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 MediCalOur mission at Duolingo is to develop the best education in the world and make it universally available. Its a big mission, and thats where you come in! At Duolingo, youll join a team that cares about educating our users, experimenting with big ideas, making fact-based...
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Embark on a transformative journey as a Travel PICU Registered Nurse in State College, Pennsylvania, where your expertise will lift the most vulnerable patients during their most critical moments. In this highly specialized role, youll partner with seasoned physicians...