Adeel Riaz
Credentialing & Enrollment Specialist
Summary
Dedicated professional with experience in customer service, U.S. sales campaigns, and healthcare enrollment operations. Strong communication, compliance knowledge, and performance-driven mindset with ability to work in fast-paced environments.
Experience
⢠Develop and execute sales strategies for scrap copper, used batteries, and other recyclable metals. ⢠Achieve monthly and annual sales targets. ⢠Build relationships with: ⢠Scrap dealers ⢠Workshops & garages ⢠Construction companies ⢠Industrial units ⢠Ensure steady supply of used copper wires, scrap metal, and used lead-acid batteries. ⢠Negotiate purchase rates for better profit margins.
⢠Answer incoming calls and inquiries from postpaid customers. ⢠Provide accurate information about Telenor postpaid plans, billing, and services. ⢠Handle customer complaints and resolve service issues as per company guidelines. ⢠Troubleshoot problems related to postpaid accounts, billing disputes, network or service faults. ⢠Escalate complex issues to managers or relevant internal teams when necessary
⢠Handles outbound or inbound sales for electricity and natural gas supply companies operating in deregulated U.S. markets ⢠Promoted electricity and natural gas supply plans on behalf of licensed U.S. retail energy providers. ⢠Explained fixed-rate vs. variable-rate plans and pricing structures clearly. ⢠Completed customer enrollments and transferred calls for Third-Party Verification (TPV). ⢠Ensured full compliance
⢠Supervised and managed a team of payer enrollment specialists handling U.S. healthcare provider enrollments. ⢠Reviewed and submitted CMS-1500 applications, EFT/ERA setups, for payers e.g Medicare, Medicaid and all commercial Payers. ⢠Managed CAQH profile updates, attestations, and credentialing documentation. ⢠Monitored application status and followed up with payer representatives to reduce turnaround time.