Ajees M
Credentialing Specialist @Hamly Business Solutions India Private Limited
Signup · Get unlimited contacts
WORK HISTORY
Credentialing Specialist @Hamly Business Solutions India Private Limited
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
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.
This profile is compiled from publicly available professional sources. Unifers is not affiliated with or endorsed by LinkedIn. Request removal of this profile.