Job Details:
Maximus is seeking a Credentialing Coordinator to support credentialing and recredentialing processes for independent contractors. This role involves verifying credentials, maintaining accurate provider records, and ensuring compliance with health plan requirements. It is an opportunity to build experience in healthcare administration and credentialing within a supportive, growth-focused team.
Key Responsibilities:
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Process credentialing and recredentialing applications.
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Maintain knowledge of health plan requirements and delegated health plans.
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Complete and monitor provider applications, following up as needed.
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Set up and maintain provider information in credentialing databases.
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Collect and verify provider credentials from primary sources.
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Enter and maintain data across systems for credentialing.
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Track logs, lists, and documentation related to credentialing.
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Provide regular status reports on pending and cleared staff.
Minimum Requirements:
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High school diploma/GED required; 0–2 years of relevant experience or equivalent.
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At least 2 years of customer service experience.
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At least 2 years of credentialing experience (e.g., license verification, background checks, references).
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Strong organizational and administrative skills.
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Ability to multitask effectively in a fast-paced environment.
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Proficiency in MS Office Suite.
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Strong data entry and telephone skills preferred.
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Experience in claims review, claims auditing, or customer service/call center a plus.
Preferred Qualifications:
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Experience with Smartsheet, COUPA, or recruiting.
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Experience working with independent contractors or staffing agencies.
Home Office Requirements:
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Company-issued computer equipment provided.
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Reliable high-speed internet: minimum 20 Mbps download (50 Mbps if shared) and 5 Mbps upload.
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Private, secure workspace required.
Why Maximus?
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Work-life balance and flexibility.
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Competitive pay with performance bonuses.
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Comprehensive health, dental, vision, life, and disability insurance.
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Retirement savings plan with company match.
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Paid time off, holidays, and extended sick leave.
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Employee assistance program (EAP), wellness programs, and recognition platform.
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Tuition reimbursement and professional development opportunities.
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Licensure/certification renewal costs covered.
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Employee discounts and perks.
Equal Employment Opportunity:
Maximus is an EEO employer, evaluating applicants without regard to race, religion, sex, age, national origin, disability, veteran status, or other protected characteristics.
Pay Transparency:
Compensation is based on location, education, experience, and performance. Salary history is not considered when determining compensation.