Location:
Medical Center - Fort Worth
Department:
Credentialing
Shift:
First Shift (United States of America)
Standard Weekly Hours:
40
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:
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High school or equivalent required; some college preferred.
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3-5 years' experience working with hospital and/or managed care products and programs.
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Includes experience with the credentialing process, audit process, and NCQA and Joint Commission Standards and Guidelines, as well as other external accreditation standards
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Require CPCS or CPMSM Certification or ability to be certified within four years of employment.
About Us:
Cook Children's Health Care System
Cook 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.
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What We Do
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.
