Kintegra Health
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Credentialing Specialist
role at
Kintegra Health .
Overview Under the direct supervision of the Credentialing Supervisor, this position assists the lead of our credentialing department in all aspects of credentialing, re‑credentialing, and privileging processes for all medical providers who provide patient care at Kintegra Health. The role supports providers who are credentialed, appointed, and privileged with health plans, hospitals, and patient care facilities, maintaining up‑to‑date data for each provider to ensure timely renewal of licenses and certifications.
Candidate Qualifications Minimum Qualifications:
Ability to sit, stand, and walk for long periods; read and understand English; maintain confidentiality of records and communicate with all personnel levels; work independently with minimal supervision; establish effective relationships with providers, management staff, and external contacts; manage multiple priorities and credentialing assignments; exhibit excellent organizational, problem‑solving, and critical‑thinking skills; interact respectfully with individuals of all cultures and authority levels; function as part of a team; meticulous attention to detail.
Experience:
Understanding of the credentialing process; minimum of three (3) years in a healthcare setting or related education.
Additional Skills Required:
Research and analyze data; proficient use of Microsoft Office (Word, Excel, Outlook) and internet; excellent verbal and written communication skills (letters, memos, emails).
Additional Skills Preferred:
MS Access.
Education:
Combination of experience and/or education/certification; minimum one year experience in Credentialing or an associate’s related degree.
Certification(s)/Licensure:
Certified Provider Credentialing Specialist (CPCS) is not required but a plus.
Key Responsibilities
Compile and maintain current and accurate data for all providers.
Complete provider credentialing and re‑credentialing applications; monitor applications and follow up as needed.
Maintain copies of current state licenses, DEA certificates, malpractice coverage, and other required credentialing documents for all providers.
Maintain corporate provider contract files.
Set up and maintain provider information in online credentialing databases and systems.
Track expired licenses and certifications for all providers and practices to ensure timely renewals.
Process applications for appointment and reappointment of privileges.
Track license, DEA, and professional liability expirations for appointed providers and practices.
Maintain providers’ credentialing status with commercial insurances, Medicaid and Medicare; perform maintenance of practices’ credentialing status as assigned by supervisor.
Complete credentialing and send to Board of Directors for approval in a timely manner for all providers, advanced practice providers, and clinical staff as assigned by supervisor; continuously monitor and maintain the FTCA credentialing spreadsheet for yearly HRSA grant applications.
Manage and administer CME (Continuing Medical Education) funds for medical, behavioral health, chiropractic, and dental providers.
Provide special project support as assigned by supervisor.
Kintegra Health Core Requirements
Patient First – An approach to care that holds the primary well‑being and desires of the patient.
Build not Blame – Focusing first on finding fault with the process rather than the person.
Integrity and Honesty – Fostering an acceptance of openness, honesty, and fairness in words, deeds, and the use of organizational resources judiciously for both internal and external customers.
Cooperation and Flexibility – Belief that we function as part of an interdependent team with shared gains or losses, committed to assistance whenever possible beyond the prerequisite job description.
Culturally Sensitive – Working toward increasing the ability to understand, communicate with, effectively interact, and care for people across cultures, while having an acute awareness of one’s own culture.
Seniority Level Mid‑Senior level
Employment Type Contract
Job Function Health Care Provider
Industry Hospitals and Health Care
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Credentialing Specialist
role at
Kintegra Health .
Overview Under the direct supervision of the Credentialing Supervisor, this position assists the lead of our credentialing department in all aspects of credentialing, re‑credentialing, and privileging processes for all medical providers who provide patient care at Kintegra Health. The role supports providers who are credentialed, appointed, and privileged with health plans, hospitals, and patient care facilities, maintaining up‑to‑date data for each provider to ensure timely renewal of licenses and certifications.
Candidate Qualifications Minimum Qualifications:
Ability to sit, stand, and walk for long periods; read and understand English; maintain confidentiality of records and communicate with all personnel levels; work independently with minimal supervision; establish effective relationships with providers, management staff, and external contacts; manage multiple priorities and credentialing assignments; exhibit excellent organizational, problem‑solving, and critical‑thinking skills; interact respectfully with individuals of all cultures and authority levels; function as part of a team; meticulous attention to detail.
Experience:
Understanding of the credentialing process; minimum of three (3) years in a healthcare setting or related education.
Additional Skills Required:
Research and analyze data; proficient use of Microsoft Office (Word, Excel, Outlook) and internet; excellent verbal and written communication skills (letters, memos, emails).
Additional Skills Preferred:
MS Access.
Education:
Combination of experience and/or education/certification; minimum one year experience in Credentialing or an associate’s related degree.
Certification(s)/Licensure:
Certified Provider Credentialing Specialist (CPCS) is not required but a plus.
Key Responsibilities
Compile and maintain current and accurate data for all providers.
Complete provider credentialing and re‑credentialing applications; monitor applications and follow up as needed.
Maintain copies of current state licenses, DEA certificates, malpractice coverage, and other required credentialing documents for all providers.
Maintain corporate provider contract files.
Set up and maintain provider information in online credentialing databases and systems.
Track expired licenses and certifications for all providers and practices to ensure timely renewals.
Process applications for appointment and reappointment of privileges.
Track license, DEA, and professional liability expirations for appointed providers and practices.
Maintain providers’ credentialing status with commercial insurances, Medicaid and Medicare; perform maintenance of practices’ credentialing status as assigned by supervisor.
Complete credentialing and send to Board of Directors for approval in a timely manner for all providers, advanced practice providers, and clinical staff as assigned by supervisor; continuously monitor and maintain the FTCA credentialing spreadsheet for yearly HRSA grant applications.
Manage and administer CME (Continuing Medical Education) funds for medical, behavioral health, chiropractic, and dental providers.
Provide special project support as assigned by supervisor.
Kintegra Health Core Requirements
Patient First – An approach to care that holds the primary well‑being and desires of the patient.
Build not Blame – Focusing first on finding fault with the process rather than the person.
Integrity and Honesty – Fostering an acceptance of openness, honesty, and fairness in words, deeds, and the use of organizational resources judiciously for both internal and external customers.
Cooperation and Flexibility – Belief that we function as part of an interdependent team with shared gains or losses, committed to assistance whenever possible beyond the prerequisite job description.
Culturally Sensitive – Working toward increasing the ability to understand, communicate with, effectively interact, and care for people across cultures, while having an acute awareness of one’s own culture.
Seniority Level Mid‑Senior level
Employment Type Contract
Job Function Health Care Provider
Industry Hospitals and Health Care
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