Credentialing Enrollment Specialist at HCA Healthcare in Brentwood, Tennessee

Posted in Other 13 days ago.





Job Description:

Description

SHIFT: No Weekends
SCHEDULE: Full-time


 

Do you have the career opportunities you want in your current role? We have an exciting opportunity for you to join the nation's largest provider of healthcare services as a Credentialing Enrollment Specialist.



HCA Healthcare is a national leader in providing modern, culturally competent, patient-centered care and we are driven by a single goal: the care and improvement of human life.



We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program and student loan repayment. We would love to talk to you about this fantastic opportunity.



The HCA Physician Services Group (PSG) is the physician and practice management solution for HCA Healthcare. We lead a collection of highly motivated healthcare professionals just like you and creative leaders who are committed to excellence in every patient interaction. Are you excited yet?



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Seeking a Credentialing Enrollment Specialist  who provides expertise to ensure all patients receive high quality, efficient care. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now.

 

What you will do in this role:

 The Credentialing Enrollment Specialist responsible for processing new and established provider/group applications, follow up and relationship building with Program Managers (PMs), providers and inter departmental personnel regarding all facets of Provider Enrollment.

 

DUTIES INCLUDE BUT NOT LIMITED TO:

 Assists with maintaining the enrollment communication tool (ECT) site to include printing and mailing of applications to providers, following up to ensure provider has received application and uploading signed application when it is returned.

 Assists all program managers with updating the Council for Affordable Quality Healthcare (CAQH) and ensures all attestations are kept current.

 Provides excellent customer service to all external and internal customers, which includes acting in a courteous professional manner at all times, answering phone calls, sending applications, and taking care of incoming mail.

 Builds relationships with all Program Managers (PMs), providers and company associates, which includes communication, active listening, training and education, and proactive problem resolution.

 Supports PM with tracking medical licensure and DEA requests for providers to include updating the licensure spreadsheet as needed

 Updates and maintains data in all Provider Enrollment systems, which includes the ECT tool, payor application spreadsheet, ICC review spreadsheet from provider enrollment as well as CAQH.

 Uploads changes to the training manual upon program manager request as well as uploads and maintains provider documents in the team room.

 Serves as a support to the subject matter expert in CAQH/ECT between Provider Enrollment and Intensive Care Consortium (ICC).

 Works with Program Manager to ensure National Plan & Provider Enumerations System (NPI/NPPES) is reflecting correctly for all ICC providers.

 Serves as support to the primary contact for all Service Centers regarding the Provider Enrollment software application.

 Performs other duties as assigned and works on special projects as required.

 Identifies and voices process improvement opportunities.

 Participates in educational activities and programs.

Qualifications

What Qualifications you will need:

EDUCATION:

 Associate's degree (A. A.) or equivalent from two-year college or technical school; or

 

EXPERIENCE:

 Six months to one year related experience and/or training; or equivalent combination of education and experience.

 Must have a general knowledge of healthcare information systems and be proficient in the use of a personal computer.

 

 

  

HCA Healthcare ranks on Fortune’s list of Most Admired Companies for three consecutive years and HCA ranks 63rd on the Fortune 500 list. In addition, Ethisphere named HCA as one of the World’s Most Ethical Companies. We want you to join our tradition of excellence. Intrigued? We’d love to hear from you.



If you find this opportunity compelling, we encourage you to apply. We promptly review all applications. If you are highly qualified, you will hear from one of our Practice Managers. We are actively interviewing so apply today.



We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.


Notice

Our Company’s recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking here.


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