Medical Staff Credentialing Specialist, Sr. jobs in Nashville, TN

Schedule: Full-time Days (Work from Home/Virtual)

Introduction

Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Credentialing Specialist opening with Parallon today and find out what it truly means to be a part of the HCA Healthcare team.

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.

We are seeking a Credentialing Specialist for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!

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.

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.

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"Across HCA Healthcare’s more than 2,000 sites of care, our nurses and colleagues have a positive impact on patients, communities and healthcare.
Together, we uplift and elevate our purpose to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN
Senior Vice President and Chief Nursing Executive

If you find this opportunity compelling, we encourage you to apply for our Credentialing Specialist opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing apply today!

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.