Shear Ul Islam

Credentialing professional with hands-on experience leading provider enrollment, EFT/ERA and EDI setup, and credentialing portal management. Recently promoted to Credentialing Manager after successfully leading a credentialing team through end-to-end enrollment, compliance, and performance management. Skilled at building accurate, efficient processes that keep healthcare organizations compliant across all major payers.

Credentialing Manager at TF RCM Solutions (2025-09 – Present)

• Lead the credentialing department, overseeing provider credentialing, enrollment, compliance, and team performance to ensure smooth, compliant operations.
• Manage day-to-day workflow of the credentialing team, setting priorities and monitoring turnaround times for enrollment applications.
• Serve as the primary escalation point for complex payer, provider, and compliance issues.
• Monitor compliance with payer and regulatory requirements across the credentialing lifecycle.
• Handle provider state licensing applications and malpractice insurance coverage, ensuring timely renewals and continuous compliance.

Credentialing Team Lead at Resilient Medical Billing Services Pvt Ltd (2023-06 – 2025-07)

• Led and motivated a team of credentialing specialists, overseeing the end-to-end credentialing process for healthcare providers.
• Managed NPI creation, CAQH setup, insurance panel enrollment, and state licensing, ensuring timely and accurate submissions.
• Developed and implemented streamlined processes that improved efficiency, reduced errors, and maintained compliance with industry standards.
• Acted as primary liaison between providers, insurance companies, and regulatory bodies, resolving complex issues and ensuring smooth enrollment.
• Tracked key performance metrics and maintained high levels of provider satisfaction.

CSR at Eracon Technologies (Pvt) Ltd. (2022-09 – 2023-12)

CSR at All Star BPO LLC (2023-01 – 2023-06)

Call Center Representative at Alpha360s (2021-03 – 2022-09)

Bachelor of Business Administration in BBA – National University of Modern Languages (NUML) (2024-02)

Certificate in Korean Language and Literature – National University of Modern Languages (NUML) (2022-02 – 2022-06)

Intermediate in ICS – Talent Hunt Public School and College, Dehla (2019-06 – 2020-06)