Job Description

Job Title: Credentialing Coord - Harrisburg, PA
Job ID: 1900020I
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Pinnacle Hospitals
Department: Phys Practitioner Srv
Location: 409 South Second Street, Harrisburg PA 17104

Description

UPMC Pinnacle in Harrisburg, PA is currently hiring for a Full Time Credentialing Coordinator. This position requires a very detailed oriented candidate to process applications and perform 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. Preferred qualifications for this position - previous healthcare experience with a minimum two year credentialing experience, Knowledge of medical Terminology, and certifications in Medical Staff Services desired.

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

Qualifications

  • High school diploma or equivalent required.
  • Associate's or Bachelor's 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 33 with renewal
  • Act 34 with renewal
  • Act 73 FBI Clearance with renewal

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

    Salary Range: $17.93 to $26.91 / hour

    Union Position: No

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