Credentialing Coordinator

Responsibilities

• Affords assistance to new and current providers in completing applications for medical licensing, insurance carrier credentialing, CAQH completion, DEA application, malpractice insurance, and hospital credentialing.
• Maintains timely billing by collaborating with Practice Managers to manage patient panels and ensure that provider credentialing is complete and accurate.
• Creates and updates profiles in the 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, and works with the Billing Department to address any credentialing-related payment issues.
• Shares provider numbers obtained from insurance carriers with Billing and Practice Managers.
• Monitors and records all relevant provider licenses, certifications, and documentation in the credentialing database.
• Participates in coverage rotations for the Corporate Receptionist role.
• Performs other job-related duties as directed.

Qualifications

Minimum qualifications include:

• Pay Range: $20.96-$34.61
• Location: CM-Providence-Coastal Medical Corporate Office-10 Davol Square Providence, Rhode Island 02903
• Work Type: Full Time
• Hours Per Week: 40
• Shift: Day
• Daily Hours: 8 hours
• Driving Required: No