Credentialing Coordinator

UPMC•Pittsburgh, PA

5h•Onsite

About The Position

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. The purpose of this role is to process applications and perform primary source verification for applicants to the facilities and organizations of UPMC, as well as for reappointment and recredentialing for practitioners who are members of these facilities and organizations. The role also involves maintaining a current and accurate database of credentialing information.

Requirements

High school diploma or equivalent required.
Excellent data entry and computer software application skills required.
Must have a desire to maximize the use of technology to automate processes.
Detail oriented person with excellent communication and interpersonal skills required.
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Nice To Haves

Associate's or Bachelors degree preferred.
Prior 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.
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.