Credentialing Verifier II — Impact & Compliance Expert

HCA Healthcare

Houston (TX)

On-site

USD 42,000 - 56,000

Full time

9 hours ago
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Benefits offered by this job

Medical, prescription, dental, vision
Behavioral health support
Paid time off and family leave
401(k) plan with match
Tuition assistance

Job summary

Parallon, part of HCA Healthcare, invites Credentialing Verifier II candidates to join a team that handles credentialing collection and verification for initial and re-credentialing. This role requires attention to detail and adherence to CPC policies, with daily tasks involving data entry, verifications, and documentation.

The Credentialing Verifier II position supports ensuring timely, accurate verifications across state and federal requirements, with a Monday–Friday, 40-hour schedule and

Qualifications

  • Minimum 1 year of credentialing experience.
  • High School Diploma or GED; associate degree preferred.
  • Completion of credentialing assessments with 90%+.
  • Professional telephone etiquette and verbal communication.
  • Able to work with minimal supervision.

Responsibilities

  • Subject Matter Expert on credentialing policies and systems.
  • Process PAFs, RCFs and RRFCs; verify providers in Cactus.
  • Create RFC/RRFC packets in Cactus and track status.
  • Perform online verifications and data/image maintenance.
  • Maintain confidential provider data and complete documentation.

Skills

Telephone etiquette
Data entry
Detail oriented
Independent worker

Education

High School Diploma or GED
Associate degree (preferred)

Tools

Cactus system
Document Management Outbound
Background check systems

Job description

Parallon, part of HCA Healthcare, invites Credentialing Verifier II candidates to join a team that handles credentialing collection and verification for initial and re-credentialing. This role requires attention to detail and adherence to CPC policies, with daily tasks involving data entry, verifications, and documentation.

The Credentialing Verifier II position supports ensuring timely, accurate verifications across state and federal requirements, with a Monday–Friday, 40-hour schedule and

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