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Usama Haroon

@usamaharoon

Credentialing Team Lead with expertise in healthcare provider enrollment.

Pakistan
Message

What I'm looking for

I am looking for a role that allows me to further enhance my skills in healthcare compliance and provider management while contributing to a team that values accuracy and efficiency.

I am a dedicated Credentialing Team Lead with a strong focus on managing credentialing processes for healthcare providers. Currently, I lead the Credentialing and Licensing team at Meta Matrix Solutions LLP, where I ensure compliance and efficiency in the credentialing, contracting, and enrollment processes with both government and commercial payers.

My role involves educating providers on the necessary legal documents, licenses, and certifications required for their practices. I take pride in maintaining accurate provider data in insurance systems, resolving discrepancies, and providing timely updates to both providers and executive leadership. My commitment to accuracy and efficiency not only empowers my team but also enhances patient care.

With a background as a Credentialing Specialist, I have honed my skills in overseeing provider data management and ensuring timely credentialing for providers. I am passionate about streamlining operations and conducting training sessions to improve the credentialing process, ultimately contributing to better healthcare outcomes.

Experience

Work history, roles, and key accomplishments

ML
Current

Credentialing and Licensing Team Lead

Meta Matrix Solutions LLP

Jan 2024 - Present (1 year 9 months)

Managed credentialing, contracting, and enrollment processes for healthcare providers with government and commercial payers, ensuring compliance and efficiency. Educated providers on required legal documents, licenses, and certifications for individual and group practice, while also collecting, proofreading, and securely storing documentation to initiate insurance enrollment.

CM

Credentialing Specialist

Claims Med

Aug 2023 - Present (2 years 2 months)

Oversaw provider data and credential management in CAQH and local databases for faster processing. Updated demographic information for healthcare facilities and providers as needed, ensuring accurate and timely credentialing for providers with commercial and government payers.

TG

Credentialing Specialist

TAG Group

Jul 2022 - Present (3 years 3 months)

Maintained CAQH and managed government and commercial payer enrollment processes. Followed up with insurance companies and performed demographic updates to ensure accurate provider information.

Education

Degrees, certifications, and relevant coursework

JC

Jinnah Government College

High School, Commerce

2016 - 2018

Completed high school with a focus on Commerce, gaining foundational knowledge in business principles and practices. Developed strong organizational and analytical skills during this period.

Tech stack

Software and tools used professionally

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Usama Haroon - Credentialing and Licensing Team Lead - Meta Matrix Solutions LLP | Himalayas