Remote Credentialing Verifier II - Part Time

HCA Healthcare; Nashville (TN); Remote; USD 57,308,000 - 80,231,000; Part time

Benefits offered by this job

Work from home

401(k) with match

Education support

Wellbeing and counseling

Family and dependent support

Job summary

HCA Healthcare is seeking a Credentialing Verifier II Part Time to support credentialing and re-credentialing activities. This remote role requires proximity to an HCA facility within 60 miles in multiple states and offers daytime hours on a Monday–Friday schedule.

The role involves handling PAFs, RCFs, RRFCs, compiling packets in Cactus, data entry, and ensuring CPC policy compliance while maintaining strict confidentiality of provider information.

Qualifications

• High school diploma or GED required; associate degree preferred.
• Minimum 1 year experience in credentialing processing.
• Completion of credentialing knowledge assessment and CPC training similar to Parallon.
• Professional telephone etiquette.
• Able to work with minimal supervision in a team environment.
• Credentialing verifier duties training completed (100, 101, and parts of 201).

Responsibilities

• Serve as SME on policies, procedures, and systems for the position.
• Process PAFs, RCFs, and RRFCs; determine provider status in Cactus.
• Create/compile RFC/RRFC packets in Cactus; track packets and communications.
• Enter data into Cactus; maintain data/images per processes.
• Perform administrative duties including data review, calls, scans, and filing.
• Review RFC/RRFC packets for completeness and missing information.

Skills

Telephone etiquette

Minimal supervision

Teamwork

Credentialing knowledge

Education

High school diploma or GED

Associate degree preferred

Tools

Cactus system

Document Management Outbound

Job description

HCA Healthcare is seeking a Credentialing Verifier II Part Time to support credentialing and re-credentialing activities. This remote role requires proximity to an HCA facility within 60 miles in multiple states and offers daytime hours on a Monday–Friday schedule.

The role involves handling PAFs, RCFs, RRFCs, compiling packets in Cactus, data entry, and ensuring CPC policy compliance while maintaining strict confidentiality of provider information.