Credentialing Specialist II Part Time

HCA Healthcare; El Paso (TX); On-site; USD 30,307,000 - 38,573,000; Part time

Job summary

Parallon is seeking a Credentialing Specialist II Part Time to safeguard patient well-being by ensuring comprehensive practitioner credentials across our facilities. This role supports informed access decisions and compliance with regulatory standards.

You will collaborate with over 350 facilities, manage documentation, and uphold policy frameworks to prevent credentialing risk while maintaining data integrity and timely processing.

Qualifications

• Mastery of regulatory guidelines, policies and internal systems for provider credentialing.
• Experience handling data integrity reviews and compliance checks.
• Ability to communicate with internal teams and external practitioners effectively.

Responsibilities

• Ensure timely and accurate credentialing of medical and allied providers.
• Manage information collection and follow-up for missing documentation.
• Adhere to Joint Commission Standards, Facility Bylaws and CPC standards.

Skills

Regulatory knowledge

Data integrity

Compliance communication

Relationship building

Attention to detail

Tools

Credentialing software

Job description

Do you want to join an organization that invests in you as a Credentialing Specialist II Part Time? 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.

Candidate must live within 60 miles of a HCA facility in FL, GA, ID, KS, KY, MO, NC, NH, NV, SC, TN, TX, UT and VA.

Schedule: Part Time, 20 Hour Work Week with the expectation of working until 6:00PM CST.

Job Summary and Qualifications

The Credentialing Processing Center Specialist II is responsible for s afeguard ing the patient well-being and elevating clinical excellence across our healthcare enterprise by meticulously ensuring hospitals and other healthcare facilities possess comprehensive, verified practitioner legally required credentials. This role is pivotal in empowering informed decisions regarding practitioner access, directly impacting the thousands of lives under our care daily.

In this role you will:

• Mastery communication and regulatory guidelines, policies, procedures, and internal systems, coupled with keen insight into practitioner 350+ internal customers, plus external customers .
• Forges collaborative partnerships with over 350+ healthcare facilities, customers, and stakeholders.
• Mastered competency and acquired extensive experience through review of Data Integrity Reviews, Specialist Reviews, and Compliance Reviews, that supports precise accurate identification of potential practitioner issues and flagging of practitioner risk.
• Adheres to stringent regulatory guidelines, Joint Commission Standards, Facility Bylaws and CPC standards .
• Ensures the flawless, timely , and accurate credentialing of medical and allied healthcare providers, upholding the highest standards of quality
• Mastered through experience and exposure to complex credentialing documents and verifications the competency to discern, identify and escalate practitioner risk concerns by utilizing the policies, procedures, verification elements, or regulatory guidelines as validation. In addition, competency , and experience that supports the identification of potential risk outside of policy requirements.
• Orchestrates the comprehensive collection of all pertinent information, strategically managing follow-up for missing or incomplete documentation through effective communication and relationship building with practitioners and other external organizations .
• Identifies and analyzes potential compliance flags and master the skill set through experience to collaborate with practitioners on sensitive issues and other external organization, such as drug addiction centers or anger management centers, to accurate document or resolve sensitive and confidential practitioner issues.
• Mastered the ability to meticulously document resolution and/or unresolved complex issues and escalations as needed in practitioner files that may support future lawsuits.
• Possesses expertise knowledge to contribute valuable insight into the strategic development and implementation of policy frameworks, and participates