Credentialing Coordinator - Revenue Cycle

UPMC • Pittsburgh, PA

9h • Hybrid

About The Position

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.

Requirements

• 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.
• ACT 34

Nice To Haves

• Prior enrollment and credentialing experience preferred.
• Experience with both JCAHO and NCQA standards preferred.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED