Credentialing Specialist
About The Position
KVC Health Systems is seeking a dedicated, detail-oriented Credentialing Specialist to manage the full lifecycle of onboarding, credentialing, re-credentialing, and privileging for medical and therapy providers. The role supports clinical safety and financial revenue integrity by ensuring compliance with Joint Commission (TJC), CMS, and state Medicaid standards. The position is hybrid, with two days per week in the office in Olathe, Kansas. The Specialist collects and documents pre-employment compliance items, completes primary source verification, manages renewals, maintains survey-ready credentialing files, conducts audits, and prepares materials for credentialing committees and leadership. The ideal candidate combines accuracy and sound judgment with trauma-informed professionalism and discretion when handling confidential information.
Requirements
- High school diploma.
- At least 2 years of credentialing experience.
- Valid driver’s license and current auto insurance.
- Strong communication skills.
- Ability to exercise independent judgment.
- Ability to manage highly confidential information with discretion.
Nice To Haves
- Bachelor’s degree in HR or Healthcare Administration.
- Knowledge of TJC and NCQA standards.
- Certified Provider Credentialing Specialist (CPCS) certification.
- Experience working with children and families in a trauma-informed environment.
- Ability to work seamlessly across HR, clinical, and billing departments.
- Self-motivated discipline and ability to prioritize work in a fast-paced environment.
Responsibilities
- Collect and document pre-employment compliance items, including background checks and out-of-state registry verifications.
- Conduct primary source verification of medical licenses, DEA registrations, board certifications, and education.
- Use a 60–90 day notification protocol to facilitate renewal of expiring licenses and insurance and prevent lapses in care.
- Maintain survey-ready credentialing files and conduct regular audits of credentialing folders for regulatory readiness.
- Prepare credentialing packets for the Medical Executive Committee and Governing Board.
- Provide risk updates to leadership.
- Support compliant onboarding and credentialing processes for medical and therapy providers.
Benefits
- The organization reports a Work Wellbeing Score of 86 and describes its professional environment as supportive, inclusive, and fulfilling.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
