Kristen King
@kristenking
Credentialing Manager improving compliance, audits, and provider enrollment workflows.
United StatesWhat I'm looking for
I’m a detail-oriented Credentialing and Healthcare Operations professional with over 15 years of experience across provider credentialing, enrollment, and practice management. I maintain compliance, manage audits with 100% success, and improve operational workflows so teams can move confidently and accurately.
In my current role as an Associate Credentialing Manager (Epic Government / formerly FSR), I credential physicians, allied health professionals, and nurses for military bases and state agencies. I complete facility applications and ensure compliance with Joint Commission and CMS standards, lead monthly meetings, and strengthen physician relationships. I perform primary source verification (PSV) for licenses, education, and certifications, including background checks, clinical references, and employment affiliation verification (including up to 10 years), while monitoring license expirations and renewals.
I also oversee sanctions checking (NPDB, OIG, NSO, and Tricare), verify malpractice and history of claims, and coordinate onboarding requirements such as drug screenings and scheduling fingerprints and medical requirements. I train new team members, develop SOPs and training guides, coach performance to meet or exceed KPIs, and support credentialing committee privileging meetings—backed by 100% audit compliance for both company and Joint Commission expectations.
Experience
Work history, roles, and key accomplishments
Associate Credentialing Manager
Epic Government (formerly FSR)
Mar 2023 - Present (3 years 3 months)
Credential physicians and healthcare professionals for military bases and state agencies, maintaining credentialing files with below 1% return rate. Ensured compliance with Joint Commission and CMS standards, performed PSV and sanctions checks (NPDB/OIG/NSO/Tricare), and maintained 100% audit compliance.
Lead Credentialing Specialist
SOH Dental
Jan 2021 - Mar 2023 (2 years 2 months)
Managed provider enrollments and re-credentialing across multiple insurance companies, ensuring providers were fully credentialed prior to patient care. Maintained DEA, CDS, malpractice, and CAQH profiles, resolved payment issues through negotiated fee schedules, and trained staff on insurance policies and procedures.
Practice Manager of Operations
Heartland Dental
May 2016 - Nov 2018 (2 years 6 months)
Managed daily practice operations, scheduling, and staffing while supporting credentialing compliance and license tracking. Oversaw billing, insurance posting, and accounts receivable, analyzed P&L reports, and reduced insurance aging to improve collections.
Accounts Receivable Specialist
Southern Medical Corporation
Nov 2009 - Oct 2015 (5 years 11 months)
Posted insurance and patient payments and charges, and managed insurance reports and appeal processes to support timely reimbursement. Worked with ICD-9/ICD-10 and CPT coding, handled patient financial arrangements, and prepared accounts for collections while maintaining aging reports.
Credentialing Specialist
Lake Surgery Center
Jan 2004 - Oct 2009 (5 years 9 months)
Owned the full provider credentialing lifecycle, verifying licenses, DEA, CAQH, PECOS, and malpractice coverage. Conducted NPDB queries and primary source verifications, obtained required references, prepared files for credentialing committee approval, and ensured compliance with CMS and AAAHC guidelines.
Education
Degrees, certifications, and relevant coursework
Kristen hasn't added their education
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