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Credentialing Verifier (32 hour position) in Nashville at Parallon

Date Posted: 1/7/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Nashville
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    1/7/2019

Job Description

***This is a 32 hour position***
 
Parallon believes that organizations that continuously learn and improve will thrive. That’s why, after more than a decade, we remain dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry’s leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services.
 
 
We are looking for a dynamic candidate to be part of our team.  We offer excellent relocation and 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 OBCU Verifier 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 working/completing a daily assignment spreadsheet of approximately 30 provider files, making outgoing calls, and performing extensive 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 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.

DUTIES INCLUDE BUT ARE NOT LIMITED TO:
  • Manual entry of practitioner data
  • Primary source verification of select items
  • Review of practitioner data
  • Receive requests for applications
  • Compile application and send to practitioner
  • Responsible for intake and tracking of all applications and correspondence and maintaining documentation as requested
  • Review for completeness of information, identify deficiencies
  • Pursue incomplete information
  • Prepare credentialing and re-credentialing applications for process review

We are in need of a credentialing verifier to work on flex 32 hour schedule. This position is benefits eligible. The credentialing verifier is responsible for credentialing activities as it relates to initial credentialing, re-credentialing, and credentials modification.  We offer many opportunities for career growth. You need the following to be our top candidate:
  • High school graduate or GED
  • Associate degree or an equivalent combination of education and experience preferred
  • 1 year previous office experience including data entry, typing and basic computer usage preferred
  • Previous credentialing experience preferred