Credentialing Coordinator
Brown University Health · Slaton, TX
Job description(tap to read)
Credentialing Coordinator 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. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate. 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 Minimum Qualifications: Pay Range: $20.96-$34.61 EEO Statement: Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: CM-Providence-Coastal Medical Corporate Office-10 Davol Squa - 10 Davol Square Providence, Rhode Island 02903 Work Type: 8:00am-4:30pm Work Shift: Day Daily Hours: 8 hours Driving Required: No
$85k–$110k/yr
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Healthcare Customer Service Specialist (REMOTE) Job Category: Administrative/Support Requisition Number: HEALT001952 Posted: June 18, 2026 Full-Time Remote Location: Houston, TX 774783493, USA Pay or shift range: $17 USD to $18.50 USD The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons. Job Details Description Are you the type of person who loves solving problems, bringing smiles to people's faces, and making a positive impact every day? If so, GetixHealth wants YOU! We're looking for Customer Service Representatives who take pride in their work, show initiative even when no one is watching, and understand that the quality of their work reflects who they are. Successful candidates are thoughtful, detail-oriented, and communicative. They are proactive, professional, well-spoken, polite, and accountable—both to themselves and to others. If you enjoy helping people and thrive in a fast-paced environment, this role is for you. Position Overview: As a Customer Service Representative at GetixHealth, you will be on the front lines of delivering exceptional service and support to patients and clients. Your primary responsibility is handling high-volume inbound and outbound calls related to billing, payments, medical claims, benefits, and coverage. You'll use established procedures and tools to resolve inquiries efficiently and with empathy—ensuring compliance, accuracy, and customer satisfaction in every interaction. This is a high-impact, fast-paced role ideal for someone who thrives in a collaborative team environment. Location: Remote (Need to pass internet speed test- we provide equipment) Department: Healthcare Operations / Call Center Reports To: Operations Supervisor Compensation: $17.00 per hour (based on experience) + quarterly bonus eligibility Shifts: Full-time, Monday–Friday 8:00am -4:30pm, 9:00am -5:30pm, 10:00am -6:30pm (CST) Key Responsibilities: • Handle 60+ inbound and outbound calls per day related to billing, payments, medical claims, and coverage questions. • Respond to telephone inquiries using standard procedures and scripts. • Gather required information, research account details, and resolve customer concerns accurately and promptly. • Clearly explain billing information, insurance benefits, and available services to patients. • Assess patient needs and provide appropriate solutions or escalate issues when necessary. • Schedule work to ensure optimal call coverage and maintain daily productivity. • Collaborate with leadership and peers using screen-sharing tools to support real-time problem-solving and performance goals. • Support department initiatives and contribute to continuous improvement efforts. • Maintain strict adherence to HIPAA regulations and confidentiality policies. • Assist with department goals and recommend improvements to enhance efficiency. • Perform other duties as assigned to support the team and organizational success. Education & Experience: • Bilingual (Spanish) preferred (not required) • High School Diploma or GED required; additional education is a plus. • 1–2 years of customer service experience required. • Healthcare, insurance, or medical collections experience preferred. • Familiarity with Medicaid, Medicare, Workers' Compensation, and liability claims preferred. • Basic understanding of medical terminology and the healthcare revenue cycle. • Proven experience working with multiple systems and databases in a fast-paced environment. Skills & Qualities: • Strong verbal, written, and interpersonal communication skills. • Excellent problem-solving abilities with a calm, empathetic approach. • High attention to detail and accuracy. • Ability to work independently and collaboratively to meet and exceed performance goals. • Comfort using Microsoft Office Suite and adapting to new technologies. • Bilingual abilities are a plus. • Strong attendance and reliability. Benefits & Incentives: • Comprehensive Health Coverage: Group medical, dental, and vision plans available from the first day of the month following 90 days of full-time employment. • Life and Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage provided, with options for voluntary life/AD&D. • 401(k) Retirement Savings Plan: Eligible to participate in the company's 401(k) plan at the beginning of the first calendar quarter following three (3) months of continuous service. • Paid Time Off (PTO): Accrue Paid Time Off starting on your first day of employment. • Flexibility in Benefits: The company reserves the right to amend, modify, or terminate any benefits programs as needed. Note: This job description outlines the primary duties and qualifications of the role and is not intended to be an exhaustive list of responsibilities. GetixHealth is an Equal Opportunity and E-Verify Employer. Qualifications Behaviors Required Team Player: Works well as a member of a group Enthusiastic: Shows intense and eager enjoyment and interest Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well Motivations Required Growth Opportunities: Inspired to perform well by the chance to take on more responsibility Self-Starter: Inspired to perform without outside help Goal Completion: Inspired to perform well by the completion of tasks Education Required High School or better. Experience Required 1 year: Call Center Customer Service for Healthcare orga 1 year: Healthcare insurance customer service 1 year: Healthcare collections, healthcare insurance inquiry research Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.