Associate Specialist, Corporate Credentialing

Molina
Milwaukee, AZ
Job Description
M Molina Healthcare is seeking an Associate Specialist in Corporate Credentialing. This role ensures regulatory and risk management compliance for the Molina healthcare network, including initial credentialing, recredentialing, and ongoing monitoring of sanctions and exclusions. The position involves evaluating applications, communicating with providers, and maintaining confidentiality. It's a production-focused role with weekly production goals.

Requirements

  • Evaluates credentialing applications for accuracy and completeness.
  • Communicates with providers to clarify questions.
  • Updates credentialing software systems.
  • Requests recredentialing applications.
  • Completes data corrections.
  • Reviews claims payment systems.
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