Associate Specialist, Corporate Credentialing (Remote)

Molina Healthcare; Long Beach (CA); Remote; USD 45,000 - 60,000; Full time

Job summary

A leading healthcare organization seeks a candidate for a credentialing role in a supportive work environment. You'll evaluate provider applications for accuracy, communicate effectively with healthcare professionals, and ensure compliance with federal/state regulations. This position offers a pathway for career growth and competitive compensation, making it a great opportunity for motivated individuals looking to make an impact.

Benefits

Career advancement opportunities

Competitive benefits and compensation package

Supportive work environment

Qualifications

• Experience in a production or administrative role required.
• Extensive computer experience necessary.
• Experience in the healthcare industry is preferred.

Responsibilities

• Evaluate credentialing applications for accuracy.
• Communicate with providers to clarify questions.
• Maintain production goals and update systems.

Skills

Self-direction

Critical thinking

Professional written communication

Professional verbal communication

Internet research

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

Employer Industry: Healthcare

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Competitive benefits and compensation package
- Supportive work environment that values confidentiality and professionalism
- Engage in meaningful work that ensures safety for members
- Collaborate with healthcare providers and internal teams to streamline processes

What to Expect (Job Responsibilities):
- Evaluate credentialing applications for accuracy and completeness, obtaining necessary verifications
- Communicate with healthcare providers to clarify questions and request missing information
- Update credentialing software systems with required information and maintain production goals
- Review and process alerts for federal/state sanctions and exclusions, as well as Medicare Opt-Out reports
- Collaborate with internal and external contacts to ensure timely processing of recredentialing applicants

What is Required (Qualifications):
- Must possess a High School Diploma or GED
- Experience in a production or administrative role requiring self-direction and critical thinking
- Extensive experience using a computer, particularly with internet research and Microsoft Office applications
- Proficient in professional written and verbal communication
- Ability to maintain confidentiality of sensitive information

How to Stand Out (Preferred Qualifications):
- Experience in the healthcare industry

#Healthcare #Credentialing #CareerOpportunity #CompetitivePay #Confidentiality

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