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Credentialing Coordinator

  • Job ID: 664417912
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Hamot
  • Department: Medical Affairs
  • Location: 201 State St, Erie PA 16550
  • Union Position: No
  • Salary Range: $15.36 to $23.55 / hour

Description

UPMC Hamot is currently hiring a Credentialing Coordinator to join their team!  This position will work Monday through Friday dayshift.  

Purpose:
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 recredentialing for practitioners who are members of the facilities and organizations of the UPMC. Maintains a current and accurate database of credentialing information.

Responsibilities:

 

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

 

Qualifications

High school diploma or equivalent required.

Associate's 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

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

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Our Values

At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

   Current UPMC employees must apply in HR Direct