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
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Oversee and manage LiDAR and UAS projects from initiation to completion. Identify new business opportunities, develop proposals, and build and maintenance client relations.