Provider Credentialing & Licensing Specialist

Brown University Health; Providence (RI); On-site; USD 29,000 - 47,000; Full time

Job summary

Brown University Health is seeking a Credentialing Coordinator to support Brown Health Medical Group Primary Care providers with licensing, credentialing with insurance carriers, CAQH, DEA applications and malpractice insurance.

This role ensures timely billing by coordinating with Practice Managers, maintains credentialing profiles in Image Silo, CAQH and NPPES, tracks licenses and certifications, and collaborates with Billing to resolve credentialing issues.

Responsibilities

• Assist providers with medical licensing and credentialing applications.
• Maintain credentialing profiles in CAQH, NPPES and internal databases.
• Coordinate malpractice insurance and hospital credentialing.
• Collaborate with Billing to resolve credentialing payment issues.

Job description

Brown University Health is seeking a Credentialing Coordinator to support Brown Health Medical Group Primary Care providers with licensing, credentialing with insurance carriers, CAQH, DEA applications and malpractice insurance.

This role ensures timely billing by coordinating with Practice Managers, maintains credentialing profiles in Image Silo, CAQH and NPPES, tracks licenses and certifications, and collaborates with Billing to resolve credentialing issues.