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

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... 

BWXT

Nuclear Process Operator (PIPELINE -- May 2025) Job at BWXT

 ...exploration. With more than 7,800 employees, BWXT has 14 major operating sites in the U.S., Canada and the U.K. We are the sole...  ...LinkedIn , X , Facebook and Instagram . Nuclear Process Operator - Nuclear Fuel Services (BWXT) - Erwin, TN Minimum... 

Visa

Sr. Financial Analyst Job at Visa

Visa is a world leader in payments and technology, with over 259 billion payments transactions flowing safely between consumers, merchants, financial institutions, and government entities in more than 200 countries and territories each year. Our mission is to connect...

Central Group Companies

Auto Recycler scrap preparer Job at Central Group Companies

 ...can utilize their automotive experience to engage with and be a part of an outstanding team. This position is responsible for properly...  ...education ~18+~ Proficientin removing and understanding of various auto parts ~ Proficient in running front end loader with bucket &... 

Fiserv

Inventory Control Job at Fiserv

 ...Calling all innovators - find your future at Fiserv. We're Fiserv, a global leader in Fintech and payments, and we move money and information in a way that moves the world. We connect financial institutions, corporations, merchants and consumers to one another millions...