Job Description

Job Title: Credentialing Coordinator - RevCycle - Wellsboro
Job ID: 710526
Status: Full-Time
Regular/Temporary: Regular
Hours: 8a - 4:30p
Shift: Day Job
Facility: UPMC Susquehanna Soldiers + Sailors
Department: NP Health Center Admin
Location: 40 W. Wellsboro Steet, Mansfield PA 16933

Description

  • Processes applications and performs primary source verification for applicants to the facilities and organizations of UPMC.
  • 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.
  • 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.
  • Two years of work experience required.
  • Excellent data entry and computer software application skills required.
    • 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 33 Child Clearance with Renewal
  • Act 34 Criminal Clearance with Renewal
  • Act 73 FBI Clearance

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

Salary Range: $18 to $27.01

Union Position: No

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