Samira T.

500+ provider applications approved, spanning commercial payers (Aetna, Cigna, BCBS) and government programs (Medicare, Medicaid), most cleared on the first submission. I'm a Credentialing Specialist and Medical Virtual Assistant, Rising Talent on Upwork, based in the US and working Eastern time. 5+ years in provider credentialing and enrollment for US practices, from individual providers to groups and facilities. TRACK RECORD ▪ 50+ providers and 20+ groups and facilities credentialed. ▪ Enrolled with 30+ payers across Medicare, Medicaid, and commercial carriers. ▪ CAQH profiles typically set up within a few days. CREDENTIALING & PROVIDER ENROLLMENT ▪ CAQH Setup & Maintenance: Profile creation, ongoing updates, and re-attestation so nothing lapses. ▪ Payer Enrollment: Initial enrollment and revalidation for individual providers, groups, and facilities, across commercial carriers and government programs (Medicare through PECOS, Medicaid), with a track record of first-time approval on most applications. ▪ Recredentialing: Proactive tracking of expiration and revalidation dates so providers stay in-network without gaps. ▪ Active Follow-Up: Direct payer communication until an application is actually approved, not just submitted. MEDICAL VIRTUAL ASSISTANCE ▪ Verification of Benefits: Confirming deductibles, copays, and coinsurance before a patient is seen. ▪ Prior Authorizations: Tracked end-to-end to prevent treatment delays or denials. ▪ Patient & Provider Scheduling: Calendar management across major EHR platforms to keep provider time optimized. BILLING SUPPORT (ADD-ON) ▪ Claim submission, payment posting, denial follow-up, and AR follow-up, available alongside enrollment so one person covers a provider from credentialing through getting paid. SPECIALTIES Mental health, cardiology, physical therapy, chiropractic, podiatry, internal medicine, and primary care. PLATFORMS EHR / practice management: eClinicalWorks, SimplePractice, WebPT, athenahealth, CareCloud, Tebra. Credentialing & payer tools: CAQH, PECOS, Availity, and payer portals. Based in the US, Eastern time zone, so provider enrollment calls and patient scheduling happen in real time, not queued for the next business day. Not sure where your credentialing stands? Send me your specialty, the payer, and where things stand, and I'll give you a free review of what it will take to get it approved, whether it's a stuck enrollment or a lapsed CAQH profile.