Sr Credentialing Rep/24/NMT022

The Judge Group · Las Vegas, Nevada, United States

Location
Las Vegas
Job Type
Full-time
Posted
July 08, 2026

Job Description

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 re...
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