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

TriCorps

Armed Security Officer Job at TriCorps

 ...Job Description Armed Security Officer (Security) Tulsa, OK, United States of America $ 22.00 - $ 22.00 Back Apply Now Back Apply Now Overview TriCorps is an integrated security and technology firm specializing in providing cost-effective, world-class... 

USIC Locating Services, LLC

Utility Locator Job at USIC Locating Services, LLC

 ...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... 

USAA

Compliance Analyst Intermediate Job at USAA

Compliance Analyst Intermediate Location Hybrid remote in Plano, TX : Why USAA? Let's do something that really matters. At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees... 

Schneider Electric

Process Operator,4021,Automech Job at Schneider Electric

 ...What will you do? The Process Operator tends machinery and equipment that rivets, installs working parts, assembles, inspects, check tests, repairs and packs single pole style electrical breakers. The Process Operator also performs manual part assembly on a production...