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Credentialing Specialist TPR (Dallas, TX)
The Credentialing Specialist will be responsible for the following:: Have knowledge of NCQA standards, delegated credentialing and Primary Source Verification. Have knowledge of health plan credentialing and enrollment including Medicare and Medicaid. Have ability to prepare and/or update the provider�s CAQH application for newly affiliated and existing healthcare providers for initial and recredentialing activity. The ability to build and maintain peer-to-peer relationships with all relevant market and national health plans. Establish credentialed status to facilitate billing for multiple specialties. Maintain and update credentialing databases completely and accurately and ensures up-to-da


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