INTRODUCTION

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

JOB SUMMARY AND QUALIFICATIONS

• Responsible for processing new and established provider/group applications, follow up and relationship building with Program Managers (PMs), providers and inter departmental personnel regarding all facets of Provider Enrollment.
• Assists with maintaining the enrollment communication tool (ECT) site to include printing and mailing of applications to providers, following up to ensure provider has received application and uploading signed application when it is returned.
• Assists all program managers with updating the Council for Affordable Quality Healthcare (CAQH) and ensures all attestations are kept current.
• Provides excellent customer service to all external and internal customers, which includes acting in a courteous professional manner at all times, answering phone calls, sending applications, and taking care of incoming mail.
• Builds relationships with all Program Managers (PMs), providers and company associates, which includes communication, active listening, training and education, and proactive problem resolution.  Supports PM with tracking medical licensure and DEA requests for providers to include updating the licensure spreadsheet as needed
• Updates and maintains data in all Provider Enrollment systems, which includes the ECT tool, payor application spreadsheet, ICC review spreadsheet from provider enrollment as well as CAQH.
• Uploads changes to the training manual upon program manager request as well as uploads and maintains provider documents in the team room.
• Serves as a support to the subject matter expert in CAQH/ECT between Provider Enrollment and Intensive Care Consortium (ICC).
• Works with Program Manager to ensure National Plan & Provider Enumerations System (NPI/NPPES) is reflecting correctly for all ICC providers.
• Serves as support to the primary contact for all Service Centers regarding the Provider Enrollment software application.
• Performs other duties as assigned and works on special projects as required.  Identifies and voices process improvement opportunities.
• Participates in educational activities and programs.
• Assists other staff as requested.
• Enters data, creates provider/group file and ensures integrity as required.
• Meets/adheres to all established individual objective and departmental standards.

EDUCATION & EXPERIENCE

• Associate’s degree (A. A.) or equivalent from two-year college or technical school; Six months to one year related experience and/or training; or equivalent combination of education and experience.
• Must have a general knowledge of healthcare information systems.
• 6 months experience Required Years of Experience
  Physician Services Group is skilled in physician employment, practice and urgent care operations. We are experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170+ urgent care centers. We are HCA Healthcare’s graduate medical education leader. We provide direction for over 260 exceptional resident and fellowship programs. We focus on carrying out value-added solutions. These solutions help physicians deliver patient-centered healthcare. We support HCA Healthcare’s commitment to the care and improvement of 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 cost 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 Enrollment Specialist 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

Please refer the Job description for details