Credentialing Specialist Virtual

Description

Introduction

Do you want to join an organization that invests in you as a(an) Credentialing Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

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 free 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.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance 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)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Credentialing Specialist like you to be a part of our team.

Job Summary and Qualifications

As a Credentialing Specialist, you will be responsible for supporting the development and implementation of the Credentialing Processing Center (CPC) policy and procedures.

In this role you will:

• Analyze and act upon credentialing data and images of new and established health care providers.
• Maintenance of information including primary source verification, follow‐ up, data collection, data entry, and document review.
• Subject matter expert on Credentialing Processing Center policies, procedures and systems.
• Perform data integrity, specialist review and/or compliance review functions. This will include preparation, final review and flag assignment based on established CPC requirements.
• Maintain high quality, timely and accurate credentialing processes of medical and allied healthcare providers per CPC policy and procedures.
• Proactively identify appropriate verification elements in accordance with CPC policy and procedures and as evidenced by QA.
• Ensure that the correct verifications are obtained based on specific provider’s data and CPC policy and procedures. This includes but is not limited to: state license(s), Federal and State DEA(s), board certification, education, and peer references.
• Monitor collection of all information received, follow up on missing items and/or incomplete forms per CPC policy and procedures. You will submit follow‐ up requests for verifications as needed.
• Maintain all credential records ensuring that all correspondence in the credentialing and reappointment process is accurate.

What Qualifications you will need:

Associate’s degree or an equivalent combination of education and experience required; Bachelor’s degree preferred

You must have a minimum of two years’ experience in healthcare credentialing. This should include one year as a specialist within the Parallon Credentialing Processing Center.

Experience with Credentialing Accreditation by Joint Commission or National Committee for Quality Assurance is preferred.

Completion of credentialing knowledge assessment and post Cactus training testing of 90% or greater

Successful completion of Credentialing 100, 101 and 201

NAMSS certified preferred

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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.

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"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Credentialing Specialist opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

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.

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