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    "name": "Surajnarayan Tiwari",
    "label": "Sr.Credentialing Specialist",
    "email": "tiwarisuraj890@gmail.com",
    "phone": "8264016895",
    "summary": "US Healthcare Revenue Cycle Management (RCM) professional with over 9 years of experience across Provider Credentialing, Provider Enrollment, Medical Billing, Accounts Receivable (AR), Eligibility Verification, Patient Support, Client Management, and Revenue Cycle Operations. Possess 4+ years of specialized experience in Provider Credentialing, including CAQH, PECOS, Medicare, Medicaid, Commercial Payer Enrollment, Recredentialing, and Provider Lifecycle Management. Proven ability to manage end-to-end RCM processes, resolve client and payer issues, improve operational efficiency, and maintain compliance standards. Strong expertise in stakeholder communication, team collaboration, and delivering high-quality results in fast-paced US healthcare environments.",
    "location": "B 402 Vedrusha Residency, Nr. Sattva International School, New vastral Ahmedabad 382430"
  },
  "work": [
    {
      "company": "EMP Claims Pvt Ltd",
      "position": "Sr. Credentialing Specialist",
      "location": "Ahmedabad",
      "startDate": "2025-08",
      "current": true,
      "highlights": [
        "Provider Credentialing",
        "Provider Enrollment",
        "CAQH Management",
        "PECOS Enrollment",
        "Medicare Enrollment",
        "Medicaid Enrollment",
        "Commercial Payer Enrollment",
        "Recredentialing",
        "Provider Data Management",
        "Hospital Privileging",
        "Medical Billing",
        "Accounts Receivable (AR)",
        "Denial Management",
        "Eligibility Verification (EV)",
        "Patient Support",
        "Client Query Resolution",
        "RCM Operations",
        "Team Coordination",
        "Process Improvement",
        "Quality Assurance"
      ]
    },
    {
      "company": "ACE Healthcare Pvt Ltd",
      "position": "Credentialing Specialist",
      "startDate": "2024-05",
      "endDate": "2025-08",
      "highlights": [
        "Worked as a Credentialing Specialist, managing the enrollment of multiple providers for the group's Federally Qualified Health Center (FQHC) network."
      ]
    },
    {
      "company": "Auribus Global Service Pvt Ltd",
      "position": "Team lead AR",
      "startDate": "2023-11",
      "endDate": "2024-04",
      "highlights": [
        "Set individual and team performance goals",
        "Provided training to new team members and mentored staff for continuous improvement",
        "Implemented process to reduce claim denials and increase first-pass claim acceptance rate",
        "Proficient in various medical billing software platforms",
        "Identified and resolved billing issues proactively to minimize claim denials and delays"
      ]
    },
    {
      "company": "Integrity Service Pvt Ltd",
      "position": "Team coach AR",
      "startDate": "2022-02",
      "endDate": "2023-10",
      "highlights": [
        "Managed rejection and accounts receivables on claims through interactions with insurance companies",
        "Credentialed providers",
        "Conducted weekly client discussions on rejections in claims and handled client queries",
        "Co-managed a team of 3 people"
      ]
    },
    {
      "company": "Astron E services pvt ltd",
      "position": "Team Coach EV",
      "startDate": "2021-03",
      "endDate": "2022-01",
      "highlights": [
        "Managed dental EV operations and team",
        "Handled provider queries"
      ]
    },
    {
      "company": "Clinical Excel Computech LLP",
      "position": "Sr. Client Service Executive",
      "startDate": "2017-05",
      "endDate": "2021-07",
      "highlights": [
        "Handled dental EV, pasting, and plan creation",
        "Managed client reporting",
        "Led a team as team lead"
      ]
    }
  ],
  "education": [
    {
      "institution": "Madurai Kamraj University",
      "degree": "Bachelor of Business Administration",
      "startDate": "2017"
    }
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    "Provider Credentialing Provider Enrollment Recredentialing CAQH Management PECOS Enrollment NPI Registration & Maintenance Medicare Enrollment Medicaid Enrollment Commercial Payer Enrollment Hospital Privileging Medical Billing Accounts Receivable (AR) Follow-up Denial Management"
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    "yearsOfExperience": 1,
    "seniority": "lead",
    "highestEducation": "Bachelor's"
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