Open to opportunities

Umer Khalid

@umerkhalid1

Message

I lead provider credentialing, enrollment, and payer contracting for U.S. healthcare practices.

Pakistan

Message

What I'm looking for

I'm looking to grow my management experience and healthcare medical billing knowledge while improving credentialing efficiency, completing projects on time, and collaborating professionally with team members.

I lead credentialing and enrollment at IPS Pakistan (P3 Care), managing multi-specialty providers across U.S. states, resolving payer issues, executing contracts, and reporting on credentialing activity.

I've completed large-scale projects including credentialing and contracting 80+ providers for Thrive Psychological Services in California and 11 multi-specialty providers for Advanced Dermatology Practice. My work covers commercial plans, Medicaid MCOs, Medicare Advantage, federal programs, individual practices, and group practices.

I've maintained CAQH and PECOS accounts, managed payer portals, and supported compliant provider information, EDI/ERA, and EFT enrollments. I also bring team supervision, client query resolution, professional communication, and healthcare medical billing knowledge.

Experience

Work history, roles, and key accomplishments

Current

Sr. Team Lead-Credentialing & Enrollments

Current

IPS Pakistan (P3 Care)

Oct 2023 - Present (2 years 10 months)

Manage credentialing and enrollment for multi-specialty providers across various states. Lead payer communication, resolve enrollment issues, and ensure timely contract execution.

Provider Credentialing Payer Enrollment Team Management Reporting Data Analysis

Credentialing Specialist

Physician Revenue Group

Jun 2023 - Oct 2023 (4 months)

Processed provider enrollments for Medicare, Medicaid, and commercial plans. Maintained CAQH and PECOS accounts and ensured compliance with payer requirements.

Medicare Enrollment Medicaid Enrollment CAQH PECOS Compliance

Credentialing & Enrollment Specialist

Zmed Solutions

Feb 2022 - Jun 2023 (1 year 4 months)

Oversaw credentialing/contracting for individual and group practices. Successfully completed credentialing projects with commercial payers and federal programs.

Credentialing Contracting Commercial Payers Federal Programs