Credentialing Coordinator - Revenue Cycle

UPMC Revenue Cycle is hiring Credentialing Coordinators to join our team.  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 UPMC facilities and organizations.

Responsibilities:

• Perform data entry and scans accurately and efficiently according to established policies, procedures and guidelines.
• Complete files efficiently, according to policy and within the established standards and guidelines.
• Maintain excellent communication (verbal, written and electronic) with all customers of the CVO including, but not limited to, the practitioners and the entity users.
• Process applications expeditiously and efficiently according to the established priorities and timeframes.
• Perform primary source verification, record information received and provide follow up as necessary according to established policies and procedures.
• Assist with database integrity and maintenance.

• High School Diploma or Equivalent and 2 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. 
• Prior credentialing experience preferred. 
• Experience with provider enrollment and credentialing preferred
• Experience with both JCAHO and NCQA standards preferred.

Licensure, Certifications, and Clearances:

• Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran