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

University of North Carolina at Chapel Hill

Gift Planning Admin Specialist Job at University of North Carolina at Chapel Hill

Gift Planning Admin Specialist Location Hybrid work in Chapel Hill, NC : Posting Information...  ...Development Office-250100 Career Area Administrative/Clerical Support Is this an internal...  ..., and a variety of health, life and retirement plans and additional programs that support... 

FFF Academy

Performance/Youth Soccer Strength and Conditioning Coach (with a US WORK PERMIT) Job at FFF Academy

 ...As a Performance/Youth Soccer Strength and Conditioning Coach, you will play a crucial role in helping young soccer players develop the physical attributes and skills necessary to excel in the sport while minimizing the risk of injuries. The job description for this role... 

Assurity Transportation Solutions

CDL A Owner Operator Dedicated Home Daily Job at Assurity Transportation Solutions

 ...HOME DAILY Power Only Local opportunities up to 1k daily pay( high volume freight) Pick from daily available freight, We have general...  ...and Power only freight available for limited number of owner operators to run in a regular basis so get onboard now. NO TRAILER FEES... 

Pennichuck Water Works Inc.

Environmental Engineering/Environmental Science Intern Job at Pennichuck Water Works Inc.

 ...and non-regulated water management services. Our Distribution center is located in Merrimack, New Hampshire. Environmental Engineering / Environmental Science Internship - Summer 2026 In this position you will gain field experience assisting and supporting the needs... 

Compass Group

Hospitality Intern, FLIK / Freddie Mac / McLean, VA Job at Compass Group

 ...We are hiring immediately for a Hospitality Intern position. Location : Freddie Mac - 8200 Jones Branch Drive, McLean, VA 22102 Schedule : To be discussed further upon interview. Pay Range : $20.00 per hour. Free meals, uniforms and laundering service...