Credentialing Specialist (Bid) - Remote

Essential Duties and Responsibilities:
- Process applications and initial as well as re-credentialing paperwork.
- Maintain knowledge of current health plan requirements for credentialing providers including managing delegated health plans.
- Complete provider credentialing and recredentialing applications in accordance with guidelines; monitor applications and follow up as needed.
- Set up and maintain provider information in online credentialing databases and system.
- Collect credentials of incoming providers as per work instructions.
- Perform primary source verifications of all practitioner credentials.
- Perform data enter into various systems used to credential and recredential staff.
- Maintain necessary logs, lists, records, and current documentation required for provider credentialing.
- Provide regular reports on pending staff and those who have cleared credentialing.

Minimum Requirements

- High school Diploma or GED required.

- Strong attention to detail and excellent organizational skills.
- Ability to work with documentation, data entry, and follow established procedures.

- Strong administrative and organizational skills in a fast-paced environment.

- Ability to multi-task effectively.

- Proficiency in MS Office Suite.
- Preferred: one year experience working with CPT/medical coding.

EEO Statement

Maximus is an equal opportunity employer.

We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

Pay Transparency

For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor.

That wage rate will vary depending on locality.

An applicant's salary history will not be used in determining compensation.

Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment.

If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.

Minimum Salary

$

17.89

Maximum Salary

$

23.62



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