Emerald Star Clinician Individual Credentialing Consult with Kristin




Kristin Carlton, LPN


I have been involved not only in direct patient care but the administrative aspect for multiple different practice areas. This has allowed me to not only provide quality patient care but also making sure that the provider is able to follow guidelines for reimbursement. I assisted providers by making sure that benefits are obtained prior to the patient being seen, creating and receiving authorizations prior to care, and making sure there are no exclusions on patients policies for certain treatments. I have assisted with the onboarding of many providers including credentialing for commercial, state, and federal insurance plans.

Clinical Training:

  • Medical Assistant graduated in 2002.
  • Licensed Practical Nurse graduated in 2008.
  • (CPCO, CPC, and CPB pending)

Supervision Experience:

  • Clinic Lead
  • Office Manager
  • Clinical Coordinator

Skilled in:

  • Credentialing
  • Claims
  • Authorizations
  • Policies and procedures
  • Compliance
  • Insurance verification
  • Intake paperwork
  • Coding & billing
  • Documentation
  • Scheduling
  • Organization
  • Quality assurance

Settings Worked:

  • OB/GYN
  • Neurosurgery
  • Plastic surgery
  • General surgery
  • Vascular surgery
  • Physiatry
  • Otolaryngology
  • Primary care