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@hussamkhalid
Credentialing Specialist with expertise in U.S. healthcare provider enrollment.
I am a dedicated Credentialing Specialist with hands-on experience in medical credentialing, CAQH management, and provider enrollment. My journey in the healthcare sector has equipped me with the skills to manage provider enrollment processes for major U.S. insurance panels, ensuring efficiency and compliance in all tasks. I thrive in remote work environments, collaborating directly with U.S.-based clinics and insurance companies to maintain high standards of accuracy and professionalism.
At ABC Medical Billing Solutions, I have successfully updated and maintained provider profiles on platforms such as CAQH, Availity, PECOS, and NPPES. My commitment to ensuring HIPAA compliance in all credentialing documentation has been a cornerstone of my work. I am proficient in using various software tools, including Kareo and AdvancedMD, to track and report credentialing tasks effectively. My educational background in Economics, combined with my ongoing studies in Islamic Studies, further enhances my analytical and communication skills.
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Work history, roles, and key accomplishments
ABC Medical Billing Solutions
Mar 2022 - Present (3 years 8 months)
Managed provider enrollment processes for major U.S. insurance panels (e.g., Medicare, Medicaid, BCBS, Aetna). Updated and maintained provider profiles on CAQH, Availity, PECOS, and NPPES.
Degrees, certifications, and relevant coursework
BS Economics, Economics
Grade: 3.83 / 4.00
Completed a Bachelor of Science in Economics. Achieved a CGPA of 3.83 out of 4.00.
Dars-e-Nizami, Islamic Studies
Completed Dars-e-Nizami, focusing on Islamic Studies.
Software and tools used professionally
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