Description
Are you familiar with EPIC and looking to grow your career? Join the Corporate Revenue Cycle team as a Credentialing Coordinator-EPIC. This role processes applications and performs primary source verification for applicants to the facilities and organizations of UPMC. The Coordinator processes applications and performs primary source verification for reappointment and re-credentialing for practitioners who are members of the facilities and organizations of the UPMC. This role also maintains a current and accurate database of credentialing information.
This position is based at the Quantum building in Pittsburgh Monday through Friday during normal business hours. After training is completed, this can be a 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 time frames.
- 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
- High school/equivalent and two years work experience required
- Experience with registration, charge entry, payment posting, and billing highly preferred
- Knowledge of Electronic Data Interchange format and Provider and Enrollment Credentialing guidelines highly preferred
- Experience with EPIC billing system is highly preferred
- Post-secondary education in healthcare or business related field is preferred.
- Current knowledge of ICD-10, CPT and HCPCS coding
- Awareness of compliance and HIPAA guidelines as related to billing office functions.
- Working knowledge of Microsoft Word and Excel.
Licensure, Certifications, and Clearances:
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.