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Onboarding Specialist - Credentialing

  • Job ID: 897698117
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: University of Pittsburgh Physicians
  • Department: 64071 POP00 Health Information Mngt
  • Location: 3600 Forbes Ave, Pittsburgh PA 15213
  • Union Position: No
  • Salary Range: $17.05 to $27.07 / hour

Description

University of Pittsburgh Physicians is seeking a full-time Onboarding Specialist - Credentialing to support the Department of Health Information Management at Forbes Tower in Oakland!


Physician Services (PS) consists of 23 specialty departments, as well as community medicine practices. Its providers see patients in over 800 practice locations and maintain privileges in hospitals throughout UPMC health system, as well as outlying hospitals in Pennsylvania and neighboring states. After being appointed to the facility's medical staff, these physicians and Advanced Practice Providers (APPs) undergo reappointment once every two years to validate their good standing, and continued competency in performing the requested procedures. 

 

The tasks involved in the initial appointment and reappointment processes are tracked on process worklists within the credentialing software MSOW. The Onboarding Specialist is responsible for leading, coordinating, and monitoring the credentialing processes in accordance with departmental and organizational policies and procedures.  

 

The Onboarding Specialist facilitates the initial appointment and reappointment process for physicians and APPs, and serves as a liaison between providers, departments, the Credentials Verification Office (CVO), medical staff offices, and Enrollment. The Onboarding Specialist is responsible for ensuring the accuracy and integrity of the credentialing database and providing regular status reports. 

 

The ideal candidate for this position will have exceptional data entry and computer skills, as well as a strong attention to detail. Previous credentialing experience is a major plus. Ability to follow/pay attention to directions and/or instructions is vital to this role, as well. 




Responsibilities:
  • Tracks and sends reminders for yearly physician compliance, such as HR requirements, Conflict of Interest, and Annual Review Processes.
  • Serves as Department Enrollment Specialist.
  • Assists Cardiology Administration and the Academic Manager with various departmental projects, as needed.
  • Supports yearly projects, such as the Annual Malpractice renewal process, physician medical licensure, and DEA renewals.
  • Handles all hospital credentialing and obtains hospital privileges for all newly hired physicians and AHPs, as well as new site privileges for Cardiology faculty.
  • Provides assistance with the hiring process of Cardiology Faculty and AHPs.  
  • Works closely with Enrollment, Physician Services Division Administration, CVO, Medical Staff Offices, and the University of Pittsburgh.
  • Handles all physician hospital reappointments for UPMC and non-UPMC facilities.
  • Obtains necessary documentation from providers and other sources to facilitate the initial credentialing and reappointment process.
  • Identifies issues that require additional investigation, works closely with providers and lead to address discrepancies, and ensures appropriate follow-up.
  • Reviews portal applications, facility-specific forms, and state agreement documents for accuracy and completeness before submitting to the appropriate parties.
  • Processes applications efficiently and accurately according to established procedures and time frames.
  • Assists providers on the medical license and/or DEA license application and renewal process.
  • Maintains worklists and provider-specific records in credentialing database, ensuring all important details are documented.
  • Performs data entry and scans accurately and efficiently according to established policies, procedures, and guidelines.
  • Compiles and maintains current and accurate data for all providers, including (but not limited to) copies of current state licenses, DEA certificates, and clearances to ensure timely renewals.
  • Consistently knowledgeable of the status of each assigned process, and answers inquiries related to providers' credential status and approved privileges in a timely manner.
  • Assists with primary source verification, when needed.
  • Assists with distribution of payor signature packets to providers, and works closely with Enrollment to ensure the timely return of documents.
  • Maintains excellent communication (verbal, written, and electronic) with all customers, including (but not limited to) providers, departments, the CVO, medical staff offices, Enrollment, the APP office, and Legal.
  • Demonstrates a service-oriented approach to the position by conveying courtesy, respect, and a positive attitude by showing initiative and offering assistance to other staff.
  • Maintains confidentiality of provider information and performs other miscellaneous job-related duties as assigned.

Qualifications

  • High school diploma or equivalent required.
  • College degree preferred.
  • Excellent data entry and computer skills required.
  • Possess a strong desire to maximize the use of technology to automate processes.  
  • Detail-oriented person with excellent communication and strong customer service skills required. 
  • Must be able to work independently, be flexible, and function well in high stress situations. 
  • Prior credentialing experience preferred.
  • Ability to follow/pay attention to directions/instructions highly preferred. 

Licensure, Certifications, and Clearances:
  • Act 34

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

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       Current UPMC employees must apply in HR Direct