Easter Seals Jobs

UPMC University of Pittsburgh Physicians is hiring a full-time Credentialing Coordinator to join their team located in Oakland! This position works Monday through Friday, daylight hours. This opportunity is hybrid after training!

Purpose:

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 preferred.

• 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 both JCAHO and NCQA standards preferred. Licensure, Certifications, and Clearances:

• Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran

UPMC has a Center for Engagement and Inclusion that is charged with executing leading-edge and next-generation diversity strategies to advance the organization’s diversity management capability and its national presence as a diversity leader. This includes having Employee Resource Groups, such as PRIDE Health or UPMC ENABLED (Empowering Abilities and Leveraging Differences) Network, which support the implementation of our diversity strategy.