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UPMC complies with all governmental requirements related to local, state, and federal COVID-19 vaccination for employment. The Jan. 13 Supreme Court of the United States decision that the Centers for Medicare & Medicaid Services federal COVID-19 vaccine mandate will move forward requires UPMC to ensure employees either get vaccinated or receive a requested medical or religious exemption.

If you are not yet vaccinated, we urge you to get a vaccine now. You can schedule your COVID-19 vaccination through UPMC or visit a non-UPMC provider or UPMC Urgent Care location.

Proof of vaccination is not required upon hire; however, employees will be responsible for ensuring post-hire compliance by getting vaccinated or requesting a medical or religious exemption.

For more information about UPMC’s response to COVID-19, please visit UPMC.com/coronavirus.

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Senior Credentialing Coordinator Revenue Cycle

  • Job ID: 263589720
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Corporate Revenue Cycle
  • Department: Rev Cyc Ins Coll WMD-Phy
  • Location: 12501 Willowbrook Rd, Cumberland MD 21502
  • Union Position: No
  • Salary Range: $18 to $29.40 / hour

Description

Job Summary:
Performs all aspects of credentialing and enrollment operations for the department and functions as a resource to the department managers and/or directors. Functions as the expert user for the software applications. Assists with database integrity and maintenance. Performs application processing, data entry and verification functions according to established policies, procedures and guidelines.

Responsibilities:

  • Develops data entry standards to maintain the integrity of the database and completes projects to assure the completeness and accuracy of the data. Performs all the duties of the Credentialing Coordinator including application processing, data entry and verification functions according to established policies, procedures and guidelines and serves as a role model for the Coordinators. Competent in the job responsibilities of all staff members and performs their job duties and responsibilities as necessary.
  • Assists with competency assessment of the staff annually and as necessary. Manages the process for follow up for application and reapplication packets received incomplete.
  • Assists with the development, implementation and revision of processes, policies and procedures to assure the effective and efficient operation of the department. Provides initial orientation and ongoing training in the use of the software and for application processing and verification.
  • Performs all aspects of credentialing and enrollment operations for the department and functions as a resource to the department/practice managers and/or directors. Functions as the expert user for the software application and provides help and issue resolution for the staff, the users and the practitioners. Works to resolve software related issues and to maximize the use of the technology and functionality.
  • Assumes responsibility for the office e-mail and inquiries when requested. Resolves day-to-day staff issues and interoffice conflicts as necessary and assures that productivity is not negatively impacted.

 

Qualifications

  • HS/Equivalent and 3 years work experience required
  • CPCS (Certified Provider Credentialing Specialist) certification preferred.
  • Experience with both JCAHO and NCQA standards preferred.
  • Excellent communication and organizational skills required.
  • Excellent computer software application skills required and must have a desire to maximize the use of technology to automate processes.


Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

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