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

Roblox

Director, 3D Art Job at Roblox

 ...challenges at scale, and helping to create safer, more civil shared experiences for everyone. This is a leadership role for a 3D Art Director, defining and elevating the visual future of our platform. This position is responsible for setting the artistic vision, standards... 

Freeport McMoRan

Mobile Crane Operator Job at Freeport McMoRan

 ...Looking to live in a small town with big opportunities? Our Bagdad operations in Arizona offers housing at a subsidized rate, a family-...  ...Description Responsible for safely operating all types of cranes and boom trucks. Inspect and assist with the inspection reports... 

RTS Trucking USA

Class A FLATBED - DRY CDL DRIVERS - LEASE PURCHASE Trucks 2015 and 2018 Job at RTS Trucking USA

Class A FLATBED - DRY CDL DRIVERS - LEASE PURCHASE Trucks 2015 and 2018OTR Flatbed midsize company where everyone is treated as a family. Good work environment. Newer Freightliner trucks with APU's for better fuel savings. Substitute trucks provided if the primary truck... 

Philo Ventures

Director of Construction Job at Philo Ventures

 ...currently looking for a highly skilled and experienced Director of Construction to lead the construction efforts for our land development...  ...of land development, construction processes, and project management. The Director will work closely with project engineers, architects... 

Fresenius Medical Care Holdings, Inc.

Dialysis Registered Nurse - RN Job at Fresenius Medical Care Holdings, Inc.

 ...The position if for a Transitional Care Unit RN PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through...