Credentialing Coordinator

UPMC•Pittsburgh, PA

16h•Hybrid

About The Position

UPMC Magee-Womens Hospital is seeking a Full Time Credentialing Coordinator to support the Medical Staff Office! This position will work Monday through Friday 7:30am to 4pm. This role includes the opportunity to work from home one day of the week after training! Hours are subject to change based on business needs. The Credentialling 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. This role 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.
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Nice To Haves

Associate's or bachelor’s 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.

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