Credentialing Specialist II Part Time

HCA Healthcare; Las Vegas (NV); On-site; USD 30,000 - 45,000; Part time

Benefits offered by this job

Comprehensive benefits

401(k) Match

Education support

Fertility and family building

Job summary

HCA Healthcare is seeking a Credentialing Specialist II (Part Time) to safeguard patient well-being by ensuring comprehensive, verified practitioner credentials across our healthcare enterprise. You will manage documentation, verify records, and collaborate with hundreds of facilities to uphold regulatory standards.

The role requires strong communication, meticulous attention to detail, and the ability to navigate complex credentialing guidelines.

Qualifications

• Experience with credentialing processes and regulatory guidelines within healthcare.
• Strong attention to detail and ability to handle sensitive information in accordance with policy.

Responsibilities

• Ensure credentialing for practitioners meets regulatory and policy standards.
• Coordinate with 350+ facilities and external organizations to obtain verification documents.
• Maintain accurate and secure credentialing records within required timeframes.
• Identify compliance flags and escalate issues to appropriate management.
• Assist in audits and continuous improvement of credentialing processes.

Skills

Regulatory compliance knowledge

Communication skills

Education

Associate’s degree or equivalent work experience

Job description

Hourly Wage Estimate: $21.87 - $32.81 / hour

Learn more about the benefits offered ( https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards ) for this job.

The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

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 elevate 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 in comprehensive audits, ensuring regulatory adherence.
• Provides strategic counsel to Managers and Directors regarding ambiguous information, and escalates critical issues identified during credentialing processes with expediency and precision.
• Maintains meticulous credentialing records, guaranteeing the accurate scanning and secure storage of all correspondence within mandated timeframes.
• Upholds unwavering compliance with all governing policies, procedures, and Federal and State regulatory and accrediting agency requirements.

Qualifications:

• Associate’s degree or equivalent work experience.
• 5+ years’ experience in healthcare credentialling 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.
• Remote employees are required to live within 60 miles of an HCA hospital.
• Remote employees are required to have wired (Cable or fiber) internet access with 25 MBS Download and 15 MBS Upload.

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 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
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

\"Good people beget good people.\"- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

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.