Credentialing Verifier in Orange Park at Parallon

Date Posted: 8/10/2019

Job Snapshot

  • Employee Type:
  • Location:
    Orange Park
  • Job Type:
  • Experience:
    At least 2 year(s)
  • Date Posted:

Job Description

Parallon believes 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 a wholly owned subsidiary of HCA, a Fortune 100 company with more than 200,000 employees and one of the nation's leading providers of healthcare services, operating over 170 locally managed hospitals and over 100 freestanding surgery centers in 20 states and the United Kingdom. HCA has been named one of the world's most ethical companies for eight years in a row. At HCA, we are driven by a single goal: the care and improvement of human life.
Job Summary
The position is for a customer centric outbound call unit.  Responsibilities for this level position include making a high number of outbound phone calls each day to healthcare practitioners, facilities, universities, medical staffing offices, etc., to obtain missing items required to credential healthcare practitioners. This includes reviewing a variety of daily reports to identify practitioner files that need specific action, making outgoing calls, and performing extensive, timely follow up. All work must be accurately documented in the credentialing database and all images must be reviewed and attached to the correct practitioner record. Excellent communication skills, both written and verbal, are required. Prior experience in a call center, hospitality, or telemarketing environment preferred.
 Strong computer skills are must, along with the ability to search the internet for additional information and follow up. Must successfully complete system training and score 85% on the post-training test. Will be expected to assist the Team Lead, Manager and Director with other tasks/projects as requested. Compliance with HCA 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.
 Key Responsibilities
    • 90% of daily activity will be making phone calls to meet quality and productivity standards
    • Data entry
    • Data analysis
    • Responsible for intake and tracking of all correspondence and maintaining documentation as requested
    • Pursue incomplete or missing information
    • Review provider files for accuracy, completeness of information, and identify/resolve any deficiencies
    • Primary source verification of select items

Job Requirements

Education and Experience
    • High school graduate or GED required
    • Associate degree or an equivalent combination of education and experience preferred 
    • 2 years previous office experience including data entry, typing and basic computer usage
    • 2 years of experience making outbound phone calls in a call center, customer service, or telemarketing environment preferred
    • Must be proficient in Microsoft Word, Excel, Outlook and Adobe. Cactus experience a plus.
    • Previous credentialing experience preferred

Benefits of working at Parallon
Our benefits package allows you to select the options that best meet the needs of you and your family. Benefits include 401k with a company match, paid time off, medical, dental, vision, flex spending for both health and day care, life insurance, disability, tuition reimbursement and student loan repayment, employee discount program, employee stock purchase program.
We are an equal opportunity employer and we 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.