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.
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.
Requires CPCS or CPMSM Certification or ability to be certified within four years of employment.
Internal Number: 53723-45883
About Cook Children's Health Care System
Cook Children's Health Care System embraces an inspiring Promise – to improve the health of every child in our region through the prevention and treatment of illness, disease and injury. Based in Fort Worth, Texas, we’re proud of our long and rich tradition of serving our community.