Umer Afridi

I’m a Medical Licensing & Credentialing Specialist with 8+ years of experience supporting U.S. healthcare providers and organizations with medical licensing, provider credentialing, payer enrollment, and revenue cycle operations. I help manage the process from provider documentation and licensing through credentialing, payer enrollment, follow-up, and ongoing provider maintenance. LICENSING & CREDENTIALING • Multi-State Healthcare Licensing • Medical Licensing • MD & DO Licensing • NP / APRN / PA / RN Licensing • IMLC • License Renewals & Reinstatements • DEA & State Controlled Substance Applications • Provider Credentialing & Recredentialing • Primary Source Verification • Provider Enrollment & Payer Enrollment • Provider Onboarding • Hospital Affiliations & Privileges • Provider Rosters & Demographic Updates • Licensing & Credentialing Documentation • Payer Application Follow-Up • Enrollment Issue Resolution PROVIDER ENROLLMENT • CAQH ProView Setup, Attestation & Maintenance • NPI / NPPES • Medicare PECOS • CMS-855I / CMS-855B • Medicaid Enrollment & Revalidation • Commercial Payer Enrollment • EDI / EFT / ERA • Professional Liability Insurance Certificates • Accreditation Letters • Provider Enrollment Documentation REVENUE CYCLE I also support the billing side after enrollment, including eligibility and benefits verification, claims submission, claim status follow-up, payment posting, denial management, and A/R follow-up. HEALTHCARE EXPERIENCE I’ve supported physician and non-physician healthcare practices across medical specialties, behavioral health, therapy, home health, hospice, DME, and diagnostic services. My payer experience includes Medicare, Medicaid, BCBS, Aetna, UnitedHealthcare, Cigna, and other commercial payers. TOOLS & PLATFORMS CredentialMyDoc • Modio Health • Medallion • Acorn Credentialing • Symplr • Salesforce • Kareo • CAQH • PECOS • Availity • TriZetto • Microsoft Office • DocuSign • Adobe Acrobat • Asana • Confluence • Slack • QuickBooks I’m comfortable managing multiple providers and applications at different stages, keeping documentation organized, following up with licensing boards and payers, resolving outstanding requirements, and maintaining accurate provider records.