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Credentialing Auditor, Other Administration - Full Time
DescriptionSummary:Responsible for auditing all complete credentialing applications and to build sound, effective and efficient audit processes. Responsible for the credentialing and administrative support of PHO member providers. Must ensure compliance with managed care delegated credentialing agreements, NCQA, TJC, and other regulatory bodies. Interacts with payers, malpractice carriers, providers, regulatory bodies, and hospitals. Requirements:A. Education/Skills· Bachelor's degree preferredB. Experience · Minimum 2 years working in credentialing C. Licenses, Registrations, or Certifications· National Associate of Medical Staff Specialists (NAMSS),
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