Muhammad Faraz Nadeem

I’m a Sr. Credentialing Enrollment Analyst with extensive experience navigating Medicaid, Medicare, and commercial insurance enrollments across all U.S. states. I manage end-to-end provider credentialing and enrollment processes for individual and group providers, ensuring timely renewals, revalidations, and compliance while maintaining a strong approval and acceptance ratio across payers.

Across my work, I streamline onboarding by managing CAQH, provider portals, and enrollment status through state Medicaid portals, Medicare PECOS, and multiple commercial payer portals. I track and verify licenses, DEA certificates, board certifications, malpractice insurance, and NPIs, run regular credentialing audits, and handle advanced enrollment audits to resolve discrepancies, missing documentation, and demographic inconsistencies—while enforcing strict HIPAA compliance and improving turnaround times.