Shaharyar Jatt
@shaharyarjatt
Credentialing Specialist focused on compliant, accurate provider credentialing through insurance and federal portals.
What I'm looking for
I’m a Credentialing Specialist and detail-oriented Credentialing Expert, managing credentialing processes for a diverse provider network with a strong focus on compliance with commercial and federal insurance requirements. I ensure accuracy and timeliness while maintaining smooth provider credentialing operations.
In my current role, I conduct primary source verifications through portals such as Avality, PECOS, CAQH, and CLIA, and I coordinate with internal teams to resolve credentialing issues promptly. Previously, I managed initial credentialing and recredentialing for large provider networks, including Medicaid and Medicare credentialing through TMHP and other state-specific portals.
I also supported team success by training new team members on portal navigation and credentialing protocols, and by collaborating with insurance carriers and provider relations teams to expedite credentialing and contracting processes. I bring a process-improvement mindset alongside deep portal expertise and consistent problem resolution.
Experience
Work history, roles, and key accomplishments
Credentialing Specialist
Alarah Healthcare
Jan 2024 - Present (2 years 2 months)
Managed credentialing processes for a provider network, ensuring compliance with commercial and federal insurance requirements. Conducted primary source verifications using portals including Avality, PECOS, CAQH, and CLIA certification systems, and resolved credentialing issues with internal teams.
Credentialing Specialist
Exponere Billing
Jan 2023 - Jan 2024 (1 year)
Handled initial credentialing and recredentialing for a large provider network focused on commercial insurance plans. Used TMHP and other state-specific portals for Medicaid and Medicare credentialing and supported new team members with portal navigation and protocols.
Credentialing Specialist
Physician Revenue Group (PRG)
Jan 2022 - Jan 2023 (1 year)
Managed initial credentialing and recredentialing for a provider network with an emphasis on commercial insurance plans. Submitted and maintained credentialing updates through CAQH ProView and collaborated with insurance carriers and provider relations teams to expedite credentialing and contracting.
Education
Degrees, certifications, and relevant coursework
University of Central Punjab
Bachelor of Computer Science, Computer Science
2020 - 2024
Bachelor of Computer Science degree at the University of Central Punjab (2020–2024).
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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