I have more than 5 years working experience in a healthcare industry. I've experienced in Sales/
Telemarketer, Business Development, Credentialing Licensing and Contracting, and Project
Management.
Experienced in Group/Individual Medical and Ancillary Provider enrollment into different insurances
(Medical, Medicare, Commercial Carries and IPAs). I've always been detailed Oriented in my work. I am
a hard worker, with high-level of commitment, organized and responsible. I can work independently as
well as collaboratively and work well under pressure.
I am a team player and at the same time I can work individually with minimum supervision. I always
make sure that output is quality and I know I am contributing to the team and business.
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Experience
IPS BPO
Jun 2020 – Present
Lahore
Credentialing Specialist
• Maintain individual provider files to include up to date information needed to complete the required
governmental and commercial payer credentialing applications
• Maintain internal provider grid to ensure all information is accurate and logins are available
• Update each provider’s CAQH database file timely according to the schedule published by CMS
• Apply for and renew annually all provider licenses; Professional, DEA, Controlled Substance
• Complete revalidation requests issued by government payers
• Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid
• Complete re-credentialing applications for commercial payers
• Credential new providers and re-credential current providers with hospitals at which they hold staff
privileges
• Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or
authorization issues related to provider credentialing
• Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases
• Other duties as assigned
F&A Global
Jan 2019 – Apr 2020
Lahore
Credentialing Specialist
• Maintain individual provider files to include up to date information needed to complete the required
governmental and commercial payer credentialing applications
• Maintain internal provider grid to ensure all information is accurate and logins are available
• Update each provider’s CAQH database file timely according to the schedule published by CMS
• Apply for and renew annually all provider licenses; Professional, DEA, Controlled Substance
• Complete revalidation requests issued by government payers
• Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid
• Complete re-credentialing applications for commercial payers
• Credential new providers and re-credential current providers with hospitals at which they hold staff
privileges
• Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or
authorization issues related to provider credentialing
• Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases
• Other duties as assigned
Transcure llc
Sep 2017 – Dec 2018
Lahore
Patient Support Specialist
• Establishes close relationships with patients, building rapport and trust with patients in an empathetic
manner.
• Assist patients in referrals, scheduling, accessing, and utilizing services with their primary care provider
(PCP). If the patient does not have a PCP, support establishing a PCP.
• Maintain accurate and timely documentation of all patient encounters and complete reporting
requirements according to organization standards.
• Track patient information, schedules, files, and forms in a confidential manner.
• Communicate with the Care Team (Care Coordinators, providers and care center staff) to discuss
• patient care issues and needs and how best to facilitate care services.
• Track patient attendance at medical appointments and initiate outreach on any missed
• appointments, providing education on the value of keeping appointments, as necessary.
• Outreach to patients after primary care appointments to review and update care plan, schedule future
appointments and referrals.
• Screen patients for Social Determinant of Health (SDOH) and, as needed, connect patients with
community resources such as transportation, housing, mental health, etc.
• Able to identify symptoms of distress and act/intervene appropriately.
• Maintain strict confidentiality in accordance with department and organizational policies.
• Other duties as assigned.
Semalt
Jan 2014 – Dec 2016
Lahore
Customer Success Manager
• Create a Governance and Executive relationship with customer’s key stakeholders
• Understand our customers' business needs, use cases and priorities.
• Define and maintain customer’s success criteria and planning in terms of deployment, adoption,
operations and business outcomes.
• Build knowledge of customer’s environment, become the customer’s champion at Transmit Security
• Review customer’s evolving needs with the Product Management team.
• Present product roadmap and confirm alignment with the customer's agenda.
• Ensure smooth on-boarding and help maximizing product value.
• Act as a "trusted" adviser to the customer to strengthen customer relationships.
• Engage with Professional Services Consultants on specific project-based activities
• Keep track of customer health score, communicate and escalate risks
Work with Sales and Field Engineers to develop new opportunities.
• Be accountable for the solution provided to the customer to ensure great service, customer satisfaction
and success.