COVID-19 Vaccination Information

Across UPMC, our guiding principle is to always prioritize the safety of our employees, patients, and members. UPMC believes that vaccination is important, helps protect all, and advocates that everyone who can be vaccinated should be vaccinated.

UPMC continues to comply with governmental guidance related to local, state, and federal COVID-19 vaccination for employment. All employees and affiliated staff of UPMC entities are considered essential health care workers and will be accountable to follow the Centers for Medicare & Medicaid Services (CMS) federal vaccine mandate. To be compliant with the federal mandate, employees must complete the approved vaccination dosage regimen currently defined by the federal government. Compliance with the federal mandate is encouraged before hire. Medical and religious exemption requests may be submitted for consideration.

For more information about UPMC’s response to COVID-19, please visit UPMC.com/coronavirus.

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Credentialing Coordinator - Revenue Cycle

  • Job ID: 363943022
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Corporate Revenue Cycle
  • Department: Rev Cyc Enrollments
  • Location: 2 Hot Metal Street, Pittsburgh PA 15203
  • Union Position: No
  • Salary Range: $17.39 to $27.61 / hour

Description

UPMC Corporate Revenue Cycle is hiring a Credentaling Coordinator to join our team at our Quantum I building!  This role will work Monday though Friday during daylight hours.  The role has around 6 months of training and then will allow for work from home flexibility.

The Coordinator will process applications and performs primary source verification for applicants to the facilities and organizations of UPMC.  As well as Process applications and performs primary source verification for reappointment and recredentialing for practitioners who are members of the facilities and organizations of the UPMC.  The candidate will be responsible for maintaining a current and accurate database of credentialing information.

Do you have prior credentaling experience?  If so, this could be the job for you!

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.
  • Timely, accurate, and complete data entry of the provider and payor information into Apogee according to established guidelines.
  • Provision of timely follow-up with the payors to ensure that the enrollment process is occurring and moving forward.
  • Positive contribution to the revenue cycle management process as it relates to enrollment and credentialing
  • Efficient and timely preparation and submission of complete and accurate initial credentialing and recredentialing applications for the non-delegated payors.
  • Efficient and timely preparation of complete and accurate initial credentialing and recredentialing files for submission to the Physician Services Division Credentialing Committee for the delegated payors
  • Maintains excellent communication (verbal, written and electronic) with all customers including, but not limited to, the practitioners and the entity/department contacts.

 

Qualifications

  • HS/Equivalent and two 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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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