Pittsburgh, PA, 15222, USA
4 days ago
Credentialing Coordinator
**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!** _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. **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. · High school diploma or equivalent required. · Associate's or bachelor’s degree preferred. · Excellent data entry and computer software application skills required and must have a desire to maximize the use of technology to automate processes. · Prior credentialing experience preferred. · Experience with both JCAHO and NCQA standards preferred. **Licensure, Certifications, and Clearances:** + Act 34 **UPMC is an Equal Opportunity Employer. Minority/Females/Veterans/Individuals with Disabilities.**
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