Onboarding Specialist - Credentialing

Join our team as a full-time UPMC Onboarding Specialist - Credentialing! This role serves Monday through Friday from 7:00 AM to 3:30 PM, ensuring the timely setup of fully credentialed providers. After completing training, you'll have the flexibility to work from home two days per week. We offer a comprehensive benefits package, including health, retirement, and additional perks to support your well-being and career development. If you’re a detail-oriented, organized individual with a passion for supporting healthcare services, this is the perfect opportunity to make an impact. Join us and become part of a dedicated team working together to deliver exceptional care and service!

In this role, there is the opportunity to -

• Obtain necessary documentation from providers to facilitate initial credentialing and reappointment processes.
• Identify issues requiring investigation and collaborate with providers to address discrepancies and ensure follow-up.
• Review portal applications, facility forms, and state documents for accuracy before submission.
• Process applications in compliance with established procedures and timeframes.
• Assist providers with medical license and DEA license application and renewal processes.
• Maintain provider-specific records in the credentialing database, ensuring accuracy and completeness.
• Perform data entry and scanning in accordance with policies and guidelines.
• Compile and maintain current data for all providers, including licenses, DEA certificates, and clearances for timely renewals.
• Monitor the status of assigned processes and respond to inquiries about providers’ credential status and privileges.
• Assist the CVO with primary source verification as needed.
• Distribute payor signature packets to providers and collaborate with Enrollment to ensure timely document return.
• Communicate effectively with all stakeholders, including providers, departments, CVO, Enrollment, and other offices.