Javid

Senior Credentialing Specialist @Integrity Healthcare Solutions

Ahmedabad, IN

Manage the end-to-end provider credentialing process, from provider onboarding through final payer enrollment.Work extensively on provider enrollments for Texas and New Jersey states, ensuring compliance with state-specific requirements.Maintain and regularly update CAQH profiles, including attestations and document management.Take complete ownership of all credentialing accounts under the assigned CSM, ensuring timely and accurate processing.Verify provider documentation including licenses, NPI, DEA, malpractice insurance, and board certifications.Submit and track applications through payer portals and VMS systems, ensuring follow-ups until approval.Resolve application deficiencies and coordinate with payers to minimize delays.Train and mentor new team members on credentialing workflows, payer portals, and compliance standards.Improve turnaround time by streamlining credentialing processes and maintaining strong payer coordination.

Indira Gandhi National Open University

Master in commerce , Business/Commerce, General