Ursula Eyenuro
Glen Burnie,MD
Summary
Detail-oriented healthcare operations professional with 7+ years of experience spanning provider enrollment, credentialing support, member onboarding, and insurance operations. Proven ability to manage enrollment documentation, maintain credentialing data integrity, and support compliance with CMS, NCQA, and HIPAA standards. Skilled in workflow optimization, cross-functional collaboration, and delivering accurate, audit-ready outcomes in fast-paced environments
Overview
10
10
years of professional experience
Work History
Customer Service Representative
Progressive Insurance
REMOTE
07.2025 - Current
- Handled high-volume inbound calls related to auto insurance policies, billing, claims inquiries, and account updates.
- Verified customer and policy information, ensuring accurate updates within internal systems.
- Explained coverage details, eligibility, billing changes, and policy requirements in a clear, compliant manner.
- Documented all interactions thoroughly to ensure audit readiness and regulatory compliance.
- Resolved customer concerns efficiently while meeting strict quality, accuracy, and compliance standards.
- Maintained professionalism in a highly regulated insurance environment.
Provider Enrollment /Operations Support Specialist
Randstad
Remote
08.2024 - 05.2025
- Processed and tracked 100+ provider enrollment and re-enrollment applications monthly across multiple payers.
- Verified provider information using CAQH, NPPES, PECOS, and payer portals, ensuring compliance with payer requirements.
- Coordinated with providers and payer reps to resolve enrollment-related denials, reducing turnaround time by 20%.
- Monitored provider rosters to identify gaps and submitted updates for accuracy.
- Supported compliance audits by maintaining thorough records and documentation.
- Collaborated with credentialing and compliance teams to align provider files with regulatory standards.
- Created and updated enrollment trackers and dashboards for leadership visibility.
- Assisted with escalations, ensuring timely resolution of urgent provider enrollment cases.
- Prepared training materials and guided new team members on enrollment processes.
- Improved efficiency by identifying workflow bottlenecks and recommending automation solutions
Credentialing/Data Entry Specialist
Oakview Capital LLC
Remote
04.2019 - 05.2024
- Entered and maintained credentialing data for 200+ providers monthly with >90% accuracy.
- Processed background checks, education verifications, and licensure validations in compliance with NCQA standards.
- Ensured timely provider re-credentialing by tracking expiration dates and sending reminders.
- Audited credentialing files to meet payer and regulatory compliance standards.
- Uploaded, organized, and updated digital provider files in EMR/EHR systems.
- Partnered with enrollment teams to align credentialing approvals with payer submissions.
- Assisted in creating workflows and checklists to improve credentialing accuracy.
- Resolved data entry discrepancies through cross-checking multiple systems.
- Trained new hires on credentialing systems and data entry protocols.
- Supported leadership with weekly credentialing activity and compliance reports.
Document Processing Specialist
CohnReznick LLP
Bethesda, MD
01.2016 - 02.2021
- Processed and reviewed incoming documents for accuracy and completeness.
- Conducted quality checks and created financial documents, reducing errors by a large percentage
- Troubleshooted problematic documents, improving submission turnaround time
- Led cross-departmental collaboration efforts, resulting in 15% more efficient workflows
- Provided frontline support, resolving 95% of document-related queries and issues
- Implemented new document tracking system, reducing retrieval time 10%
- Participated in multiple training sessions, resulting in a 20% increase in team productivity.
- Resolved discrepancies in documentation by obtaining missing information from sources such as clients or other departments.
- Verified that documents were properly authorized before entering them into the system.
- Performed quality checks on all documents prior to submission for approval or further processing.
Education
Master of Science - Healthcare Administration
University of Maryland Global Campus
Hyattsville, MD05-2021
Bachelor of Science - Human Performance (Sports Medicine)
Howard University
Washington, District of Columbia, DC05-2009
Skills
- Provider Enrollment & Credentialing (CAQH, NPPES, PECOS)
- Effective Communication
- Member Enrollment & Eligibility Verification
- Healthcare Data Entry & Claims Support
- Compliance & Regulatory Documentation (CMS, NCQA, HIPAA)
- Customer Service & Issue Resolution
- Process Improvement & Workflow Optimization
- Data Accuracy & Quality Assurance
- Microsoft Excel, Word, Outlook; EMR/EHR Systems
- Medicare & Medicaid Regulations
- CRM Systems (Salesforce, HubSpot, Zendesk, ServiceNow)
- Documentation Review & Record Maintenance
Timeline
Customer Service Representative
Progressive Insurance
07.2025 - Current
Provider Enrollment /Operations Support Specialist
Randstad
08.2024 - 05.2025
Credentialing/Data Entry Specialist
Oakview Capital LLC
04.2019 - 05.2024
Document Processing Specialist
CohnReznick LLP
01.2016 - 02.2021
Master of Science - Healthcare Administration
University of Maryland Global Campus
Bachelor of Science - Human Performance (Sports Medicine)
Howard University