Ikram Kalyar

To obtain a challenging Credentialing Specialist position where I can utilize my 3 years of experience in provider credentialing, payer enrollment, EDI/ERA/EFT setup, compliance management, and healthcare administration to contribute to organizational success while delivering accurate and efficient credentialing services.

Credentialing & Enrollment Specialist at Transcure (2023-07)

• Managed provider credentialing, recredentialing, and enrollment for physicians and healthcare providers.
• Processed Medicare, Medicaid, and commercial insurance enrollments.
• Completed EDI, ERA, and EFT enrollments through multiple clearinghouses and payer portals.
• Managed provider licenses, DEA registrations, malpractice insurance, board certifications, and credentialing documentation.
• Coordinated with insurance companies regarding application status, follow-ups, and issue resolution.
• Performed insurance verification and resolved credentialing-related claim denials.
• Collaborated with billing, enrollment, and operations teams to ensure timely provider activation.
• Tracked provider expirables and ensured continuous provider compliance.
• Worked with multiple commercial payers across various U.S. states.

Credentialing and Enrollment Specialist at Westridge Billing (2025-10 – 2026-06)

• Handle provider credentialing and enrollment for multiple healthcare providers.
• Process Medicare, Medicaid, and commercial insurance enrollments.
• Perform EDI, ERA, and EFT enrollments.
• Maintain provider records in CAQH, PECOS, NPPES, and payer portals.
• Track provider expirables including licenses, DEA registrations, malpractice insurance, and certifications.
• Work closely with billing teams to resolve credentialing-related claim denials and enrollment issues.

Senior Credentialing Specialist at Swift Billing Solutions (2026-06 – Present)

• Supervise and guide a team of 4 credentialing specialists, ensuring timely and accurate completion of assigned tasks.
• Manage end-to-end provider credentialing, enrollment, recredentialing, and payer maintenance.
• Handle Medicare, Medicaid, and commercial payer enrollments through CAQH, PECOS, NPPES, and payer portals.
• Monitor provider credentials, expirables, enrollment status, and payer participation to keep providers active.
• Manage payer follow-ups, resolve enrollment issues, and maintain accurate credentialing records and trackers.

BS in CS – UCP (2025)