Credentialing Coordinator - Revenue Cycle at UPMC

Pittsburgh, Pennsylvania, United States -

Full Time

Start Date

Immediate

Expiry Date

19 May, 26

Salary

0.0

Posted On

19 Feb, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Data Entry, Scanning, Communication, Primary Source Verification, Database Maintenance, Application Processing, Interpersonal Skills, Technology Maximization

Industry

Hospitals and Health Care

Description

UPMC Revenue Cycle is hiring a Credentialing Coordinator. As a Credentialing Coordinator, you will be responsible for processing applications and performing primary source verification for applicants to the facilities and organizations of UPMC. You will process applications and perform primary source verification for reappointment and re-credentialing for practitioners who are members of the facilities and organizations of the UPMC and maintain a current and accurate database of credentialing information. The Credentialing Coordinator role will work Monday through Friday from the Quantum One building in Pittsburgh, PA with the potential for work from home after training. 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. High School Diploma or 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 enrollment and 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

Responsibilities

The Credentialing Coordinator is responsible for processing applications and performing primary source verification for new and reappointment/re-credentialing applicants to UPMC facilities. This includes maintaining an accurate database of credentialing information while ensuring efficient data entry and communication with all stakeholders.