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Associate Specialist, Corporate Credentialing - Remote

Molina Healthcare

Long Beach (CA)

Remote

USD 80,000 - 100,000

Full time

Today
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Job summary

A healthcare services organization in Long Beach seeks a credentialing specialist to evaluate applications and ensure compliance with safety standards. The role requires strong self-direction and communication skills. Opportunities for career growth and a competitive benefits package are provided. Join a supportive work environment focused on member satisfaction.

Benefits

Career advancement opportunities
Competitive benefits and compensation
Collaborative work environment

Qualifications

  • Experience in a production or administrative role requiring self-direction and critical thinking.
  • Extensive experience using a computer, including internet research.

Responsibilities

  • Evaluate credentialing applications for accuracy and completeness while meeting production goals.
  • Communicate with healthcare providers to clarify questions and request missing information.
  • Update credentialing software systems with required information.
  • Request and follow up on recredentialing applications from providers.
  • Review and process daily alerts for federal/state sanctions and exclusions.

Skills

Self-direction
Critical thinking
Professional written communication
Professional verbal communication
Microsoft Word
Microsoft Outlook

Education

High School Diploma or GED

Tools

Credentialing software systems
Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:

  • Opportunity for career advancement and growth within the organization
  • Competitive benefits and compensation package
  • Supportive and collaborative work environment
  • Chance to make a positive impact on provider network safety and member satisfaction
  • Work in a role that emphasizes confidentiality and professional communication
What to Expect (Job Responsibilities):
  • Evaluate credentialing applications for accuracy and completeness while meeting production goals
  • Communicate with healthcare providers to clarify questions and request missing information
  • Update credentialing software systems with required information
  • Request and follow up on recredentialing applications from providers
  • Review and process daily alerts for federal/state sanctions and exclusions to ensure provider compliance
What is Required (Qualifications):
  • High School Diploma or GED
  • Experience in a production or administrative role requiring self-direction and critical thinking
  • Extensive experience using a computer, including internet research, Microsoft Outlook, and Word
  • Experience with professional written and verbal communication
How to Stand Out (Preferred Qualifications):
  • Experience in the healthcare industry

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