Ajees M

Credentialing Specialist

Role
Credentialing Specialist at Hamly Business Solutions India Private Limited
Location
Thanjavur, TN, IN
LinkedIn followers
500 followers
Healthcare & Human ServicesView LinkedIn profile

About Ajees M

I hold a Bachelor’s degree in Mechanical Engineering and an MBA in Human Resource Management and Services. • I have around one year of experience as a US IT Recruiter, with hands-on experience in sourcing candidates, screening resumes, managing recruitment processes, and scheduling interviews.• I also have knowledge in Social Media Marketing, Digital Marketing, Lead Generation, and Search Engine Optimization (SEO). • Currently, I am working as a Credentialing Specialist, focusing on provider credentialing and compliance in the healthcare sector.• I am passionate about learning, growing professionally, and contributing effectively to organizational success.

Experience

  1. Credentialing Specialist

    Hamly Business Solutions India Private Limited

    Nov 2025 — Present · Thanjavur, IN

    Handle provider credentialing and enrollment with Medicaid and Commercial Payers.• Complete and submit provider applications accurately for credentialing and re-credentialing.Maintain and update CAQH profiles to ensure provider information is accurate and up to date.• Work with Medicaid portals for provider enrollment and status updates.• Utilize Modio software to manage and track credentialing applications.• Perform document verification and maintain credentialing records.• Conduct regular follow-ups with payers to check application status and ensure timely approvals.Support the provider onboarding process by ensuring compliance with payer requirements.

Education

  • Ponnaiyah Ramajayam Institute of Science & Technology, Thanjavur

    High School , SSLC

  • Ponnaiyah Ramajayam Institute of Science & Technology, Thanjavur

    Higher Secondary School , HSC

  • Karpagam Academy of Higher Education

    Bachelor of Engineering - BE, Mechanical Engineering

  • Bharathidasan University (BDU), Tiruchirappalli

    Master of Business Administration - MBA, Human Resources Management and Services

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Ajees M — Credentialing Specialist at Hamly Business Solutions India Private Limited in Thanjavur, TN, IN | Unifers