Kathleen Payne

I am a reliable, highly skilled Credentialing Coordinator with a strong background in health insurance, managed care, and hospital credentialing. I bring a proven reputation for meeting goals and maintaining high standards of accuracy.

At Rush Health I manage MC re-credentialing processes and have trained team members to support those efforts. Between March 2022 and the present, I helped complete approximately 4,000 provider re-credentialings while ensuring files met departmental and NCQA standards.

Previously at CommunityCare HMO I served as a Credentialing Specialist and Verification Assistant, where I reviewed initial and reappointment applications, obtained primary source verifications, and audited plan documentation for regulatory compliance. I created guides, trained replacements, and was rated "Exceeds Expectations" on performance reviews.

I am experienced with Echo, CredentialStream, Cactus, Microsoft Word, Excel, Outlook, PowerPoint, Adobe Acrobat, Foxit, and DocuSign, and I am familiar with URAC and NCQA accreditation standards. I consistently apply exceptional attention to detail and strong communication skills to resolve issues and close files accurately.

I am motivated by process improvement and accuracy in credentialing workflows, and I deliver reliable, timely results while mentoring colleagues and ensuring compliance with applicable standards.