Abid Yaqoob

Team Lead – Medical Credentialing & Enrollment

Apr 2021 - Sep 2023 • 2 yrs 5 mos

Worked as a Team Lead for Medical Credentialing and Provider Enrollment, supporting healthcare providers with insurance network participation and payer onboarding across the United States. My responsibilities included supervising credentialing specialists, ensuring provider applications were completed accurately, and maintaining compliance with payer requirements. I also coordinated with billing teams to ensure providers were fully credentialed before claim submission. I gained extensive experience working with Medicare, Medicaid, and commercial insurance payers, handling documentation, portal registrations, and payer communications. Key Responsibilities & Achievements • Managing provider enrollment applications for multiple insurance payers. • Supervising credentialing specialists and monitoring enrollment progress. • Handling CAQH updates, credentialing documentation, and payer communications. • Completing EFT and ERA enrollment processes for provider payments. • Creating and managing insurance payer portals for providers. • Following up with insurance companies to track application approvals. • Coordinating with medical billing teams to ensure smooth claim processing.

Enrollment Specialist

Feb 2020 - Apr 2021 • 1 yr 2 mos

Started my career as an Enrollment Specialist, focusing on provider enrollment and credentialing processes for healthcare providers. My role involved preparing and submitting enrollment applications, maintaining credentialing documentation, and communicating with insurance payers to ensure providers were successfully added to insurance networks. This position helped me build strong knowledge of U.S. healthcare payer systems, enrollment workflows, and credentialing compliance requirements. Key Responsibilities • Preparing and submitting provider enrollment applications. • Managing credentialing documentation and application tracking. • Assisting with CAQH profile updates and verifications. • Communicating with insurance payers regarding application status. • Supporting billing teams by ensuring providers were credentialed before billing.