Usman M

Credentialing Analyst

Upwork • Freelance

Feb 2020 - Present • 6 yrs 5 mos

As a Credentialing Analyst, I have been helping healthcare providers, private practices, and behavioral health organizations successfully enroll and maintain participation with Medicare, Medicaid, and commercial insurance payers. I manage the complete provider enrollment and credentialing lifecycle, ensuring timely approvals and full compliance with payer and regulatory requirements. Key Achievements: Successfully credentialed and re-credentialed hundreds of healthcare providers across multiple specialties. Managed enrollments with Medicare, Medicaid, BCBS, Aetna, Cigna, UnitedHealthcare, Tricare, Humana, Optum, Molina, and many other commercial payers. Completed new practice, group, and individual provider enrollments while minimizing processing delays. Maintained CAQH, PECOS, NPPES, and state licensing profiles with 100% accuracy. Reduced credentialing turnaround times through proactive follow-ups and efficient documentation management. Assisted practices with provider onboarding, contract tracking, revalidations, and insurance audits. Ensured HIPAA compliance and maintained accurate credentialing records for all providers. Worked remotely with healthcare organizations across the United States, providing reliable communication and timely project completion. I am committed to delivering accurate, efficient, and hassle-free credentialing services that help providers start seeing patients and receiving reimbursements as quickly as possible.