Provider Credentialing & Licensing Specialist

Brown Medicine; Providence (RI); Hybrid; USD 29,000 - 48,000; Full time

Job summary

Brown University Health is seeking a Credentialing Coordinator to manage credentialing processes for Brown Health Medical Group Primary Care providers in Providence, RI. The role ensures licensing, carrier credentialing, CAQH completion, DEA applications, and malpractice coverage are current.

You will maintain profiles in CAQH, NPPES, and Image Silo, prepare credentialing docs for facilities, and collaborate with Billing to resolve related issues.

Qualifications

• Experience with medical credentialing and licensing processes.
• Familiarity with CAQH, NPPES and provider databases.
• Ability to coordinate credentialing across multiple carriers.

Responsibilities

• Assists with applications for medical licensing and insurance credentialing.
• Maintains profiles in credentialing databases (Image Silo, CAQH, NPPES).
• Prepares credentialing applications for facilities and services.
• Coordinates with Billing to resolve credentialing payment issues.
• Tracks licenses, certifications and malpractice insurance.
• Provides provider numbers received from insurance carriers.
• Supports coverage rotations for reception duties.
• Performs other credentialing-related duties as assigned.

Skills

Credentialing

Licensing

CAQH

Billing coordination

Provider enrollment

Tools

Image Silo

CAQH

NPPES

Job description

Brown University Health is seeking a Credentialing Coordinator to manage credentialing processes for Brown Health Medical Group Primary Care providers in Providence, RI. The role ensures licensing, carrier credentialing, CAQH completion, DEA applications, and malpractice coverage are current.

You will maintain profiles in CAQH, NPPES, and Image Silo, prepare credentialing docs for facilities, and collaborate with Billing to resolve related issues.