Payor Enrollment & Credentialing Specialist II

HCA Healthcare, Inc.; Houston (TX); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) plan with match

Education support

Job summary

HCA Healthcare is seeking a Managed Care Enrollment Coordinator II to support credentialing processing center enrollment and re-enrollment for payors. This role emphasizes data integrity, timely renewal of documents, and collaboration with hospital leadership to resolve complex issues.

Responsibilities include maintaining enrollment quality, compliance, and supporting audits, with attention to regulatory requirements and cross-functional teamwork.

Qualifications

• Associate’s degree or equivalent work experience.
• Minimum two years of healthcare experience, including credentialing or Revenue Cycle Operations.
• Experience with Managed Care Enrollment and/or re-enrollment preferred.
• Knowledge of healthcare regulatory requirements and state/federal laws preferred.
• Professional telephone etiquette and ability to work with minimal supervision.

Responsibilities

• Serve as an expert on Credentialing Processing Center policies, procedures, and systems.
• Maintain high-quality enrollment and re-enrollment processes for payor applications.
• Identify documents needing renewal and collect required items per CPC policies.
• Escalate issues and collaborate with hospital leadership to resolve them.
• Support audits and aid in policy development and deployment.

Skills

Communication

Relationship-building

Analytical thinking

Critical thinking

Telephone etiquette

Teamwork

Education

Associate’s degree or equivalent

Job description

HCA Healthcare is seeking a Managed Care Enrollment Coordinator II to support credentialing processing center enrollment and re-enrollment for payors. This role emphasizes data integrity, timely renewal of documents, and collaboration with hospital leadership to resolve complex issues.

Responsibilities include maintaining enrollment quality, compliance, and supporting audits, with attention to regulatory requirements and cross-functional teamwork.