Credentialing Specialist Virtual in Nashville, Tennessee, United States
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Parallon

Credentialing Specialist Virtual

Nashville, TN, United States
Full-time • Work From Home
HIMS and Health Informatics   Job ID: 691926
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Description

Introduction

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Credentialing Specialist Virtual with Parallon you can be a part of an organization that is devoted to giving back!

Benefits

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Fertility and family building benefits through Progyny
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • Family support, including adoption assistance, child and elder care resources and consumer discounts
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan
  • Retirement readiness and rollover services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Parallon family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Credentialing Specialist Virtual to help us reach our goals. Unlock your potential!

Job Summary and Qualifications

Seeking a Credentialing Specialist who will be responsible for credentialing new and established health care providers and the maintenance of information to include primary source verification, follow-up, data collection, data entry and document review. We are an amazing team that works hard to support each other and are seeking phenomenal addition like you. We want you to apply today!

What you will do in this role:

  • Maintain high quality, timely and accurate credentialing processes of medical and allied healthcare professionals per CPC policy and procedure.
  • Assist in credentialing process by entering/logging/scanning information into credentialing system.
  • Act as liaison for completing and ensuring compliance and delivery of required information to clients in a timely manner.
  • Identify and evaluate potential red flags and work in collaboration with practitioner to document the issue and physician response.
  • Advise Manager and/or Director of questionable information received and any issues identified during the processes.
  • Submit closed files for audit/final review and secure missing items as identified by audit/final review.
  • Maintain all credentials files ensuring that all correspondence in the credentialing and reappointment process is accurately filed.

What qualifications you will need:

  • Associate degree or equivalent combination of education and experience required;
  • Bachelor’s degree, preferred
  • Minimum 1 year experience in healthcare credentialing (i.e., healthcare facility, managed care setting, credentials verification organization, or Medical Staff Office), required
  • Experience with Credentialing Accreditation by Joint Commission or National Committee for Quality Assurance, preferred
  • Demonstrated working knowledge of the healthcare and credentialing industry, including medical-legal issues and laws, regulatory agencies preferred
  • Completion of post Cactus training test of 85% or greater
  • CPCS certification preferred, or a commitment to pursue certification within 1 year

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Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Be a part of an organization that invests in you! We are reviewing applications for our Credentialing Specialist Virtual opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

This position is incentive eligible.

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Details

HIMS and Health Informatics
Parallon
Full-time • Work From Home

COVID-19 Vaccination

In compliance with the emergency regulation issued by the Centers for Medicare & Medicaid Services (CMS) dated November 4, 2021, and company policy, this role MAY require you to be fully vaccinated for COVID-19 based on local, state and /or federal law or regulations, or to have applied for a medical or religious exemption (including booster for California). (For further clarification, please ask your recruiter.)

About HCA Healthcare

What matters most to our diverse and talented colleagues is giving people the absolute best healthcare in the most compassionate way possible.

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