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Credentials Coordinator

2 months ago

Fort Worth, United States Cook Children's Health Care System Full time

Location:Medical Center - Fort WorthDepartment:CredentialingShift:First Shift (United States of America)Standard Weekly Hours:40Summary: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.3-5 years experience working with hospital and/or managed care products and programs.Includes experience with the credentialing process, audit process, and NCQA and Joint Commission Standards and Guidelines, as well as other external accreditation standards.Certification/Licensure: Require CPCS or CPMSM Certification or ability to be certified within four years of employment.About Us: Cook Children's Health Care SystemCook Children's Health Care System offers a unique approach to caring for children because we are one of the country's leading integrated pediatric health care delivery organizations. Patients benefit from the integrated system because it allows Cook Children's to use all of its resources to treat a patient and allows for easy communication between the various companies by physicians with a focus on caring for children and adolescents.Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.