Shixaz Noor

Experienced Credentialing and enrolment specialist with proven expertise in provider enrollment, multispeciality and states, data verification, and regulatory compliance within multi-specialty healthcare environments. Highly skilled at processing and managing credentialing applications, maintaining accurate records, and ensuring timely resolution of discrepancies through effective communication. Proficient in primary source verification, ERA/EFT/EDI setup, and managing healthcare platforms including PTAN, ETIN, PECOS, CAQH, and NPI/DEA Registration.

Known for outstanding organizational skills, strong analytical abilities, excellent written and verbal communication, attention to detail, and the capacity to multitask and prioritize projects efficiently in a fast-paced setting.

Credentialing and Licensing Specialist (Back up Team Lead) - Practice Align - On-site

(2025-07 - 2025-08)

• Credentialing
• Data verification and analysis
• Processing the Credentialing or Enrollment application for multi specialty providers
• Follow up of submitted applications and resolving the descripensies by communication with providers and insurance companies
• Reporting
• ERA, EFT ENROLLMENT, EDI SETUP, UPDATING PORTALS, RESILVING CONTRACTS Issues
• Trainings
• Meetings with clients
• Licensing

Credentialing and Enrollment Specialist - TEAM LEAD POINT OF IT

(2024-04 - 2025-07)

• Credentialing
• Data verification and analysis
• Processing the Credentialing or Enrollment application for multi specialty providers
• Follow up of submitted applications and resolving the descripensies by communication with providers and insurance companies
• Reporting
• ERA, EFT ENROLLMENT, EDI SETUP, UPDATING PORTALS, RESILVING CONTRACTS Issues
• Trainings
• Meetings with clients
• Licensing

CREDENTIALING SPECIALIST - ACC MED

(2020-03 - 2021-01)

• Credentialing
• Data verification and analysis
• Processing the Credentialing
• Enrollment application for multi-specialty providers
• Follow up of submitted applications and resolving the discrepancies by communication with providers and insurance companies
• Reporting

SENIOR CREDENTIALING SPECIALIST - AMROMED LLC

(2022-04 - 2023-01)

Indian Company

• Credentialing
• Data verification and analysis
• Processing the Credentialing
• Enrollment application for multi-specialty providers
• Follow up of submitted applications and resolving the discrepancies by communication with providers and insurance companies
• Reporting

CREDENTIALING Manager - MAZZ INFORMATICS - On-site (Outsource Office of WNY MEDICAL PC)

(2017-08 - 2021-11)

• Credentialing
• Data verification and analysis
• Processing the Credentialing or Enrollment application for multi-specialty providers
• Follow up of submitted applications and resolving the discrepancies by communication with providers and insurance companies
• ERA / EFT / EDI SETUP

Master of Political Science - Political Science

Bachelor's - Economics

Bachelor of Education - Education

Diploma - Computer Applications & Database Management System

Diploma - English Communication