Credentialing Audit Manager
Company: VirtualVocations
Location: Humble
Posted on: November 7, 2024
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Job Description:
A company is looking for a Credentialing Audit Manager to
oversee credentialing compliance and audits.
Key Responsibilities
Conduct daily audits of credentialing files to ensure compliance
with NCQA standards
Track and trend errors in the system, providing monthly reports to
leadership
Make recommendations for process improvements and assist with
corrective action steps
Required Qualifications
5+ years of experience in credentialing with knowledge of NCQA and
URAC standards
Experience using Verity CredentialStream software is a plus
Advanced Microsoft Excel skills
Knowledge of EFT, ERA, EDI enrollment, and claims systems
preferred
Must comply with HIPAA rules and regulations
Keywords: VirtualVocations, Houston , Credentialing Audit Manager, Executive , Humble, Texas
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