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ABRIL B. AGNEW
CURRENT ADDRESS 2004H LONGLEAF DRIVE, HOOVER, AL 35216  (256) 335-4278
E-MAIL  ABRILAGNEW@GMAIL.COM
PROFILE
Health Promotion graduate from the University of North Alabama with experience in various areas of
healthcare from administration to clinical. Now seeking to leverage my experience, skills, and education in a
new position in healthcare due to the dissolving of my current department.
EDUCATION
Bachelor of Science– Interdisciplinary Studies
Concentration: Health Promotion
University of North Alabama
May 2014
PROFESSIONAL EXPERIENCE
Credentialing Specialist September 2015-Present
Provider Network Operations, Viva Health, Inc.
 Processed new provider applications for participation status to provide care to members of health plan by
performing initial onboarding loading for all new providers, including data entry and review of necessary
documents
 Maintained information in Cactus database for all providers and locations in our network after extensive clean up
 Researched potential adverse issues with providers to present to the medical director for review and decision
 Performed primary source verifications of all new providers in accordance with NCQA and JHACO regulations ie
residency, medical school, board certification, DEA, NPDB, SAM, OIG, etc. to prepare applicants for internal
credentialing committee
 Executed termination procedures based upon withdrawal from process procedures
 Completed various projects for management by or before deadlines
 Coordinated with Provider Engagement, Office Contacts, Credentialing Contacts to complete credentialing process
Cast Member, Cashier November 2014-Present
Sephora, Riverchase Galleria-Birmingham
Credentialing Specialist October 2014-September 2015
Credentialing Department, American Family Care, Inc.
 Maintained information in IntelliCred database for all providers and locations in our network after extensive clean
up
 Audited information in database and imparted quality oversight and analysis
 Maintained Microsoft Access to run exports for insurance companies we were delegated with
 Performed initial onboarding loading for all new providers, including data entry and review of necessary
documents
 Executed monthly searches for sanctions including licenses, OIG, SAM, Medicare Opt-Out
 Performed primary source verifications of all new providers in accordance with NCQA and JHACO regulations ie
residency, medical school, board certification, NPDB, SAM, OIG, etc. to prepare applicants for internal
credentialing committee
 Analyzed potential red flag/adverse data and imported into database
 Executed termination procedures based upon EAF’s
 Performed monthly CMO review of adverse issues
 Updated provider’s DEA addresses for purchasing supplies
 Prepared agenda, adverse overview, and minutes for credentialing committee
ABRIL B. AGNEW PAGE-2-
 Coordinated with Provider Enrollment Specialists, Recruiting, Physician Liaisons, and Clinic Managers
Medical Scribe August 2014-December 2014
Scribe America, Emergency Department, St. Vincent’s Hospital-Birmingham
 Documented all aspects of physician encounter with patients and patient visit in the ED into patient’s EHR
including History of Present Illness, Review Of Symptoms, Past Medical/Family/Social History, and Medical
Decision Making
 Certified in medical terminology, medical billing and coding, and medical documentation
 Recorded EKG, X-Ray’s, CT’s, and Lab results
Senior Resident Advisor January 2012-May 2014
Department of Residence Life, University of North Alabama
 Managed cluster/community style resident assistant staff and a floor of 50 on-campus residents as well as
Participated on work groups/project work enhancing existing First-Year Experience Program
 Participate in Resident Advisor selection by interviewing potential RA’s, collaborating on judicial background
checks, and other duties as assigned by the committee.
 Assist the area coordinator with assignments and duties such as; meeting with staff members, inventorying rooms
 Performed office assistant duties including answering the phone, greeting office visitors, resolving conflict issues
in the office, making copies, managing schedules
Office Assistant/Student Worker September 2010-May 2014
Office of the Vice President for Academic Affairs and Provost, University of North Alabama
• Managed execution of various departmental projects and meeting deadlines set forth for completion
• Maintained daily inter-campus items by picking-up and delivering items, collecting and mailing correspondence,
of supplies and equipment
• Performed daily office activities such as answering phones, taking messages, managing schedules and making
copies
• Managed office equipment and supplies by completing preventive maintenance; troubleshooting failures;
calling for repairs; monitoring equipment operation; placing orders
HEALTH RELATED EXPERIENCE
Summer Health Enrichment Program June 2014-July 2014
Department of Diversity and Multicultural Affairs, University of Alabama at Birmingham School of Medicine
 Shadowed physicians in clinical settings while observing the doctor’s methods and got to interact with patients in a
medical setting,
 Practiced medical techniques in a medical simulation lab
 Participated in community service activities
Student Physician Observer June 2014-Present
Various Physician Offices and Clinics
• Dr. Hussein Abdul-Latif
• Dr. Samuel E. Almodovar
• Dr. James Kirklin
• Dr. Douglas Minnich
• Dr. Chrystal Rutledge
• Dr. Brian Sims
2013 Summer International Program July 2013
Office of International Affairs, China Medical University Taiwan
• Studied abroad as an international student with 50+ students from 20+ countries
• Participated in classes specifically designed to expose students to different forms of healthcare in Taiwan
• Learned the history and practice of acupuncture and its role in medicine and medical students study at CMU
• Experienced Taiwanese culture through adventures and excursions including writing Mandarin and the local
cuisine
ABRIL B. AGNEW PAGE-3-
COLLEGIATE AWARDS/EXTRACURRICULAR ACTIVITIES
UNA Hall of Fame Recipient May 2014
Residence Life Student Staff Member of the Year May 2014
Student Employee of the Year Nominee March 2014
Lauderdale County Animal Shelter Volunteer January 2014-May 2014
National Society of Leadership and Success Member December 2013-Present
Promising Alumni 2013-2014
China Medical International Program July 2013
Top 5 International Participants CMU July 2013
Dean’s List Spring 2013,Fall 2012, Spring 2012
Rising Star Award, Residence Life May 2012
Live-On Requirement Committee March 2012-December 2012
CPR Certified Spring 2012
ABRIL B. AGNEW PAGE-4-
REFERENCES
Ms. Reshonda Bowie
Supervisor-Credentialing Department
VIVA Health, Inc.
