• Credentialing Coordinator

    UPMC (Pittsburgh, PA)


    UPMC Community Care Behavioral Health is hiring a full-time Credentialing Coordinator. The team is based out of downtown Pittsburgh's US Steel Tower, however, this role may predominantly work remotely, but will need to report to the office at times (as needed). Candidates will need to reside locally.

    The ideal candidate will have:

    + Strong Excel skills and experience with pivot tables.

    + Project management or leadership experience.

    + Healthcare experience is a bonus but not critical.

    + Credentialing experience is a bonus but not critical.

     

    This position 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.

    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.

    + High school diploma or equivalent required .Associate's or Bachelor's degree is a bonus.

    + Project management, coordinator, or leadership experience is highly preferred.

    + Strong Excel skills highly preferred.

    + Experience in healthcare is a bonus.

    + Prior credentialing experience is a bonus.

    + 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.

    + Experience with both JCAHO and NCQA standards preferred.Licensure, Certifications, and Clearances:

    + Act 34

     

    UPMC is an Equal Opportunity Employer/Disability/Veteran