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   Current UPMC employees must apply in HR Direct

Credentialing Coord

  • Job ID: 371206271
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: Monday - Friday
  • Shift: Day Job
  • Facility: UPMC Pinnacle Hospitals
  • Department: Phys Practitioner Srv
  • Location: 409 South Second Street, Harrisburg PA 17104
  • Union Position: No
  • Salary Range: $18.38 to $27.58 / 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.

 

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 Medical Staff credentialing experience preferred.
  • Experience with both JCAHO and NCQA standards preferred.
  • Prior Medical Terminology preferred.
  • Prior experience with medical computer software programs, preferred credentialing.


Licensure, Certifications, and Clearances:
Clearances must be dated within 90 days
 

  • Act 33 with renewal
  • Act 34 with renewal
  • Act 73 FBI Clearance with renewal

UPMC is an Equal Opportunity Employer/Disability/Veteran

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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