Credentialing Coordinator - UPMC Memorial

UPMC • York, PA

12h

About The Position

Purpose of the Credentialing Coordinator:
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.

Requirements

• High school diploma or equivalent 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

• Strong preference given to applicants with previous credentialing experience.
• Associate's or Bachelor's degree preferred.
• Experience with both JCAHO and NCQA standards preferred.

Responsibilities

• Completes files efficiently, according to policy and within the established standards and guidelines.
• Performs data entry and scans accurately and efficiently according to established policies, procedures and guidelines.
• Assists with database integrity and maintenance.
• Performs primary source verification, records information received and provides follow up as necessary according to established policies and procedures.
• 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.

What This Job Offers

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