Joseph Ubiebor
@josephubiebor
I resolve provider enrollment issues and secure timely credentialing with commercial, government, and Medicaid payers.
What I'm looking for
I've managed provider enrollment and credentialing for Vituity, completing initial applications and re-credentialing packets for physicians and allied health professionals across commercial and government payers. I maintain CAQH profiles, NPI data, attestations, and audit-ready documentation while tracking applications through official effective dates.
In revenue cycle, billing, and claims roles at Flexible Solutions, Medlink Specialists, and Quantum Solutions LLC, I've resolved enrollment issues affecting reimbursement, corrected payer discrepancies, and identified documentation gaps before they escalated. I'm comfortable working directly with payer representatives, Managed Care Organizations, and Medicaid programs to prevent delays and improve enrollment outcomes.
Experience
Work history, roles, and key accomplishments
Provider Enrollment Specialist
Pediatrix Medical Group
Mar 2022 - Present (4 years 6 months)
Managed end-to-end enrollment operations for over 400 providers across Medicare, Medicaid, and commercial payers, sustaining 99% data accuracy. Implemented operational improvements that reduced turnaround from 90 to 55 days and achieved zero credentialing lapses.
Processed over 80 Medicare enrollment and billing updates daily through PECOS and payer portals, sustaining 98% accuracy. Audited records and recovered over 40 stalled applications per quarter, reducing repeat issues by 28%.
Reviewed and processed over 150 claims daily across Texas Medicaid programs, applying program-specific rules. Reduced denial volume by 30% by analyzing denial patterns and correcting root cause data errors.
Posted over 200 payments daily from EOB and ERA remittances at 99% accuracy. Resolved over 40 insurance follow-up accounts per week, recovering an average of $18,000 monthly and reducing aged receivables by 20%.
Handled over 60 inbound member and patient inquiries daily, providing accurate information on coverage, benefits, and account status. Maintained 98% accuracy on all file updates and ranked in the top quartile for customer satisfaction.
Education
Degrees, certifications, and relevant coursework
Landmark University
Bachelor of Science, Microbiology
Built a strong foundation in analytical thinking, data interpretation, and attention to detail through a science-based degree, then applied that same rigor directly to provider enrollment and credentialing work, resolving deficiencies, and maintaining audit-ready accuracy.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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