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Credentialing Coordinator - Revenue Cycle

  • Job ID: 189495404
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Western Maryland
  • Department: Physician Bills
  • Location: 12501 Willowbrook Rd, Cumberland MD 21502
  • Union Position: No
  • Salary Range: $15.36 to $23.55 / hour

Description

UPMC Western Maryland is seeking a self-starting Credentialing Coordinator - Revenue Cycle. The Credentialing Coordinator - Revenue Cycle requires analytical thinking, an attention to detail and the ability to multi-task. This position 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.
  • 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 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.

Qualifications

  • HS/Equivalent and 2 years work experience required
  • 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:

UPMC is an Equal Opportunity Employer/Disability/Veteran

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   Current UPMC employees must apply in HR Direct