Credentialing Specialist II — Elevate Healthcare Credentialing

HCA Healthcare; Idaho Falls (ID); On-site; USD 30,000 - 45,000; Full time

Benefits offered by this job

Medical benefits

Wellbeing support

Paid time off

401(k) match

Tuition assistance

Stock purchase plan

Job summary

HCA Healthcare is seeking a Credentialing Processing Center Specialist II to safeguard patient well-being by ensuring verified credentials for practitioners across facilities. You will manage data integrity, perform comprehensive reviews, and support risk assessment in a fast-paced enterprise.

The role involves coordinating with 350+ facilities, adhering to regulatory standards, and maintaining meticulous credentialing records while ensuring timely completion.

Qualifications

• Associate 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 NCQA preferred.
• Detailed working knowledge of healthcare and credentialing industry, including regulatory issues and standards preferred.
• NAMSS Certification preferred.
• Remote employees must live within 60 miles of an HCA hospital and have reliable wired internet (25 Mbps download, 15 Mbps upload).

Responsibilities

• Mastery of regulatory guidelines, policies, procedures, and internal systems for credentialing.
• Forge collaborative partnerships with 350+ facilities, customers, and stakeholders.
• Review Data Integrity, Specialist, and Compliance reviews to identify practitioner issues and risks.
• Ensure compliance with Joint Commission standards and other regulatory requirements.
• Maintain accurate credentialing records and timely documentation in practitioner files.
• Escalate ambiguous or sensitive credentialing information with expediency and precision.

Skills

Credentialing experience

Healthcare industry knowledge

Education

Associate degree

Bachelor's degree preferred

Job description

HCA Healthcare is seeking a Credentialing Processing Center Specialist II to safeguard patient well-being by ensuring verified credentials for practitioners across facilities. You will manage data integrity, perform comprehensive reviews, and support risk assessment in a fast-paced enterprise.

The role involves coordinating with 350+ facilities, adhering to regulatory standards, and maintaining meticulous credentialing records while ensuring timely completion.