What are the responsibilities and job description for the Credentials Coordinator position at Cook Children's?
Summary
Responsible for coordination and facilitation of the Credentialing/Re-credentialing 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.
Education/Experience
- 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.
Licensure,Registration, and or Certification
- Require CPCS or CPMSM Certification or ability to be certified within four years of employment.
Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer
Additional Information
CCHCS