Credentialing Coordinator

Summary:
Coordinates the credentialing processes with multiple insurance carriers including obtaining malpractice insurance and assisting with the RI licensing and hospital privilege process for all Brown Health Medical Group Primary Care providers.

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

Brown University Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Brown University Health is a VEVRAA Federal Contractor.

Location: Brown Health Medical Group Primary Care USA:RI:Providence

Work Type: Full Time

Shift: Shift 1

Union: Non-Union