Credentialing Specialist II

Job Summary

The Credentialing Processing Center Specialist II is responsible for ensuring hospitals and healthcare facilities have comprehensive, verified practitioner credentials. This role ensures informed decisions regarding practitioner access and impacts the care of thousands of patients daily.

Qualifications

• Mastery of communication and regulatory guidelines, policies, procedures, and internal systems
• Coupled with keen insight into 350+ internal and external customers
• Forges collaborative partnerships with over 350+ healthcare facilities, customers, and stakeholders
• Mastered competency and extensive experience through Data Integrity Reviews, Specialist Reviews, and Compliance Reviews
• Ensures flawless, timely, and accurate credentialing of medical and allied healthcare providers
• Meticulously documents resolution and/or unresolved complex issues and escalations
• Maintains meticulous credentialing records
• Upholds unwavering compliance with all governing policies, procedures, and regulatory requirements

Qualifications

• Associate’s degree or equivalent work experience
• Bachelor’s degree preferred
• 5+ years’ experience in healthcare credentialing with Parallon or HCA required
• Experience with Credentialing Accreditation by Joint Commission or National Committee for Quality Assurance preferred
• Detailed working knowledge of the health care and credentialing industry, including medical-legal issues and laws, regulatory agencies, and other national standards preferred
• NAMSS Certification preferred

Benefits

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing

Parallon

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 targeted solutions, such as Medicaid Eligibility, for external clients across the country.

About HCA Healthcare

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.

Equal Opportunity Employer

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