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...our strong commitment to quality and safety. We are Americas leader in underground utility damage prevention and advanced infrastructure services, performing more than 84 million locates each year for the more than 1,400 telecommunications, electric, gas, water, and...
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