Zain M.

✅ HIPAA Certified Healthcare Credentialing & Medical Coding Specialist | Provider Enrollment & CAQH, PECOS, NPPES (NPI Type 1 & Type 2) Registration & Management, Medicad and Medicare Enrollment sepecialist. ⭐ About Me I am a Certified Credentialing & Medical Coding Expert with hands-on experience in provider enrollment, payer credentialing, and medical coding. As a Credentialing Specialist with over 4 years of hands-on experience, I have successfully completed 50+ provider enrollments, revalidations, and primary source verifications across multiple states. I manage the full end-to-end credentialing lifecycle—from initial application submission to final approval and ongoing maintenance—ensuring providers are fully network-ready without delays or compliance risks. I have extensive experience working with major commercial and government payers, including Aetna, Optum, Cigna, Blue Cross Blue Shield, Humana, UnitedHealthcare, as well as government programs such as Medicare and Medicaid (multi-state). I work as a reliable back-office partner, handling the complexity of credentialing and coding so providers can focus on patient care. 💼 Services I Offer ✔ Provider Credentialing & Re-Credentialing ✔ Provider Enrollment (Medicare, Medicaid & Commercial Payers) ✔ CAQH Profile Setup, Updates & Attestation ✔ NPPES (NPI Type 1 & Type 2) Registration & Management ✔ PECOS Enrollment & Maintenance ✔ ICD-10-CM, CPT & HCPCS Medical Coding ✔ Compliance Review & Documentation Audit ✔ Payer Follow-ups & Status Tracking ✔ Revenue Cycle Management (RCM) Support ❌ Common Problems Clients Face ➡️ Long delays in provider credentialing ➡️ Rejected or incomplete payer applications ➡️ Denials due to coding or compliance errors ➡️ Outdated CAQH or NPI records ➡️ Poor communication with insurance payers ➡️ Lost revenue from inactive or expired credentials ✅ How I Solve Them ✔ Complete and accurate application preparation ✔ Proactive follow-ups with payers to speed up approvals ✔ Error-free medical coding aligned with current guidelines ✔ Organized tracking of deadlines and renewals ✔ Clear status updates and transparent reporting ✔ HIPAA-compliant handling of sensitive data ➡️ Result: Faster credentialing, fewer denials, and improved revenue flow. 🧠 Tools & Platforms ✔ CAQH ProView ✔ PECOS ✔ Medicare & Medicaid Portals ✔ Commercial Payer Portals ✔ EHR & Practice Management Systems 🚀 Why Hire Me on Upwork / Fiverr? ✔ Certified & detail-oriented professional ✔ Strong knowledge of payer requirements ✔ Proven accuracy and compliance focus ✔ Fast response and clear communication ✔ 100% confidentiality & HIPAA compliance 📩 Ready to Get Started? Whether you are: ➡️ Opening a new practice ➡️ Adding new providers ➡️ Re-credentialing existing staff ➡️ Facing enrollment delays or denials ✅ I am here to help you get credentialed, stay compliant, and get paid on time. 👉 Send me a message today and let’s get your providers enrolled without delays.