HK
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Hussam Khalid

@hussamkhalid

Credentialing Specialist with expertise in U.S. healthcare provider enrollment.

Pakistan
Message

What I'm looking for

I am looking for a remote role in a U.S.-based healthcare organization that values efficiency and compliance, offering opportunities for professional growth.

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.

Experience

Work history, roles, and key accomplishments

AS
Current

Credentialing Specialist

ABC Medical Billing Solutions

Mar 2022 - Present (3 years 4 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.

Education

Degrees, certifications, and relevant coursework

HU

Hazara University

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.

JH

Jamia al Hasnain

Dars-e-Nizami, Islamic Studies

Completed Dars-e-Nizami, focusing on Islamic Studies.

Tech stack

Software and tools used professionally

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Hussam Khalid - Credentialing Specialist - ABC Medical Billing Solutions | Himalayas