Assoc Specialist, Corp Credentialing (Remote)

Lensa; Orem (UT); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company is seeking a Corporate Credentialing Associate Specialist for a remote position. This entry-level role involves processing credentialing applications, verifying information, and maintaining compliance with regulations. Ideal candidates will possess strong critical thinking and communication skills, with a background in healthcare preferred but not required. Join a dynamic team committed to ensuring provider compliance and safety.

Qualifications

• Experience in a production or administrative role requiring self-direction.
• Extensive computer skills, including internet research.

Responsibilities

• Evaluate applications for accuracy and completeness.
• Communicate with providers to clarify questions.
• Update credentialing systems with required information.

Skills

Critical Thinking

Time Management

Communication

Self-Motivation

Education

High School Diploma or GED

Tools

Microsoft Outlook

Microsoft Word

Job description

Assoc Specialist, Corp Credentialing (Remote)

Be among the first 25 applicants. Apply via Lensa today!

Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals for the role of Corporate Credentialing Associate Specialist. This is a remote position, allowing work from various locations within the US.

This role involves processing credentialing and recredentialing applications for practitioners and facilities wishing to join the Molina Healthcare network. Responsibilities include verifying licensure, DEA, work history, professional liability insurance, training, and board certification, supporting all lines of business.

**Highly Qualified Candidates Will Have the Following Experience:**

• Excellent critical thinking skills
• Ability to work independently with good time management
• Internally motivated and driven
• Healthcare or credentialing background is helpful but not required; candidates from production-based or sales roles are encouraged to apply
• Professionalism, excellent communication skills, and self-motivation

Job Summary:
Molina's Credentialing team ensures providers meet all regulatory and risk management standards to minimize liability and maximize safety. The role includes initial credentialing, recredentialing, and ongoing monitoring of sanctions and exclusions, adhering to Molina policies and procedures. It also involves meeting daily/weekly production goals and maintaining confidentiality.

Job Duties:

• Evaluate applications for accuracy and completeness, obtain verifications, and meet production goals
• Communicate with providers to clarify questions and request missing information
• Update credentialing systems with required information
• Request and follow up on recredentialing applications
• Collaborate with internal and external contacts for timely processing
• Make necessary data corrections in the credentialing database
• Review claims payment systems for provider status
• Follow up on ‘watch’ status and review alerts for sanctions, exclusions, and Medicare opt-out
• Review NPDB reports and take appropriate actions

Job Qualifications:
- High School Diploma or GED
- Experience in a production or administrative role requiring self-direction and critical thinking
- Extensive computer skills, including internet research, Microsoft Outlook, Word, and other software
- Strong written and verbal communication skills

Preferred Experience: Healthcare industry experience

For current Molina employees interested in this position, please apply through the intranet.

Molina Healthcare offers competitive benefits and compensation. We are an Equal Opportunity Employer (EOE) M/F/D/V.

**Pay Range:** $14.90 - $29.06/hour
Actual compensation may vary based on location, experience, education, and skills.

Additional Details:

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Other
• Industry: IT Services and IT Consulting

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