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zaidrishard

Zaid Rishard

@zaidrishard

Certified Medical Credentialing and Provider Enrollment Specialist

Sri Lanka
Englisch, Singhalesische Sprache, Tamil
Einige Informationen werden in englischer Sprache angezeigt.
Über mich
Healthcare operations professional with 5+ years of progressive experience in US medical credentialing, team leadership, and lab-based provider onboarding. Proven success in process streamlining, training, and payor navigation. Strong background in analytics, compliance, and cross-functional stakeholder collaboration. Seeking to apply this hybrid expertise in strategic or leadership roles within healthcare operations or RCM.... Mehr lesen

Kompetenzen

z
zaidrishard
Zaid Rishard
offline • 

Meine Dienstleistungen

Allgemeine Unterstützung
I will manage your caqh profile, credentialing and insurance enrollment

Portfolio

Arbeitserfahrung

Anthem

Medical Credentialing Specialist

Anthem • Freiberufler

Aug 2020 - Present5 yrs 9 mos

1. Managing a team of 15+ people and ensuring that each individual meets their KPIs while achieving my own 2. Capturing all relevant information required at the onboarding stage along with necessary documents to all clients with in my purview and ensure that all of them are uploaded in the cloud server. 3. Working on credentialing – fulfilling clients credentialing needs – New Enrolments, re-credentialing, re-application, Appeal & re-appeal. Etc. 4. Communicating effectively with different stakeholders (Clients, HRC, Insurance Etc.) 5. Ensuring that the top performers within the team are being mentored to lead within their own respective roles 6. Assisting those who aren’t up to par with the standards set out by the organization - by providing the necessary guidance and trainings. 7. Follow company guidelines, compliance laws, regulations, procedures, and policies to ensure maximum privacy and ensuring my team sticks with it. 8. Training new FTEs 9. Making myself available to each individual team member if need be 10. Making sure that the team functions with the CREDO values at the forefront 11. Creating & Maintaining SOP’s