Credentialing Coordinator

UPMC; Pittsburgh (Allegheny County); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Friendly team

Job summary

Magee - Women's Hospital of UPMC is hiring a Full Time Credentialing Coordinator to support the Medical Staff Office. The role focuses on credentialing, primary source verification, and maintaining data accuracy.

Enjoy a team-oriented environment with opportunities to streamline processes using technology, while supporting applicants, reappointments, and recredentialing for practitioners within UPMC facilities.

Qualifications

• High school diploma or equivalent required.
• Associate's or Bachelor's degree preferred.
• Excellent data entry and computer software application skills required and desire to automate processes.
• Detail oriented with excellent communication and interpersonal skills required.
• Prior credentialing experience preferred.
• Experience with JCAHO and NCQA standards preferred.

Responsibilities

• Performs data entry and scans accurately and efficiently according to policies.
• Completes files efficiently within established standards.
• Processes applications expeditiously according to priorities and timeframes.
• Performs primary source verification and records information with follow up as needed.
• Assists with database integrity and maintenance.
• Maintains excellent communication with all customers of the Credentialing Office.

Skills

Data entry accuracy

Communication skills

Detail oriented

Computer skills

Education

High school diploma or equivalent

Associate's or Bachelor's degree preferred

Job description

Join our team of Life Changers!

Magee - Women's Hospital of UPMC is hiring a Full Time Credentialing Coordinator to support the Medical Staff Office.

This position will work daylight shifts.

Excellent benefits, a pleasant work environment, and friendly team are just a few of our perks.

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:

• 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.

• 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.

• Maintains excellent communication (verbal, written and electronic) with all customers of the CVO including, but not limited to, the practitioners and the entity users.

High school diploma or equivalent required. Associate's or Bachelors 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