Senior Credentialing Rep Job at Allmed Staffing Inc, Las Vegas, NV

RTdpV0RRYUZKMjRaeTJieXpvNjRkSEptRFE9PQ==
  • Allmed Staffing Inc
  • Las Vegas, NV

Job Description

Job Description:
-Submission of initial and re credentialing of applications to contracted payers.

-Maintenance of licensures and renewal process.

-Caqh updates, NPPES enrollment, quality review roster delegation, data entry in symplr payer.

-Primary source verification on boards and licensures.

-Follow ncqa, AAAHC, URAC, JC guidelines

What software skills are needed? Excel, word, Smartsheet, PowerPoint. Symplre payer, cactus, Symplr Payer, Pecos, MD Staff

Candidate must be familiar with CA rules and regulations – CMS guidelines, CAQH, and MediCal

Job Tags

Similar Jobs

Careerscape

Medical Coder Job at Careerscape

 ...Responsibilities Review medical records and assign ICD and CPT codes Ensure coding accuracy and compliance with guidelines Abstract clinical information from documentation Query physicians for clarification when needed Stay current with coding updates and changes... 

NoGigiddy

Remote Transcription Specialist Job at NoGigiddy

 .... Meet Deadlines: Manage multiple transcription projects simultaneously and deliver completed transcriptions within specified time frames. Maintain Confidentiality: Handle sensitive information with discretion and maintain the confidentiality of the content... 

Amazon Data Services, Inc.

DCEO Chief Engineer, ADC InfraOps DCEO Job at Amazon Data Services, Inc.

 ...looking for a detail-oriented individual to join our Data Center Engineering Operations Team. This committed group works to maintain the...  ...the teams and groups within the data centers. The Data Center Chief Engineer (CE) is responsible for ensuring that all electrical,... 

Senior Helpers

Caregiver no experience necessary Job at Senior Helpers

 ...someone just like you to join our team at Senior Helpers as a Caregiver!Job SummarySenior Helpers - Franklin is looking for a compassionate...  ...& BenefitsCompensation is competitive and based on experience. This role pays $15 - $16 an hour, paid biweekly. This position... 

Fastemps Inc. Jackson

Data Entry Specialist Job at Fastemps Inc. Jackson

 ...Job Title: Data Entry Specialist Location: Lansing, MI Employment Type: Direct Hire Company: Family-Owned Manufacturing Employer About the Role This is a part-time direct hire opportunity with a well-established, family-owned manufacturer in Lansing. The work is straightforward...