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

Renewable Properties

Real Estate Analyst Job at Renewable Properties

 ...Renewable Properties is seeking a talented Real Estate Analyst who is detail-oriented and motivated to learn in supporting the company...  ...real estate and title functions across its renewable energy development pipeline. The Real Estate Analyst will work closely with multiple... 

The Bureau

Commission Sales Representative Job at The Bureau

 ...needed). Nice-to-haves Fashion/luxury, live events, or sponsorship sales experience. Multi-event packaging or partner-marketing background. Compensation & Perks (transparent)Commission Only for the first 30 days. Earn 25% Commission on Closed Deals.... 

Arkansas Children's Hospital Northwest

RN III - Arkansas Children's Hospital Northwest - Little Rock, Arkansas, United States Job at Arkansas Children's Hospital Northwest

 ...VETERAN STATUS OR ANY OTHER CHARACTERISTIC PROTECTED BY FEDERAL, STATE, OR LOCAL LAWS. This position has been designated as...  ...interdisciplinary shared decision making councils, committees, and hospital initiatives and serves as a resource to others. 9. Participates... 

On Point Staffing Group

Medical Insurance Coder Job at On Point Staffing Group

 ...Location: Passaic County, NJ Join a dynamic medical billing team as a Medical Insurance Coder, where your expertise in coding will make a significant impact. This role requires a professional who can accurately interpret clinical documentation and apply appropriate... 

Schlumberger

Local HazMat CDL Driver Job at Schlumberger

 ...mechanical and safety inspections Maintain driver's hours of service by using Turnpike and/or...  ...Class A or B Commercial Driver's License (CDL), issued by the state in which the candidate resides Must have HazMat and Tanker Endorsements or be willing to be obtain...