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   Current UPMC employees must apply in HR Direct

Credentialing Coord

  • Job ID: 366366079
  • Status: Casual
  • Regular/Temporary: Limited
  • Hours: Monday - Friday Flexible work hours and shift
  • Shift: Day Job
  • Facility: University of Pittsburgh Physicians
  • Department: 64039 POP00 Credentials Verification
  • Location: 3600 Forbes Ave, Pittsburgh PA 15213
  • Union Position: No
  • Salary Range: $17.39 to $27.61 / hour

Description

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:

  • 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 timeframes.
  • 1) Processes applications and performs data entry function.  Receives applications and promptly begins processing according to the established priorities Checks for submission of required supporting documents. Notifies practitioner or designated ind
  • 3) Assists with database integrity and maintenance. Complies with established data entry standards. Assists with development and revision of data entry reference materials. Initiates requests for updated information and documents. Promptly enters ne
  • 2) Initiates primary source verification, records information received and provides follow-up as necessary. Performs primary source verification according to established policies, procedures and guidelines. Prepares requests for primary source verifications

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 34

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

Total Rewards

More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life — because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.

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