Sr Delegated Credentialing Analyst

Introduction Do you want to join an organization that invests in you as a Sr Delegated Credentialing Analyst? 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.
Benefits Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues.
The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay.
Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan with 10% off HCA Healthcare stock Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits Note: Eligibility for benefits may vary by location.
You contribute to our success.
Every role has an impact on our patients’ lives and you have the opportunity to make a difference.
We are looking for a dedicated Sr Delegated Credentialing Analyst like you to be a part of our team.
Job Summary and Qualifications Seeking a Sr Provider Delegated Credentialing Analyst who willresponsible for providing supervision and oversight of the delegated enrollment process.
The Senior Delegated Credentialing Analyst works closely with the delegated enrollment team in their day-to-day responsibilities and payor contacts to ensure timely notifications of new providers and provider changes.
The Delegated Credentialing Team also serves maintains strong relationships with the practice, PCA, payors, and provider enrollment department to ensure timely notification of new providers, provider changes, prompt processing of delegated applications, and oversight of the delegated enrollment process including escalations.
Proficient in facilitation and interpersonal communication, the Senior Delegated Credentialing Analyst also consistently demonstrates skills in organization, prioritization, professionalism and coaching others.
We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you.
We want you to apply now! What you will do in this role: Oversee the Provider Enrollment process including application/notification submission with Delegated payors and credentialing activities, in coordination with department staff, PCA, Credentialing Processing Centers (CPCs).
Attend payor audits, initial, and recurring enrollment status calls with payors as needed to ensure seamless transition and implementation.
Establish and facilitate meetings with Leadership for assigned Division delegated enrollment review.
Communicate delegated enrollment updates to enrollment contacts and senior leadership.
Respond to provider enrollment customer service inquiries regarding delegated enrollments.
Coordinate and communicate continuously with other departments to share information, best practices, systems issues, process solutions, and training needs.
Establishes and maintains effective payor relationships.
Collaboratively works with PCA and the payor until enrollment resolution is reached.
Prepare and analyze department operating reports.
Monitor defined reports and coordinate with applicable departments to ensure accounts receivable is properly state.
Identify and communicate to management educational opportunities.
Collaborate with other departments to resolve enrollment or claim issues.
Work to resolve time-sensitive and customer essential issues that arise on a day to day basis coordinating internal and external resources as necessary.
Maintains strong relationships with assigned division/markets and Physician Service Center.
Other duties as assigned.
What qualifications you will need: Bachelor’s Degree in Business or related field required.
Equivalent work experience may substitute education requirements.
Minimum three years’ experience in related area preferred with two of these years being healthcare management experience or completion of the Parallon Manager Trainee Program.
Knowledge of provider enrollment and credentialing process preferred.
Experience in the management of projects.
Strong customer focus and results driven.
Shows strong initiative, innovation and motivation " Parallonprovides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare.
Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country.
Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times.
In recent years, HCA Healthcare spent an estimated $3.
7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
" "Good people beget good people.
"- Dr.
Thomas Frist, Sr.
HCA Healthcare Co-Founder We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Sr Delegated Credentialing Analyst opening.
Qualified candidates will be contacted for interviews.
Submit your resume today to join our community of caring! 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.