A company is looking for a Credentialing Audit Manager to oversee credentialing compliance and audits.Key ResponsibilitiesConduct daily audits of credentialing files to ensure compliance with NCQA standardsTrack and trend errors in the system, providing monthly reports to leadershipMake recommendations for process improvements and assist with corrective action stepsRequired Qualifications5+ years of experience in credentialing with knowledge of NCQA and URAC standardsExperience using Verity CredentialStream software is a plusAdvanced Microsoft Excel skillsKnowledge of EFT, ERA, EDI enrollment, and claims systems preferredMust comply with HIPAA rules and regulations
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A company is looking for a Credentialing Audit Manager to oversee credentialing compliance and audits. ...
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HSPD-12: Government Badging & Credentialing Specialist (Plantation, FL - REF1659I)**
Citizant is a leading provider of professional IT services to the U.We seek to address some of our country's most pressing challenges in the areas of Agile application development, Enterprise Data Management, Enterprise Architecture, and Program Management support services - focusing on the U.Depart...
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