialing and Enrollment Specialist

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