Credentialing Specialist II Part Time

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, , 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.

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.

• 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