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Credentialing Coordinator
- UPMC (Pittsburgh, PA)
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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.
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/Disability/Veteran.
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