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...and employees in accordance with applicable law. Requests for accommodation should be directed to your point of contact in the Talent Acquisition or Human Resources departments.Background Check and Drug Screening:Offers of employment are contingent upon successful...
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