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Shahnawaz awan

@shahnawazawan

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Credentialing Specialist focused on accurate provider records, PECOS/CAQH management, and insurance verification.

Zimbabwe

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What I'm looking for

I’m looking for a compliance-focused role where I can own provider credentialing workflows, manage PECOS/CAQH accuracy, and support insurance verification with clear communication, attention to detail, and consistent turnaround times.

I’m a Credentialing Specialist with close to 2 years of combined experience in provider credentialing, insurance verification, and healthcare compliance across MTBC and Nobility RCM. I coordinate and maintain credentialing and re-credentialing processes to ensure accuracy of provider records and timely completion of required steps.

I compile and update provider data using PECOS/CAQH applications, manage provider enrollment and demographic updates, and resolve discrepancies with insurance companies and third-party administrators. I also maintain records of state licenses, DEA certificates, and malpractice insurance, monitoring expiration dates to prevent lapses.

With a background in Botany, I bring disciplined, analytical thinking to administrative and compliance-focused work. I’ve also supported data entry, document formatting, and printing/photocopying through experience as a Computer Operator using MS Excel and MS Word.

Experience

Work history, roles, and key accomplishments

Credentialing Specialist

Nobility RCM

Jul 2025 - Jul 2026 (1 year)

Coordinated and maintained credentialing and re-credentialing processes for medical staff, ensuring accuracy of provider records. Managed provider enrollment updates, used PECOS/CAQH for data maintenance, and tracked renewals for state licenses, DEA certificates, and malpractice insurance.

Credentialing PECOS CAQH Insurance Verification Healthcare Compliance Provider Enrollment Provider Data Management

Credentialing Specialist

MTBC, Bagh

May 2024 - Jun 2025 (1 year 1 month)

Processed initial credentialing and re-credentialing applications for physicians and healthcare providers. Verified provider licenses, certifications, and malpractice insurance, updated CAQH/PECOS records, and resolved credentialing discrepancies with insurance payers.

Healthcare Credentialing Insurance Verification Healthcare Compliance CAQH PECOS

Computer Operator

Jambu Photostate

Jan 2023 - Jan 2024 (1 year)

Operated computer systems for data entry, document formatting, and printing/photocopying tasks. Managed customer records and job orders using MS Excel/Word and maintained accurate transaction and inventory records for stationery and printing supplies.

Data Entry Document Formatting MS Excel MS Word Records Management