Description
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.
This positon could be based in the Susquehanna area (preferred) or can be in the Pittsburgh area. After training, this will be a primarly work from home position.
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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