Job Summary
Molina’s Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria in order to minimize liability to the company and to maximize safety for members.
Knowledge/Skills/Abilities
Clerks are responsible for the data entry of credentialing information received from practitioners and providers into our credentialing database. Clerks work on a team that supports each other through various functions to ensure team goals are achieved. The clerk position is production based and has both production and quality goals that are to be achieved.
Duties To Include Any Combination Of The Following
• Complete data entry of applications in the credentialing database while meeting production and quality goals.
• Prioritize work that is given and assist team with meeting team goals.
• Verify provider information through primary source verification.
• Maintain a high level of confidentiality with provider information.
• Adhere to the department work schedule guidelines.
• Be cross-trained in multiple functions of clerk team to assist with additional file volume as needed.
Preferred Experience
• Experience in a production or administrative role requiring self-direction and critical thinking.
• Extensive experience using a computer — specifically internet research, Microsoft Outlook and Word, and other software systems.
• Experience with professional written and verbal communication.