Job Description

Job Title: Credentialing Coordinator
Job ID: 704626
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility:
Department: ED Administration
Location: 3600 Forbes Ave, Pittsburgh PA 15213

Description

Purpose:

When you join UPMC, you are entering a dynamic company that embraces its values. Our company embodies the characteristics that an industry leader should possess: respect, care, responsibility, integrity, and much more. We are looking for an individual who possesses these qualities as well to join our team as a Credentialing Coordinator!


This role is supporting our Department of Emergency Medicine.  The Coordinator processes applications and performs primary source verification for applicants to the facilities and organizations of UPMC. This role processes applications and performs primary source verification for reappointment and re-credentialing for practitioners who are members of the facilities and organizations of the UPMC. The coordinator maintains a current and accurate database of credentialing information.



Responsibilities:
  • Assists with database integrity and maintenance.
  • Completes files efficiently, according to policy and within the established standards and guidelines.
  • Maintains excellent communication (verbal, written and electronic) with all customers of the CVO including, but not limited to, the practitioners and the entity users.
  • Performs data entry and scans accurately and efficiently according to established policies, procedures and guidelines.
  • Performs primary source verification, records information received and provides follow up as necessary according to established policies and procedures.
  • Processes applications expeditiously and efficiently according to the established priorities and timeframes.

Qualifications

  • High school diploma or equivalent required. 
  • Associates or Bachelors degree preferred. 
  • Excellent data entry and computer software application skills required and must have a desire to maximize the use of technology to automate processes.  
  • Detail oriented person with excellent communication and interpersonal skills required. 
  • Prior credentialing experience preferred. 
  • Experience with both JCAHO and NCQA standards preferred.

Licensure, Certifications, and Clearances:
  • Act 34 Criminal Clearance

UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $16.23 to $25.77

Union Position: No

Apply Current Employee?

At UPMC, our shared goal is to create a cohesive, positive, experience for our employees, patients, health plan members, and community. If you too are driven by these values, you may be a great fit at UPMC!

QUALITY & SAFETY
DIGNITY & RESPECT
CARING & LISTENING
RESPONSIBILITY & INTEGRITY
EXCELLENCE & INNOVATION

UPMC provides a total rewards package that can help you achieve the goals you have for your career and your personal life. Whether you want to learn a new skill through a training course, reach personal health and wellness targets, become more involved in your community, or follow a career path that provides you with the right experience to be successful, UPMC can help you get to where you want to be.



Now more than ever, YOU can help us shape our communities and UPMC into a better place for everyone to work, study, play, and thrive.

Learn more about working here and check out our policies and recent updates.

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