Assoc Specialist, Corp Credentialing (Remote)

Molina Healthcare; Long Beach (CA); Remote; USD 40,000 - 70,000; Full time

Job summary

An established industry player in healthcare services is seeking a dedicated professional to join their credentialing team. This role offers the flexibility of remote work, allowing you to contribute to the safety and quality of healthcare for members from various locations across the U.S. You'll be responsible for processing applications and ensuring compliance with regulatory requirements, all while working in a collaborative environment that values your growth and development. If you're looking for a career with opportunities for advancement and a supportive team, this position is an excellent fit.

Benefits

Remote work flexibility

Career advancement opportunities

Competitive benefits package

Collaborative work environment

Qualifications

• High School Diploma or GED required.
• Experience in production or administrative roles preferred.

Responsibilities

• Process credentialing applications for healthcare practitioners.
• Verify licensure and maintain confidentiality in records.
• Communicate with providers for missing information.

Skills

Self-direction

Critical thinking

Written communication

Verbal communication

Microsoft Office

Education

High School Diploma or GED

Tools

Credentialing software

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Remote work flexibility from various locations within the U.S.
- Opportunity for career advancement and growth within the organization
- Competitive benefits and compensation package
- Work in a collaborative and supportive environment
- Chance to contribute to the safety and quality of healthcare for members

What to Expect (Job Responsibilities):
- Process credentialing and recredentialing applications for practitioners and facilities in the provider network
- Verify licensure, work history, professional liability insurance, and other required credentials
- Communicate with healthcare providers to clarify questions and request missing information
- Update credentialing software systems with required information and maintain confidentiality
- Monitor sanctions and exclusions to ensure compliance with regulatory requirements

What is Required (Qualifications):
- High School Diploma or GED
- Experience in a production or administrative role requiring self-direction and critical thinking
- Proficient in using a computer, including internet research and Microsoft Office applications
- Strong written and verbal communication skills
- Ability to meet daily/weekly production goals

How to Stand Out (Preferred Qualifications):
- Experience in the healthcare industry
- Background in credentialing or related fields
- Previous experience in a production-based or sales role

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