ABOUT US
Dilsa S. Bailey, CPMSM
CEO, The Right Credentials Network, LLC
Credentialing Consultant & Trainer, specializing in
Delegation Arrangements & Accreditation/Regulatory Compliance
Let TRCN help you "Always Be Prepared."
Dilsa S. Bailey, CPMSM is a Medical Services and Credentialing Consultant and Trainer. Her experience in hospital, medical services, and managed care credentialing spans over twenty years. Her expertise in these fields has helped her employers and clients meet and maintain accreditation for Joint Commission, NCQA, URAC, and CARF as well as meet the regulatory requirements for federal agencies and various states. In addition to ensuring compliance and managing departments to reach their highest level of excellence, Dilsa has sat on both sides of the auditing table for delegation oversight and preparation for delegation arrangements with payors.
Dilsa shares her knowledge regularly with peers through one on one coaching, webinars, and presentations. Her training experience includes presentations at the 2009 National Association of Medical Staff Services Conference, the 2013 Annual Tennessee Association of Medical Staff Services Conference, and numerous presentations at the quarterly Georgia Association of Medical Staff Services meetings. She has led and facilitated educational seminars for her employers and clients. Her quest to empower credentialing and provider enrollment professionals is evident in her popular Managed Care Credentialing Group on LinkedIn.
Dilsa continuously maintains knowledge of the credentialing world and its effectiveness in the delivery of quality patient care. In that spirit, she has established long-term working relationships with talented and dedicated professionals across the healthcare organizational spectrum. Start a conversation with Dilsa and subscribe to this website for current healthcare credentialing and provider enrollment-related news. Please take the survey to earn a discount on her next online course or webinar.
TESTIMONIALS
"Dilsa was a great person to work with, she brought expert knowledge, integrity and a very easy to work with approach. Dilsa, myself and the team collaborated easily and very effectively on the credentialing transition project. Dilsa created cohesive, comprehensive policies and procedures, forms, tools and letters that met NCQA, state and federal standards and regulations."
Natacha Julien, CPCS, CPMSM
Director of Credentialing and Provider Data Management
Commonwealth Care Alliance
"I contracted Dilsa to work on a hospital project with me as they were working toward consolidating payer credentialing. She worked diligently and in a very timely manner to assure that this organization had all of the correct P&Ps and also that they understood the process. Dilsa was a joy to work with."
Dr. Mary Baker, CPMSM, CPCS President
Medical Staff Plus Consulting, LLC
"Dilsa has been one of my clients during my stint at Apollo Health Street. She has always been supportive and has always extended a helping hand during our pre and post transition phase. Her knowledge in the credentialing world is outstanding and she is one of the persons who likes to do an extensive research on the subject. A very good team player, expert in project management and a kind human being, it was pleasure to work with her. My good wishes for all her future endeavors."
Simanta Paul
Business Process Consultant
Cotiviti (Formerly Connolly iHealth Technologies)
"Dilsa is very outcome focused and works hard to achieve the goals established. She understands Quality and Risk Management and works hard to support regulatory requirements as well as performance improvement. She is my first choice as a Medical Staff professional."
Michelle Bryant
Quality Management and Clinical Operations
KEY EMPLOYERS AND CLIENTS:
DispatchHealth
Credentialing Consultant, Director Credentialing, Payer Liaison Consultant
Beacon Healthcare
Director, Credentialing (Delegation Oversight)
Springfield Clinic
Credentialing Consultant, Payor and Delegation Representative
Mazars USA LLP
Credentialing Consultant, Delegation Oversight
Acclaim Physicians Group
Consultant, Credentialing, Training, and Accreditation Prep
Commonwealth Care Alliance
Consultant, Credentialing, Training, and Accreditation Prep
Southern University of Illinois Medicine
Consultant and Trainer, Credentialing
South Carolina Primary Health Care Association
Consultant and Trainer, Credentialing
Advicare Health
Consultant and Trainer, Credentialing
Alameda Health System
Consultant, and Trainer, Credentialing
Windsor Health Plan
Manager, Credentialing
Emory Healthcare
Manager, System Credentialing
Tenet Healthcare-South Fulton Medical Center
Director, Medical Staff Services
Children's Healthcare of Atlanta
Manager, System Credentialing
Absolute Total Care
Centene Corporation
Consultant, Provider Data Management and Credentialing
2014 NCQA HP Credentialing Standards Webinar
Trainer
Managed Care Credentialing 101
OnDemand Trainer
Georgia Association of Medical Staff Services (GAMSS)
Trainer
Tennessee Association of Medical Staff Services (TAMSS)
Trainer
National Association of Medical Staff Services (NAMSS)
Trainer
Toastmasters International
Area Director, Vice President of Education, Mentor, Youth Leadership Program Facilitator, Vice President of Public Relations