# Muhammad Toqeer Rath

Muhammad Toqeer Rath is a remote worker on Himalayas, Senior Credentialing & Enrollment Team Lead at Transcure, based in Pakistan.

Source: https://himalayas.app/@muhammadtoqeerrath

```text
Credentialing and Enrollment Team Lead at Transcure, overseeing Medicare and Medicaid enrollment across 14 states.
```

| Detail | Value |
| --- | --- |
| Availability | Looking for a job |
| Location | Pakistan |
| Authorized to work in | Pakistan |
| Salary expectations | 60k+ USD |
| Job categories | Credentialing and Enrollment, Credentialing Team Lead, Credentialing Specialist, Credentialing Executive |
| Skills | Provider Credentialing, Provider Enrollment, Medicare, Medicaid, Commercial Payers, Primary Source Verification (PSV), CAQH Profile Management, ERA Enrollments, EFT Enrollments, EDI Enrollment, NPI Management, DEA Registration, Board Certification, Hospital Medical Staff Privileges, Recredentialing |
| LinkedIn | https://linkedin.com/in/muhammad-toqeer-9645a12bb |

## About

```text
At Transcure, I supervise end-to-end credentialing and enrollment operations for medical, behavioral health, dental, and group practice providers. I oversee Medicare and Medicaid credentialing across 14 states and direct primary source verification for provider credentials.

I also lead and mentor a credentialing team, maintain CAQH updates and re-attestations, and present performance metrics and process insights to senior management. Earlier at Transcure and Physicians Revenue Group, I completed provider enrollment, re-credentialing, demographic updates, and ERA enrollment.
```

## Experience

### Senior Credentialing & Enrollment Team Lead (current)

Transcure. Feb 2025 - Present

```text
Supervise end-to-end credentialing and enrollment operations for medical, behavioral health, dental, and group practice providers. Oversee Medicare and Medicaid credentialing across 14 states and direct primary source verification for licenses, NPI, DEA, and board certifications.
```

Skills: Provider-Enrollment, Credentialing, Medicare, Medicaid, Primary-Source-Verification, CAQH, NPI, Dea, Hospital-Medical-Staff-Privileges, Team-Leadership, Workflow-Optimization, CMS, HIPAA

### Credentialing Team Lead

Transcure. Nov 2023 - Jan 2025

```text
Maintained and audited individual provider files, ensuring accurate documentation and system access. Completed credentialing and enrollment applications for new providers across multiple states and payer types, and managed ERA, EFT, and EDI enrollments.
```

Skills: Credentialing, Provider-Enrollment, ERAs, EFT, EDI, Availity, NGS-Connex, UHC-Provider-Portal, Trizetto, Payspan, Simple-Practice, DME-Enrollment, Recredentialing

### Sr. Credentialing Specialist

Transcure. Dec 2022 - Oct 2023

```text
Managed end-to-end provider credentialing and enrollment with commercial insurance payers, following up via calls and payer web portals. Prepared and submitted credentialing applications ensuring accuracy and compliance with payer guidelines.
```

Skills: Credentialing, Provider-Enrollment, Commercial-Insurance, ERA-Enrollments, Payer-Portals, Compliance

### Credentialing Executive

Physicians Revenue Group. Oct 2019 - Nov 2022

```text
Maintained and updated provider records including NPI Type 1 and Type 2, state licenses, and supporting documentation. Completed credentialing and enrollment applications for providers and groups with commercial insurance.
```

Skills: Credentialing, Provider-Enrollment, NPI, State-Licensing, ERA-Enrollments, Commercial-Insurance

## Education

### University of the Punjab

Bachelor of Science, Demography. 2022 - Present

```text
Pursuing a Bachelor of Science in Demography at the University of the Punjab, Lahore, Pakistan, with an expected graduation in 2026.
```

### Govt. High School

Intermediate. 2018 - 2020

```text
Completed Intermediate studies at Govt. High School, Hasilpur, Pakistan, from 2018 to 2020.
```

### Danish School

Matriculation, Science. 2016 - 2018

```text
Completed Matriculation in Science at Danish School, Hasilpur, Pakistan, from 2016 to 2018.
```

## Tech stack

- Microsoft Excel
- Microsoft Word
- Availity

To contact Muhammad Toqeer, message them from this profile with a Himalayas employer account: [Hire on Himalayas](https://himalayas.app/hire).

## People also viewed

- [Usama User](https://himalayas.app/@usamauser): Credentialing and Licensing Team Lead, Meta Matrix Solutions LLP
- [Shaharyar Jatt](https://himalayas.app/@shaharyarjatt): Credentialing Specialist, Alarah Healthcare
- [Muhammad Faraz Nadeem](https://himalayas.app/@muhammadfaraznadeem): Senior Credentialing Analyst, PsychPlus
- [UMAR BASHIR](https://himalayas.app/@umarbashir1): Credentialing Team Lead, Ips
- [Hamza Rizwan Khan](https://himalayas.app/@hamzarizwankhan): Credentialing Manager, Emerald Med Solution
- [Umer Khalid](https://himalayas.app/@umerkhalid1): Sr. Team Lead Credentialing & Enrollments, IPS Pakistan (P3 Care)
- [Haseeb Ullah](https://himalayas.app/@haseebullah1): Credentialing Executive, Unknown Company
- [Umer Afridi](https://himalayas.app/@umerafridi): Senior Credentialing Manager, Cloud RCM Solution
- [Bashir Khan Gbian](https://himalayas.app/@bashirkhangbian): Credentialing Specialist, \[Organization Name\]
- [Benish Ghazii](https://himalayas.app/@benishghazii): Insurance Credentialing Specialist, Nexoventa