Government Careers

  • Sr Credentialing

  • The Judge Group
  • Las Vegas, Nevada 89105 United States View Map
Job Title: Credentialing Specialist / Medical Auditor (RN preferred)

Location: Las Vegas, NV - or fully remote

Schedule: Monday-Friday, 8:00 AM - 4:30 PM (training hours may vary until proficiency is reached)

Responsibilities:
  • Credentialing applications: Submission of initial and re-credentialing applications to contracted payers.
  • Licensure maintenance: Track renewals and ensure compliance with state and board requirements.
  • CAQH updates and NPPES enrollment.
  • Roster delegation review: Perform quality checks and maintain accurate records.
  • Data entry: Input and manage information in Symplr Payer.
  • Primary source verification: Validate credentials with boards and licensure authorities.
  • Compliance: Follow NCQA, CMS, AAAHC, URAC, and JC guidelines.
  • Enrollment: Handle commercial and government payer enrollments.
  • Hospital privileges: Manage and understand hospital privilege requirements.
  • Symplr Payer, Cactus, Pecos, MD Staff
Requirements:
  • Familiarity with California rules and regulations
  • Knowledge of CMS guidelines, CAQH, and Medi-Cal
Job Title: Credentialing Specialist / Medical Auditor (RN preferred)

Location: Las Vegas, NV - or fully remote

Schedule: Monday-Friday, 8:00 AM - 4:30 PM (training hours may vary until proficiency is reached)

Responsibilities:
  • Credentialing applications: Submission of initial and re-credentialing applications to contracted payers.
  • Licensure maintenance: Track renewals and ensure compliance with state and board requirements.
  • CAQH updates and NPPES enrollment.
  • Roster delegation review: Perform quality checks and maintain accurate records.
  • Data entry: Input and manage information in Symplr Payer.
  • Primary source verification: Validate credentials with boards and licensure authorities.
  • Compliance: Follow NCQA, CMS, AAAHC, URAC, and JC guidelines.
  • Enrollment: Handle commercial and government payer enrollments.
  • Hospital privileges: Manage and understand hospital privilege requirements.
  • Symplr Payer, Cactus, Pecos, MD Staff
Requirements:
  • Familiarity with California rules and regulations
  • Knowledge of CMS guidelines, CAQH, and Medi-Cal
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