Amir Y

Credentialing Specialist

PMTAC Private Ltd. • Full time

Sep 2023 - Present • 2 yrs 8 mos

Medical Credentialing Specialist – PMTAC Private Ltd. (2 Years) I worked as a Medical Credentialing and Provider Enrollment Specialist, managing end-to-end credentialing for physicians, dentists, nurse practitioners, therapists, and clinics. My role included CAQH profile setup, NPI registration, and insurance provider enrollment, including commercial, Medicare, and Medicaid payers. I handled document verification, compliance checks, application submission, and regular follow-ups with insurance companies to ensure timely approvals. I streamlined credentialing workflows, minimized errors, and maintained detailed records, enabling providers to start seeing patients without delays. I successfully completed credentialing for 100+ healthcare providers, managing complex multi-payer enrollments while maintaining high accuracy, attention to detail, and timely delivery. I also guided providers on required documentation and best practices to avoid delays or rejections. Proficient in insurance credentialing, CAQH setup, NPI updates, Medicare/Medicaid enrollment, hospital privileging applications, and re-credentialing, I provide a reliable, fast, and professional service. My work allows healthcare providers to focus on patient care while I manage the entire credentialing process efficiently.