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

Jovie of Concord, Newton, Wellesley, Metrowest, South Shore,...

Full Time and Part Time Sitters Needed Job at Jovie of Concord, Newton, Wellesley, Metrowest, South Shore,...

 .... If youre dependable, nurturing, and love working with kids, come grow with us in Nashville! We are actively hiring in-home sitters/caregivers to care for families in Nashville & cities in surrounding communities, within a 30-mile commute. Hourly Rate between... 

Reddit

Senior Staff Software Engineer - Ads Formats Job at Reddit

 ...Reddit has a flexible first workforce! if you happen to live close to one of our physical office locations our doors are open for you to come into the office as often as you'd like. Don't live near one of our offices? No worries: You can apply to work remotely from the... 

U.S. Department of Veterans Affairs

Clinical Pharmacist Specialist Job at U.S. Department of Veterans Affairs

 ...the clinical practice area. Providing clinical coverage in the pharmacist-run clinics in Primary Care and other clinics as assigned....  ...your continued employment would advance the efficiency of the Federal service. Upon completion of your trial period, your employment... 

Cooperative Educational Services

Early Childhood - Teacher Assistant/Aide | PART TIME 20 HOURS Job at Cooperative Educational Services

 ...who provide input or services for students. 15. Maintains a professional, positive and...  ...minimum of 12 college credits - semester hours - in early childhood education, child development...  ...speaking Benefits ~ Sick time ~ Vacation time ~ Medical and dental insurance... 

Loves Travel Stops & Country Store

DEF Warehouse Production Worker Job at Loves Travel Stops & Country Store

 ...crude oil, natural gas liquids (NGL), natural gas, petroleum products, renewable fuels, and diesel exhaust fluid (DEF). Musket navigates...  ...or equivalent ~ Experience: ~1 year of experience in a warehouse, distribution, manufacturing, farming or agriculture environment...