Delegated Credentialing Analyst

Introduction

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

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.

Our teams are a committed, caring group of colleagues. Do you want to work as a Delegated Credentialing Analyst where your passion for creating positive patient interactions are 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

The Delegated Credentialing Analyst provides operational and financial analysis to Service Center operational unit leaders and senior leadership. The Delegated Credentialing Analyst generates and delivers variance analysis, reports key financial statistics and assists business unit leaders in managing information effectively to optimize departmental efficiency and performance.

In this role you will:

• Monitor NCQA, state, and payor timeframes are met through roster submissions, and monthly, quarterly, and annual reporting
• Validate accuracy of data and notify appropriate areas of any issues identified
• Coordinate site visit completion for all required locations with Physician Service Group Quality team, and query quality data needed to satisfy contract requirements
• Confirm disclosure of ownership and collaborative agreement completion as needed based on contract requirements and work with other areas to ensure completion
• Schedule and participate in delegated payor and regulatory audits
• Works closely with operations departments to assess and report performance
• Coordinates scheduled and ad hoc data and analysis requests across SC operational units
• Develop, test and deliver scheduled and adhoc reports
• Assists in the development of financial data collection and measurement tools within the SSC
• Proactively review and provide data analysis and financial impact assessments to support SSC operations
• Prepares and analyzes monthly Operational Reports
• Prepares uncompensated care projections and variance analysis for accounts receivable and net revenue performance
• Monitor defined reports and work with applicable departments to ensure AR is properly stated at month end
• Creates and supports exception-based report generation for all departments

Qualifications that you will need:

• Bachelor’s Degree required. Equivalent work experience may substitute education requirements
• Minimum one-year related experience required

"

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.

"

"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 Delegated Credentialing Analyst 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 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.