Angel Osuji

• Completed and submitted initial, recredentialing, and revalidation applications with accuracy and timeliness.
• Analyze enrollment data and trends to identify opportunities for process improvement and efficiency enhancements for improvement.
• Credentialing and verification of professional provider information using software like Onbase, PECOS.
• Served as a liaison between providers, payers, and internal departments to resolve discrepancies and ensure seamless communication.
• Generated reports and analyzed data on credentialing timelines, enrollment trends, and denial patterns.
• Supported process improvement initiatives to streamline enrollment workflows and reduce turnaround times.
• Provided training and guidance to providers and internal staff regarding credentialing requirements and procedures.
• Maintain strict confidentiality standards, ensuring sensitive provider data was handled with the utmost care and discretion.
• Uphold a high level of customer service while interacting with providers, fostering trust and confidence in our organization''s capabilities.
• Effectively manage multiple priorities, successfully meeting tight deadlines while maintaining high-quality work standards.
• Obtains information from internal department, providers, government and/or private agencies, etc. to resolve discrepancies/problems.
• Collect, update and maintain necessary provider information and documentation and verify the information where possible.
• Establish and maintain data entry in CAQH.
• Prepare credentialing applications for all initial applications and reappointment in a timely and complete manner.
• Verified provider credentials, including licensure, NPI, DEA, board certifications, education, and malpractice insurance.
• Perform analysis and appropriate follow-up of each initial application and reappointment.
• Adhere to department policies and procedures including timely delivery of completed work and use of resources.

• Increased revenue by identifying and resolving billing errors in a timely manner.
• Checked claim status/ submit eligibility inquiries using Waystar/Availity .
• Ensured accurate billing with thorough audits of patient accounts and insurance claims.
• Contacted patients to address missing or incorrect claim information, such as member ID.
• Reviewed , analyzed and resolved complex claims issues and payer behavior using billing systems, payor portals and EOB reviews .
• Identified and resolved payment issues between patients and providers.
• Adhered to legal and ethical guidelines of HIPAA for safeguarding patient and company confidential information .
• Posted payments to collection accounts/ reconciled posted bank transactions. Also collaborated with AP department to have refund issued when needed.
• Maintained productivity goals and metrics set by the department.
• Reviewed and appealed denied and unpaid claims .
• Created financial strategies to optimize portfolio performance and reduce risk.
• Tracked prices, yields and other trends to correctly interpret impacts on investment programs.
• Monitored market trends and news to identify emerging opportunities.
• Reached out to insurance companies to verify coverage.

• Verified provider credentials, including licensure, NPI, DEA, board certifications, education, and malpractice insurance.
• Ensured compliance with federal, state, and payer requirements, including HIPAA and CMS regulations.
• Investigated and resolved provider enrollment–related claim denials to prevent revenue cycle disruptions.
• Monitored credentialing and enrollment status, tracking key deadlines for re-attestation and renewals.
• Served as a liaison between providers, payers, and internal departments to resolve discrepancies and ensure seamless communication.
• Offered remote billing assistance, explained payment options, and assisted with insurance-related questions, ensuring a smooth patient experience.
• Completed enrollment of all providers timely and accurately. Consistently maintained effective processes for monitoring provider enrollment status for all payer funding sources.
• Served as the primary contact for Provider Enrollment claim denials with payors, SCP Medical Collections, Revenue Integrity, Systems, and Managed Care departments
• Acted as a remote liaison between patients and medical staff, facilitating clear and effective communication.
• Maintained and updated patient records with meticulous attention to detail, ensuring data accuracy and confidentiality.

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• Assisted providers with navigating online portal systems, enhancing user experience and expediting application submissions.
• Consistently met or exceeded departmental performance targets through diligent management of individual workload and effective collaboration with team members.

• Maintained proper drug storage procedures, registries, and records for controlled drugs.
• Collected co-payments or full payments from customers.
• Reviewed and verified customer information and insurance provider information.
• Counted, measured, and compounded medications following standard procedures.
• Coordinated verification and filling of more than 380+

daily prescriptions in high-volume retail pharmacy environment.

• Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
• Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
• Resolved non-routine issues like third-party billing, computer system, and customer service issues.
• Completed paperwork, entering prescription and insurance or billing information into patient profiles.
• Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
• Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
• Answered incoming phone calls and addressed questions from customers and healthcare providers.

• Handled 50+ calls daily
• Received inbound calls from clients for real estate business or complaints and made outbound calls to service providers for issue resolution
• Reassigned work orders to appropriate personnel
• Placed outbound calls to clients to inquire about problems encountered and sent out appropriate technicians for service provision
• Opened and maintained clients’ accounts by recording account information
• Resolved product or service problems by clarifying the customer's complaint; determined the cause of the problem; selected and explained the best solution to solve the problem; expedited correction or adjustment; followed up to ensure resolution
• Prepared product or service reports by collecting and analyzing client information
• Contributed to team effort by accomplishing related results as needed
• Kept records of clients’ interactions, processed clients’ accounts and filed documents
• Followed communication procedures, guidelines, and policies.