Credentialing Coordinator (Remote-New York) - Maximus Services, LLC

Maximus is currently hiring for a Credentialing Coordinator! This position will be supporting the Independant Practitioner Panel (IPP) program and performs duties associated with the credentialing and recredentialing program for clinical staff, including verification of all necessary provider licenses and credentials information.

About the Independent Practitioner Panel (IPP):

Maximus administers the Independent Practitioner Panel (IPP), which is currently looking for a Credentialing Coordinator. The Credentialing Coordinator will be responsible for the credentialing and recredentialing process of the clinical staff. This will include verification of all necessary provider licenses and credential information. If you are interested in expanding your knowledge of credentialing process, this is the position for you!

About the Position:

You will collect all the necessary credentials of incoming providers and perform primary source verifications of all provider credentials, which include licensure, DEA, NPDB, certifications, and additional verifications as required. You will communicate proactively with candidates and staff and guide them through the credentialing process. You will maintain necessary records and documentation required for provider credentialing and re-credentialing.

This position is full time and fully remote in the state of New York.

Education and Experience Requirements

Primary Responsibilities:

• Collects credentials of incoming providers as per work instructions
• Performs primary source verifications of all practitioner credentials, which include licensure, DEA, NPDB, certifications, and additional required verifications
• Performs data entry into various systems used to credential and re-credential staff
• Communicates proactively with candidates and staff going through the credentialing process to ensure they receive and provide information in a timely fashion and remain appraised of their credentialing status
• Maintains and tracks copies of current state licenses, DEA certificates and any other required credentialing documents for all providers and to ensure timely renewals
• Maintain necessary logs, lists, records, and current documentation required for provider credentialing and re-credentialing
• Maintains confidentiality and privacy of all provider information
• Coordinates with other departments necessary
• Provide regular reports on pending staff and those who have cleared credentialing
• Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position
• Performs other duties as may be assigned by Management

Minimum Requirements:

• High school diploma or equivalent required.
• Minimum of 1 year of experience in Credentialing
• Strong data entry and telephone skills
• Outstanding technology skills with intermediate capability in MS Office (Word, Excel, Access)
• Advanced ability navigating internet resources, including the ability to navigate through several databases and the ability to learn new systems quickly
• Excellent organizational, interpersonal, verbal, and written communication skills
• Knowledge and understanding of the credentialing process
• Ability to perform comfortably in a fast-paced work environment
• Ability to successfully execute many complex tasks simultaneously
• Ability to work as a team member, as well as independently
• Previous experience with computers, phone systems, and headsets preferred
• Previous experience in claims review or claims auditor preferred
• Previous experience in customer service and call center preferred
• Bi-lingual Spanish is a plus

Home Office Requirements:

• Reliable high-speed internet service
  • Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
  • Minimum 5 Mpbs upload speeds

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MAXIMUS Introduction

Since 1975, Maximus has operated under its founding mission of Helping Government Serve the People, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. Maximus delivers innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability and efficiency of government-sponsored programs. With more than 30,000 employees worldwide, Maximus is a proud partner to government agencies in the United States, Australia, Canada, Saudi Arabia, Singapore and the United Kingdom. For more information, visit https://www.maximus.com .

EEO Statement

Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We are proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.

Pay Transparency

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation.

Posted Max

USD $52,000.00/Yr.

Posted Min

USD $50,000.00/Yr.