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

Howard Hughes Medical Institute (HHMI)

Postdoctoral Scientist - Zhang Lab Job at Howard Hughes Medical Institute (HHMI)

 ...and professionals. Together, were unlocking the fundamentals of biology and building an open, inclusive future for science. We...  ...human organoids. What you bring: A Ph.D. or M.D./Ph.D. degree in Molecular and Cellular Biology, Developmental Biology, Reproductive... 

Dark Inertia Studios

2D Illustrator Job at Dark Inertia Studios

 ...cannot be too complicated (like the current art) if we are going to redo it completely. If youre interested in creating new illustrations for the cards, please suggest an art style (with an example or reference ) that you can work with, and let me know how long... 

Brio living Services

Dietary Aide, Part Time 4pm - 7:30pm Job at Brio living Services

 ...Love Working Here: Wellness Program & Reimbursemen t Prioritize your health and well-being, reimbursed 120 a year! Retirement Savings Plan Secure your future with employer contributions. Daily Pay Get paid when YOU want! Team Member Referral Bonus Program... 

Westinghouse

Nuclear Principal Electrical/I&C Engineer Job at Westinghouse

Nuclear EnergyOpportunity Overview:Nuclear Principal Electrical/I&C Engineer position based in Jensen Beach, FL. This is an 8-month contract assignment.(W-2) You will provide real-time Plant supports on new issues, also, Proficiency in Engineer Change preparation and... 

KidsPeace

PHYSICIAN ASSISTANT - Family Medicine/Pediatrics PART TIME Job at KidsPeace

 ...The Physician Assistant (PA) is responsible for the medical needs of children, adolescents, and adults with a primary focus on children and...  ...to two years of clinical experience in family medicine or pediatrics preferred. # Must possess and maintain a valid, current and...