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

LaBella Associates

Environmental Analyst Job at LaBella Associates

 ...We are currently seeking a qualified Environmental Analyst to work in our Albany, Glens Falls, or Poughkeepsie office in our Environmental...  ...or Biology. ~3 to 8 years of experience in the environmental science field with a focus on streams, wetlands, and protected species... 

TLC Healthforce

Travel Licensed Practical Nurse Pediatrics Job Job at TLC Healthforce

Step into a rewarding role as a Licensed Practical Nurse specializing in Pediatrics, a multi-week travel assignment starting February 9, 2026, in Canton, Massachusetts. This opportunity lets you blend clinical excellence with meaningful patient and family impact, supporting... 

Careerscape

Medical Coder Job at Careerscape

 ...Responsibilities Review medical records and assign ICD and CPT codes Ensure coding accuracy and compliance with guidelines Abstract clinical information from documentation Query physicians for clarification when needed Stay current with coding updates and changes... 

Erico Technologies LLC

Remote Data Entry Clerk Job at Erico Technologies LLC

 ...Job Title: Remote Data Entry Clerk Company: Erico Technologies LLC Employment Type: Full-Time or Part-Time Location: Remote (USA) Pay Rate: $18-$26 per hour Overview: Erico Technologies LLC is looking for a dependable and detail-oriented... 

TLC Healthforce

Travel Registered Nurse NICU Job Job at TLC Healthforce

Step into a life-changing opportunity as a Registered Nurse specializing in NICU in Marietta, Georgia, where every small moment in the...  ...the-clock support24/7 assistance from a dedicated team while you travel or transition between assignmentsso you can focus on clinical...