Usama User
@usamauser
Credentialing Team Lead with expertise in healthcare provider enrollment.
What I'm looking for
I am a dedicated Credentialing Team Lead at Meta Matrix Solutions LLP, where I manage the credentialing processes for healthcare providers. My role involves overseeing the credentialing, contracting, and enrollment processes, ensuring compliance with both government and commercial payers. I take pride in educating providers on the necessary legal documents, licenses, and certifications required for individual and group practice.
With a strong focus on accuracy and efficiency, I collect, proofread, and securely store documentation to initiate insurance enrollment. I also manage and follow up on enrollment applications, ensuring that all provider data is accurate and discrepancies are resolved promptly. My commitment to maintaining updated provider profiles in NPPES and CAQH has empowered my team to enhance patient care through streamlined operations.
In my previous roles as a Credentialing Specialist, I have honed my skills in overseeing provider data management and ensuring timely credentialing for providers with various payers. I am passionate about conducting training on credentialing processes and collaborating with cross-functional teams to resolve enrollment issues effectively.
Experience
Work history, roles, and key accomplishments
Credentialing and Licensing Team Lead
Meta Matrix Solutions LLP
Jan 2024 - Present (1 year 6 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.
Credentialing Specialist
Claims Med
Aug 2023 - Present (1 year 11 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.
Credentialing Specialist
TAG Group
Jul 2022 - Present (3 years)
Maintained CAQH profiles 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
Jinnah Government College
High School, Commerce
Completed high school with a focus on Commerce. Gained foundational knowledge in business principles and related subjects.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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