Job Description

Job Title: Credentialing Coordinator
Job ID: 731760
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility:
Department: POP00 Health Information Mngt
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!


The Credentialing Coordinator is responsible for processing applications to medical staff offices & CVO to the facilities and organizations of UPMC as well as non-UPMC facilities. In this role, one will process applications for reappointment and re-credentialing for practitioners who are members of the facilities and organizations of UPMC. Also, this person must be detail oriented and organized while maintaining a current and accurate database of credentialing information; this database includes dates for re-appointments & licensure. Become a part of excellence by applying with UPMC today!


This role is located at the Forbes Tower in Oakland, Pittsburgh.  The shift is Monday through Friday during daylight hours.


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?

UPMC VALUES

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.


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