Salman Hayat

About Salman Hayat

I have an extensive experience of US Medical Billing and Provider Credentialing. As a Credentialing Manager handling overall providers/practices enrollment and credentialing projects. Enrollments with government/commercial payers MCOs, medical IPAs, CAQH, ADA, PECOS, NPPES, EDI Setups ERA/EFT enrollment, certification/re-certification of provider\'s credentialing documents Professional license/malpractice/DEA certificates, Hospital Privileges/Affiliations etc. I handle all credentialing related matters for a provider’s office.As a Revenue Cycle Manager, assist in properly capturing charges reimbursement and correctly billing for services performed. Analyzes clinical, financial and revenue cycle performance data to identify trends, patterns, and root causes. Interpret contractual and payer guidelines that influence reimbursement. Monitoring practice Denial Management A/R follow up, Appeals, Patient Charges/Claims submission to primary, secondary or tertiary insurance. Monthly and annually custom reports preparation.I am adept in different Medical billing software like eClinical Works EHR/EMR (ECW), Kareo,Office Ally, Practice Fusion EHR, MedgenEHR Billing, Collaborate MD, Denticon etc. I am completely familiar with the following specialties. Pain Management, Internal Medicine, Family Medicine, Physical Therapy, Physical Medicine & Rehabilitation, General Dentist Practice, Mobile Office Based Dentistry, Cardiology, Gynecology, Electrocardiography, Neurology, General Practice, Psychiatry, Anesthesiology, Orthopedic etc.

Experience

1. Credentialing Manager

   Upwork

   Jan 2020 — Present

   Supervised and trained credentialing team members to ensure timely submission and follow-up of enrollments.Managed Medicare (PECOS), Medicaid, and commercial payer applications for individual and group providers.Reduced average enrollment turnaround time by implementing structured follow-up and tracking systems.Oversaw CAQH maintenance and quarterly attestations for multiple providers.Coordinated directly with payers to resolve escalations and expedite approvals.Monitored aging reports and ensured SLA compliance.Supported contract negotiations and fee schedule reviews.Maintained credentialing documentation for audit readiness.

Education

• Shaheed Zulfikar Ali Bhutto Institute of Science and Technology

  Master of Science - MS, Information Technology Project Management

• UAAR (University of Arid Agriculture Rawalpindi)

  BSCS (Hons), Computer Science, Computer Software Engineering

  2013 — 2017

Skills

• Practice Management
• Enrollment Management
• Process Improvement
• Healthcare
• Credentialing
• Provider Relations
• Medicare/Medicaid Reimbursement
• Programming
• Hipaa
• Medical Billing
• Healthcare Management
• Medicare
• Android Development
• Data Analysis
• Training
• Software Development
• Healthcare Information...
• Medicaid
• Provider Enrollment
• Accounts Receivable
• C#
• C #
• Android Support
• Web Development
• Asp.net
• Java
• Physicians