Per Diem Credentialing & Licensing Coordinator

Brown-University-Health-1; Town of Providence (NY); On-site; USD 29,000 - 48,000; Full time

Job summary

Brown University Health is seeking a Credentialing Coordinator to coordinate credentialing with insurance carriers, obtain malpractice insurance, and assist with RI licensing and hospital privileges for Brown Health Medical Group Primary Care providers. The organization promotes Compassion, Accountability, Respect, and Excellence as guiding values for patient care and teamwork.

Primary duties include maintaining CAQH/NPPES profiles, preparing credentialing applications for facilities, ensuring

Responsibilities

• Assists new and existing providers with completing applications for medical licensing, insurance carrier credentialing, CAQH completion, DEA application, malpractice insurance and hospital credentialing
• Ensures billing can be completed in a timely manner by working with the Practice Managers to maintain patient panels and ensure credentialing of providers is complete and up to date
• Creates and maintains profiles in Brown Health Medical Group Primary Care credentialing database, Image Silo, CAQH and NPPES (NPI database)
• Prepares credentialing applications for Imaging and Laboratory facilities and services
• Works collaboratively with the Billing Department to resolve credentialing related payment problems
• Provides Billing and Practice Managers with provider numbers received from insurance carriers
• Tracks provider licenses and certifications such as medical licenses, board certifications, DEA certificates, malpractice insurance and any other relevant documentation
• Maintains record of all activity pertaining to providers in credentialing database
• Participates in coverage rotation for the Corporate Receptionist role
• Performs other job-related duties as assigned

Job description

Brown University Health is seeking a Credentialing Coordinator to coordinate credentialing with insurance carriers, obtain malpractice insurance, and assist with RI licensing and hospital privileges for Brown Health Medical Group Primary Care providers. The organization promotes Compassion, Accountability, Respect, and Excellence as guiding values for patient care and teamwork.

Primary duties include maintaining CAQH/NPPES profiles, preparing credentialing applications for facilities, ensuring