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...orientation Strong organizational skills with a keen attention to detail Ability to work independently and collaboratively as part of a team Proficiency in Microsoft Office Suite Experience in community management or event planning is preferred...
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