Cook Children's Healthcare Credentials Coordinator in Fort Worth, Texas
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Summary: Responsible for coordination and facilitation of the Credentialing/Recredentialing Process for Cook Children's Healthcare System which includes communication with insurance organizations, managed care organizations, healthcare delivery systems, Regulatory Organizations and Providers. Handles information from a variety of sources in a highly confidential manner. These sources include Providers, as well as National Databases and Regulatory Organizations. Qualifications: · High school or equivalent required; some college preferred. · At least 3 years of experience working with hospital and/or managed care products and programs. This includes experience with the credentialing process, audit process, and NCQA and Joint Commission Standards and Guidelines, as well as other external accreditation standards. · Require CPCS or CPMSM Certification or ability to be certified within one year of employment.