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MSLA - Quality Auditor - Credentialing- Cypress, CA

UnitedHealth Group

Cypress, CA
Job Code:
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Job Details

MSLA - Quality Auditor - Credentialing- Cypress, CA(Job Number:727457)

MSLA is a Medical Corporation that provides comprehensive independent medical evaluations (IME) and other IME related services to the government and private industry. Our business philosophy incorporates both exceptional customer service and quality evaluations, both of which are the primary factors for our rapid growth since our inception in 1998. No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm)

The role of the Quality Auditor in Credentialing is to ensure provider data is entered accurately in the CMS system and all credentialing documentation is collected and maintained in the credential file.
Primary Responsibilities:
  • Reviews approved credentialing application to ensure compliance with the credentialing processing manual and federal regulations
  • Ensures demographic information for providers and facilities is entered timely and correctly in CMS and all primary source verifications appear and are currently maintained in the providers online credentialing file
  • Verifies credentialing packets are sent to groups and entities after a fully executed agreement has been received
  • Update appropriate spreadsheets and records and audits regularly.
  • All other duties assigned by Management.

Job Credentialing
Primary Location US-CA-Cypress
Other Location 
Organization Logistics Health Inc
Schedule Full-time
Number of Openings 4
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UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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