Opportunity Description
UPMC Community Care Behavioral Health is hiring a full-time Credentialing Analyst. The team is headquartered in downtown Pittsburgh at the U.S. Steel Tower. This position will work in a hybrid model, with a few in office days each week - Monday, Wednesday and Thursday.
The Credentialing Analyst will handle credentialing duties within Community Care. They ensure the accurate completion and maintenance of credentialing files. They take files for credentialing through the entire process including interacting with external agencies for PSV and bringing problems about a particular file to the attention of the Credentialing Supervisor.
Responsibilities:
+ Provide support to Data Management including but not limited to: spreadsheet maintenance, license, degree and insurance product data query in contract and credentialing
+ Demonstrate knowledge of state, federal, and NCQA regulations concerning credentialing.
+ Complete provider complaint documentation.
+ ...
The Credentialing Analyst will handle credentialing duties within Community Care. They ensure the accurate completion and maintenance of credentialing files. They take files for credentialing through the entire process including interacting with external agencies for PSV and bringing problems about a particular file to the attention of the Credentialing Supervisor.
Responsibilities:
+ Provide support to Data Management including but not limited to: spreadsheet maintenance, license, degree and insurance product data query in contract and credentialing
+ Demonstrate knowledge of state, federal, and NCQA regulations concerning credentialing.
+ Complete provider complaint documentation.
+ ...
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