# Joseph Ubiebor

Joseph Ubiebor is a remote worker on Himalayas, Provider Enrollment Specialist at Pediatrix Medical Group, based in United States.

Source: https://himalayas.app/@josephubiebor

```text
I resolve provider enrollment issues and secure timely credentialing with commercial, government, and Medicaid payers.
```

| Detail | Value |
| --- | --- |
| Availability | Open to opportunities |
| Location | United States |
| Authorized to work in | United States |
| Job categories | Provider Enrollment Specialist, Credentialing Specialist, Revenue Cycle Specialist, Medical Billing Specialist, Medical Coder, Claims Analyst, Customer Experience Specialist, Provider Enrollment Analyst, Provider Enrollment Manager, Healthcare Provider Enrollment Lead |
| Skills | Provider Enrollment, Provider Credentialing, Credentialing, CAQH, NPI, PECOS, Medicaid Enrollment, Managed Care, Regulatory Compliance, Documentation, Payment Application Tracking, Payer Relations, Revenue Cycle Management, Medical Billing, Medical Coding, Claims Management, Denial Management, Data Management |

## What I'm looking for

```text
I'm looking to apply my provider enrollment and credentialing experience in a deadline-driven healthcare environment, resolving payer delays, maintaining compliant records, and supporting timely reimbursement.
```

## About

```text
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

### Provider Enrollment Specialist (current)

Pediatrix Medical Group. Mar 2022 - Present

```text
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.
```

Skills: Provider-Enrollment, Medicare, Medicaid, Commercial-Payers, Audit, Compliance, HIPAA, CMS-Compliance, Data-Accuracy, Process-Improvement, Training, Documentation-Standards

### Medicare Enrollment & Billing Specialist

[Optum](https://himalayas.app/companies/optum). Jun 2019 - Feb 2022

```text
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%.
```

Skills: Medicare-Enrollment, PECOS, Payer-Portals, CMS-Rules, Compliance, Audit, Billing, Data-Analysis, Denial-Management, Process-Improvement

### Claims & Denials Analyst

[Conifer Health Solutions](https://himalayas.app/companies/conifer-health-solutions). Oct 2017 - May 2019

```text
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.
```

Skills: Claims-Processing, Denial-Management, Medicaid, Texas-Medicaid, Audit, Compliance, HIPAA, Data-Analysis, Root-Cause-Analysis, Documentation

### Accounts Receivable Specialist

[R1 RCM](https://himalayas.app/companies/r1-rcm). Jul 2016 - Oct 2017

```text
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%.
```

Skills: Accounts-Receivable, Payment-Posting, EOB, ERAs, Insurance-Follow-Up, Data-Entry, Audit, Reconciliations, Customer-Service

### Customer Service Representative

[Advocate Health Care](https://himalayas.app/companies/advocate-health-care). Jan 2016 - Jun 2016

```text
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.
```

Skills: Customer-Service, Inbound-Calls, Data-Entry, Insurance, Billing, Communication-Skills, Quality-Assurance

## Education

### Landmark University

Bachelor of Science, Microbiology

```text
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

- Microsoft Excel
- Microsoft Word
- Microsoft PowerPoint

To contact Joseph, message them from this profile with a Himalayas employer account: [Hire on Himalayas](https://himalayas.app/hire).

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