Assoc Specialist, Corp Credentialing (Remote)

Lensa; Houston (TX); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company is seeking a Corporate Credentialing Associate Specialist to work remotely. This role involves processing credentialing applications, ensuring compliance with regulatory standards, and managing ongoing credentialing tasks. Ideal candidates will possess strong critical thinking and communication skills, with a preference for those with healthcare experience. This entry-level position offers a competitive hourly wage and the opportunity to work in a supportive environment.

Qualifications

• Production or administrative experience requiring critical thinking and computer proficiency.

Responsibilities

• Evaluate applications for accuracy and compliance.
• Communicate with providers for missing information.
• Update credentialing systems and follow up on applications.

Skills

Critical Thinking

Time Management

Self-Motivation

Professionalism

Communication

Education

High School Diploma or GED

Job description

Assoc Specialist, Corp Credentialing (Remote)

Apply now! Molina Healthcare is seeking a Corporate Credentialing Associate Specialist to work remotely within the US. This role involves processing credentialing and recredentialing applications for practitioners and facilities, verifying licensure, DEA, work history, insurance, training, and certifications. We support all lines of business.

Ideal candidates will have:

• Strong critical thinking skills
• Ability to work independently with good time management
• Self-motivation and professionalism
• Healthcare or credentialing experience is helpful but not required; candidates from production or sales roles are encouraged to apply.

Job Summary

This position ensures providers meet regulatory and safety standards, manages initial and ongoing credentialing, and monitors sanctions/exclusions, maintaining confidentiality and meeting production goals.

Job Duties

• Evaluate applications for accuracy, completeness, and compliance, obtaining verifications as needed.
• Communicate with providers to clarify or request missing information.
• Update credentialing systems and follow up on recredentialing applications.
• Collaborate internally and externally to ensure timely processing.
• Review sanctions, exclusions, Medicare opt-out, and NPDB reports, taking appropriate actions.

Qualifications

Education: High School Diploma or GED.

Experience/Skills: Production or administrative experience requiring critical thinking, computer proficiency, and professional communication skills.

Preferred: Healthcare industry experience.

Additional Information

Salary range: $14.9 - $29.06 hourly. Employment type: Full-time, Entry level. Industry: IT Services and Consulting. Equal Opportunity Employer. Apply through the intranet if you are a current employee.