Credentialing Verifier ( 32 hour position) in Nashville at Parallon

Date Posted: 11/2/2018

Job Snapshot

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Job Description

Parallon, a leading health care company is offering a great opportunity. We are looking for a dynamic candidate to be part of our team.  We offer excellent benefit packages, including 401K, bonus potential, tuition reimbursement, medical and dental plans, flexible spending plans, long-term/ short -term disability, and generous paid time off!
*** This is a 32 hour flex position***
This OBCU Specialist is part of the CPC’s Outbound Call Unit. Responsibilities include making a high number of outbound phone calls each day to providers, facilities, universities, medical staffing offices, etc., to obtain missing items required to credential the provider. This includes reviewing a variety of daily reports to identify provider files that need specific action, making outgoing calls, and performing extensive, timely follow up. All work must be accurately documented in a contact log and all images must be reviewed and attached to the correct provider record in Cactus. Excellent communication skills, both written and verbal, are required. Prior experience in a call center, telemarketing, or collections type environment preferred. Strong computer skills is a must, along with the ability to search the internet for additional information and follow up. Must successfully complete Cactus training and score 90% on the Cactus test (Cactus is the CPC’s provider database.) Will be expected to assist the Team Lead, Manager and Director with other tasks/projects as requested. Compliance with HMA policy and procedure, Federal and State regulatory and accrediting agencies is required. Must have a positive attitude, be a team player, dependable, and professional, and arrive/depart to and from according to scheduled hours.
  • Assist in the credentialing process by entering/logging/scanning information into credentialing system for initial, updated, add on applications and maintenance processes
  • Ensure that all credentials files are current and complete pursuant to expiration date of medical licenses, board certification, professional-liability insurance coverage and other pertinent information
  • Submit closed files for audit/final review and secure missing items as identified by audit/final review
  • Monitor collection of all information received; follow up on missing items and/or incomplete forms

We are in need of a Credentialing Specialist. This position is responsible for credentialing new and established health care providers and the maintenance of information sure as primary source verification, follow up, data collection, data entry and document review. We offer many opportunities for career growth. You need the following to be our top candidate:
  • 1 year experience in healthcare credentialing preferred
  • Associate degree or an equivalent combination of education and experience required
  • Bachelor degree preferred
  • Experience with credentialing accreditation by Joint Commission or National Committee for Quality Assurance preferred