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Saadrehman
@saad17
Research Analyst and Enrolment Coordinator
Pakistan
Anglais, Ourdou
À propos de moi
I am an Enrolment Coordinator at MTBC (CareCloud) with experience on boarding healthcare providers with Medicare, Medicaid, Railroad Medicare, and commercial payers. I manage the full enrolment life cycle, including applications, document verification, and payer follow-ups to ensure timely provider activation.
I specialise in EDI, ERA (835), and EFT enrolments, NPI/TIN linking, and payer portal management to support smooth billing and payment workflows. I work closely with credentialing and billing teams to reduce claim rejections and prevent payment delays.
Compétences
Saadrehman
hors ligne •
Temps de réponse moyen de 6 heures
Voir mes services
Assistant de recherche
I will set up edi era eft and payer enrolment for medical billing
Expérience professionnelle
Research Analyst and Enrolment coordinator
CareCloud • Temps plein
Aug 2020 - Present • 5 yrs 9 mos
Managed and processed payer enrolment applications for individual providers and group practices, ensuring compliance with payer-specific guidelines. Performed payer mapping to identify correct payer IDs, claim submission methods (EDI, paper, or portal), and address routing. Conducted verification of claims submission addresses through payer portals, clearinghouses, and official payer documentation. Assisted in claim submission and status tracking via EDI and payer portals to ensure timely reimbursements. Submitted resume or stop requests for inactive or terminated providers, maintaining accurate practice and payer records. Verified patient and provider eligibility through payer portals and clearinghouses prior to claim submission. Performed data extraction, compilation, and delivery to clients as per contractual or legal requirements. Coordinated with CRM, Legal Networks, and Finance teams to ensure data consistency, contract compliance, and smooth account closure or reactivation workflows. Maintained detailed documentation of all enrollment and termination activities for audit and compliance purposes.
