Ch.Muneeb Ahmed

Experienced Medical Credentialing Specialist with 1+ years in provider enrollment, credentialing, and payer contracting. Skilled in CAQH, NPPES, and Medicare processes with strong compliance knowledge. Expertise in end-to-end credentialing, including EFT/ERA setup, licensure tracking, and re-credentialing. Proven ability to manage payer relationships, resolve discrepancies, and maintain accurate provider records.

Credentialing Specialists at Knight Medical Billing (2025-01 – Present)

• Processed Medicare credentialing applications and completed payer portal enrollments.
• Managed provider demographics, credentialing, contracting, and maintenance of CAQH and NPPES records.
• Coordinated EFT/ERA setups, licenses, credentials, and payer contracts.
• Maintained compliance by ensuring timely updates across all credentialing activities.
• Submitted applications to commercial and government payers with high accuracy.
• Oversaw credentialing follow-ups, NPI updates, Medicare enrollments, and licensure tracking.
• Performed re-credentialing and managed CAQH, Availity, Optum, and Medicare accounts.
• Resolved enrollment discrepancies, handled ERA/EFT processes, and assisted in rate negotiations.
• Collaborated with payers, providers, and facilities for credentialing updates and contract management.

Credentialing Specialists at Knight Medical Billing (2023-09 – 2025-03)

I.Com – Steps College (2023-09 – 2025-03)