Description
Are you a solution-oriented person with outstanding organizational skills? Explore this opportunity with UPMC Hillman Cancer Center!
Our team is growing and we have an exciting opportunity for a full-time Credentialing Coordinator! This role is Monday through Friday daylight, with a hybrid schedule (combination of in-office and work-from-home) reporting to our Shadyside campus 1-2 days per week.
The Credentialing Coordinator processes applications to medical staff offices & CVO to the facilities and organizations of UPMC as well as non-UPMC facilities. Process applications for reappointment and re-credentialing for practitioners who are members of the facilities and organizations of UPMC. In this role, you will maintain a current and accurate database of credentialing information including dates for reappointments & licensure.
Responsibilities:
- Notify hospitals and insurance companies of changes in practice information. Provide reminders to office managers when specific documents will be expiring.
- Records information received and provide follow-up as necessary according to established policies and procedures. Completes files efficiently, according to policy and within the established standards and guidelines.
- Maintain strict confidentiality related to provider personal data. Perform duties and responsibilities in a positive manner that upholds the management philosophy, policies and procedures of UPMC CancerCenter.
- Assist with database integrity and maintenance. Maintains excellent communication (verbal, written and electronic) with all customers including, but not limited to, the practitioners, practice managers & administration.
- Maintain and update current documentation for providers including, but not limited to medical licenses, DEA certificates, malpractice insurance, CV, board certifications, PPD testing, photographs, reference letters, collaborative agreements & supervisory agreements.
- Processes applications expeditiously and efficiently according to the established priorities and timeframes.Performs data entry and scans accurately and efficiently according to established policies, procedures and guidelines.
- Communicate with the Supervisor to achieve improvements within the department.
- Prepare, maintain and update applications for insurance and hospital enrollment and re-enrollment. Facilitate malpractice insurance enrollment process.
Qualifications
- High school diploma or equivalent required.
- Prior credentialing experience preferred.
- Strong organizational skills are highly preferred.
- Competent in the use of Microsoft Office products.
- Strong communication skills, ability to manage and prioritize large projects and meet scheduled timelines and deadlines.
- Ability to effectively problem solve and make independent decisions.
- Experience with both TJC and NCQA standards preferred.
Licensure, Certifications, and Clearances:
- Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran
Individuals hired into this role must comply with UPMC’s COVID vaccination requirements upon beginning employment with UPMC. Refer to the COVID-19 Vaccination Information section at the top of this page to learn more.
Total Rewards
More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life — because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.
Our Values
At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.
