This position is incentive eligible.
Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Credentialing Process Center Mgr Client Support with Work from Home you can be a part of an organization that is devoted to giving back!
Job Summary and Qualifications
The Credentialing Processing Center Manager Client Support is responsible for communication, providing education and support to entities serviced by the Credentialing Processing Center (CPC). The Client Support Manager will work closely with the Medical Staff Offices (MSOs) to ensure compliance with policy and procedures as it relates to CPC processing, credentialing standards and credentialing technologies. Responsible for working closely with the CPC AVP, Director(s) and Managers to identify process and policy changes, issue resolution, and client communication.
What you will do in this role:
• Follow Parallon procedures to capture, trend and analyze information from Customer Service Support Team (CSST), CPC Management Team, MSOs, facility CEOs, and market/division representatives in order to drive process improvement, training and communication.
• Provide on-going support to CPC Customers through regularly scheduled customer service calls/meetings and scheduled division meetings
• Work to effectively onboard new clients to CPC operations and credentialing technologies
• Lead communication with MSOs (e.g. CPC newsletters.)
• Provide daily/on-going education on CPC Polices/Procedures, credentialing technologies, Cactus data management, and clinical privilege management.
• Lead monitoring and reporting regarding escalation of MSO-related incidents of non-compliance
• Assist in identifying educational needs, submit requests for new educational material development to Parallon’s Credentialing Training Developer, and implement training for facilities, and market/divisions, and large group practices on credentialing operations and technologies.
• Provide on-going oversight of data touch points with the MSO/CPC; including but not limited to, Records with greater than 24 months between “To” and “From” dates, Past or No “To” Dates, Aging/Open CVI Reporting, Missing Categories/Status/Updates to Active Checkbox, and No Delineation of Privilege.
• Research and formulate resolution for issues escalated by MSO, facility CEO, SSC CEO, Clinical Services Group, and Parallon Credentialing AVP.
• Provide advanced customer service for difficult clients/providers
• Remain knowledgeable on standards set forth by Joint commission, AAAHC, and Federal/State Regulations.
• Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
• Perform other duties as assigned
Qualifications:
• BA/BS degree, preferred
• Minimum two years experience in healthcare credentialing (i.e., healthcare facility, managed care setting, credentials verification organization, or Medical Staff Office), required.
• Experience with Credentialing Accreditation by Joint Commission or National Committee for Quality Assurance, preferred.
• Detailed working knowledge of the health care and credentialing industry, including medical-legal issues and laws, regulatory agencies, and other national standards preferred
• Professional telephone etiquette
• Able to work with minimal supervision and works well in both individual and group environment.
Benefits
Work from Home, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
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Parallon provides 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.
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"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
Be a part of an organization that invests in you! We are reviewing applications for our Credentialing Process Center Mgr Client Support opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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