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Description

Introduction

Do you have the career opportunities as a(an) Credentialing Specialist you want with your current employer? We have an exciting opportunity for you to join HCA Houston Healthcare which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Benefits

HCA Houston Healthcare, 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 (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

_Note: Eligibility for benefits may vary by location._

Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Credentialing Manager where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!

Job Summary and Qualifications

We are looking for a dedicated Credentialing Manager, also known as a Provider Onboarding Specialist, to join our team. In this role, you will be responsible for managing and maintaining all credentialing and onboarding processes for new physicians and advanced practice providers. Your duties will include data capture and claims processing for acquisitions.

If you are detail-oriented and passionate about ensuring smooth onboarding experiences, we encourage you to apply now!

What you will do in this role:

+ Responsible for coordinating, monitoring, and maintaining the credentialing and re-credentialing process.

+ Updates and maintains physician CVs.

+ Completes initial applications on all physicians for local and outreach hospitals.

+ Completes initial credentialing applications on all physicians for managed care companies.

+ Ensures all physicians’ licensure, DEA and DPS certificates are current.

+ Ensures all physician extenders’ licensure and certificates are current.

+ Obtains credentials for all physician extenders with each hospital at which their sponsors have privileges.

+ Ensures CME hours meet licensure requirements.

+ Handles on-boarding of all management for revenue cycle integration.

+ Assists with communications for the corporate regulatory/legal framework and ensures that all acquisitions and divestitures have met standards as provided.

+ Delivers training and trouble shoots all integration issues.

+ Responsible for overall acquisition/ merger process until provider is active and no claims are on hold.

+ Assists in the development of documentation methods to be used in transition process.

+ Assists with Practice Green Light on-boarding as needed.

+ Participates in educational activities.

+ Maintains strictest confidentiality.

+ Performs other duties as assigned.

+ Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”.

What Qualifications you will need:

+ Bachelor’s Degree required. Healthcare Administration preferred.

+ Three to Five years medical office experience.

+ Two years medical insurance background.

+ No license requirements

Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system. With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life.

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 costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Credentialing Manager opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock the possibilities and apply today!**

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.