Ryan Lewis

Detail-oriented and results-driven Credentialing and Licensing Specialist with experience in licensing, credentialing, regulatory compliance, office administration, and IT training. Proven expertise in managing licensing and credentialing processes, maintaining accurate documentation, verifying compliance with industry standards, and ensuring timely application processing. Strong analytical, organizational, and communication skills with a proven ability to improve operational efficiency while delivering high-quality service.

Experienced in healthcare credentialing, public administration, and educational environments, with a commitment to professionalism, accuracy, and continuous improvement.

Credentialing & Licensing Specialist at True Care (2025-01 – Present)

• Manage end-to-end credentialing and licensing processes for healthcare providers while ensuring compliance with regulatory, payer, and organizational requirements.
• Verify provider credentials, licenses, certifications, education, training, and employment history, maintaining complete and up-to-date records.
• Process provider licensing applications, renewals, and supporting documentation with exceptional attention to detail.
• Coordinate directly with providers, licensing boards, and insurance payers to resolve documentation issues and expedite approvals.
• Process provider enrollment packets through CAQH and state licensing portals, reducing application delays and rework.
• Monitor provider license expirations using Excel tracking systems, notifying providers well before renewal deadlines.
• Conduct routine credential file audits to identify missing documentation and ensure compliance with payer requirements.
• Communicate regularly with state licensing boards through phone calls and online portals to resolve credentialing holds and prepare payer-specific enrollment documentation to secure network participation for new providers.

Credentialing Analyst at CareCloud (2024-01 – 2025-01)

• Led credentialing operations in accordance with healthcare regulations while improving workflow efficiency and maintaining regulatory compliance.
• Reviewed provider applications using CAQH and internal quality checklists to identify documentation deficiencies before submission.
• Processed provider credentialing applications through state licensing portals, reducing rejection rates by ensuring complete and accurate submissions.
• Conducted quarterly audits of provider files within electronic health record systems to identify missing credentials and maintain compliance standards.
• Prepared and submitted provider enrollment applications to Medicare and commercial insurance payers, securing participation approvals.
• Maintained centralized Excel tracking systems to monitor application statuses and upcoming credential expirations.
• Developed standardized documentation templates for privileging requests, improving onboarding efficiency.
• Coordinated primary source verifications through licensing boards and certification agencies while demonstrating strong analytical, data management, and problem-solving skills throughout the credentialing process.

Junior Executive / 2nd OIC at NADRA (2021-07 – 2025-01)

• Managed office operations while maintaining strict compliance with government regulations and documentation standards.
• Processed identity registration records using Microsoft Excel and internal databases, ensuring complete and accurate applicant information.
• Performed compliance audits of registration files, corrected discrepancies, and maintained quality assurance standards.
• Trained newly hired staff on registration procedures and electronic service routing to improve workflow efficiency.
• Assisted citizens at service counters and through telephone support by explaining requirements, scheduling appointments, and resolving inquiries.
• Prepared weekly operational reports using Microsoft Word and Excel to identify processing bottlenecks and support management decision-making while ensuring smooth daily office operations and reducing application backlogs.

Computer Instructor at IT Center Bagh (2019-06 – 2021-07)

• Delivered comprehensive computer training programs covering Microsoft Office applications, including Word, Excel, and PowerPoint, while improving students' digital literacy and technical proficiency.
• Designed structured lesson plans for adult learners and evaluated learning outcomes through assessments and quizzes.
• Configured Windows operating systems, installed antivirus software, and maintained secure computer laboratory environments.
• Adjusted instructional methods based on student performance to maximize learning outcomes and practical computer skills.

Bachelor in Business Management – University of Poonch (2020-10 – 2024)

Intermediate – City Science College Bagh AJK (2018-07 – 2020-07)

Matriculation – Cambridge International School System Bagh AJK (2016-04 – 2018-07)