Job Description

Job Title: Credentialing/Contract Specialist I
Job ID: 93173004
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Community Provider Svcs
Department: Billing
Location: 1001 Oakdale Road, Oakdale PA 15071

Description

Do you have a background in payor credentialing and contracting? UPMC Community Provider Services is hiring a Credentialing/Contract Specialist to support the Billing department during daylight hours on Monday through Friday. In this role, you will facilitate the processing of provider applications, contracts and data for the Medical, Dental and Vision Networks.

Responsibilities:
  • Review received applications/contracts for completeness.
  • Prepare contract files for off-site storage.
  • Mailing of provider contracts and correspondence.
  • Effectively prioritize and complete all assigned tasks.
  • Follow up with providers for outstanding documents needed to complete the credentialing/contracting process.
  • Prepare provider data documents, including contracts, for scanning.
  • Perform Quality Audit checks of Filenet contract database.
  • Assist with processing of provider data change requests.
  • Respond to phone inquiries from providers.
  • Log application/contract information into appropriate tracking databases.
  • Prepare provider application/contract packets and fax/mail/email to provider.

Qualifications

  • Bachelor's Degree or four years of equivalent work experience in a business environment required.
  • Payor credentialing and contracting experience is preferred. 
  • Certified Payor Credentialing Specialist (CPCS) Certification preferred. 
  • Prior experience with healthcare payor reimbursement is preferred.
  • Competence in MS Office required , including MS Excel, MS Access, MS Word.
  • Must possess strong interpersonal and organizational skills, with the ability to work on multipletasks simultaneously.

Licensure, Certifications, and Clearances:
  • Act 34

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

    Salary Range: $17.62 to $29.28 / hour

    Union Position: No

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