417 20th St N, Suite 1100,
Birmingham, AL 35203
(205) 558-7536
rbowie@uabmc.edu
Ms. Bethany Eskew
Specialist-Assistant Store Director
Sephora-Riverchase Galleria
2000 Riverchase Galleria, Ste 259
Hoover, AL 35244
(205) 403-9920
sephora.riverchasegalleria@sephora.com
Ms. Regina Wallace
Credentialing Specialist, Credentialing Department
American Family Care
3700 Cahaba Beach Road
Birmingham, AL 35242
(205) 745-4291
rawallace@AMERICANFAMILYCARE.com
Ms. Renee’ Vandiver
Assistant to the Vice President for Academic Affairs and Provost, Academic Affairs
University of North Alabama
UNA Box 5041
Florence, AL 35632
(256) 765-4258
rpvandiver@una.edu

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Resume Abril Agnew January 2016.

  • 1. ABRIL B. AGNEW CURRENT ADDRESS 2004H LONGLEAF DRIVE, HOOVER, AL 35216  (256) 335-4278 E-MAIL  ABRILAGNEW@GMAIL.COM PROFILE Health Promotion graduate from the University of North Alabama with experience in various areas of healthcare from administration to clinical. Now seeking to leverage my experience, skills, and education in a new position in healthcare due to the dissolving of my current department. EDUCATION Bachelor of Science– Interdisciplinary Studies Concentration: Health Promotion University of North Alabama May 2014 PROFESSIONAL EXPERIENCE Credentialing Specialist September 2015-Present Provider Network Operations, Viva Health, Inc.  Processed new provider applications for participation status to provide care to members of health plan by performing initial onboarding loading for all new providers, including data entry and review of necessary documents  Maintained information in Cactus database for all providers and locations in our network after extensive clean up  Researched potential adverse issues with providers to present to the medical director for review and decision  Performed primary source verifications of all new providers in accordance with NCQA and JHACO regulations ie residency, medical school, board certification, DEA, NPDB, SAM, OIG, etc. to prepare applicants for internal credentialing committee  Executed termination procedures based upon withdrawal from process procedures  Completed various projects for management by or before deadlines  Coordinated with Provider Engagement, Office Contacts, Credentialing Contacts to complete credentialing process Cast Member, Cashier November 2014-Present Sephora, Riverchase Galleria-Birmingham Credentialing Specialist October 2014-September 2015 Credentialing Department, American Family Care, Inc.  Maintained information in IntelliCred database for all providers and locations in our network after extensive clean up  Audited information in database and imparted quality oversight and analysis  Maintained Microsoft Access to run exports for insurance companies we were delegated with  Performed initial onboarding loading for all new providers, including data entry and review of necessary documents  Executed monthly searches for sanctions including licenses, OIG, SAM, Medicare Opt-Out  Performed primary source verifications of all new providers in accordance with NCQA and JHACO regulations ie residency, medical school, board certification, NPDB, SAM, OIG, etc. to prepare applicants for internal credentialing committee  Analyzed potential red flag/adverse data and imported into database  Executed termination procedures based upon EAF’s  Performed monthly CMO review of adverse issues  Updated provider’s DEA addresses for purchasing supplies  Prepared agenda, adverse overview, and minutes for credentialing committee
  • 2. ABRIL B. AGNEW PAGE-2-  Coordinated with Provider Enrollment Specialists, Recruiting, Physician Liaisons, and Clinic Managers Medical Scribe August 2014-December 2014 Scribe America, Emergency Department, St. Vincent’s Hospital-Birmingham  Documented all aspects of physician encounter with patients and patient visit in the ED into patient’s EHR including History of Present Illness, Review Of Symptoms, Past Medical/Family/Social History, and Medical Decision Making  Certified in medical terminology, medical billing and coding, and medical documentation  Recorded EKG, X-Ray’s, CT’s, and Lab results Senior Resident Advisor January 2012-May 2014 Department of Residence Life, University of North Alabama  Managed cluster/community style resident assistant staff and a floor of 50 on-campus residents as well as Participated on work groups/project work enhancing existing First-Year Experience Program  Participate in Resident Advisor selection by interviewing potential RA’s, collaborating on judicial background checks, and other duties as assigned by the committee.  Assist the area coordinator with assignments and duties such as; meeting with staff members, inventorying rooms  Performed office assistant duties including answering the phone, greeting office visitors, resolving conflict issues in the office, making copies, managing schedules Office Assistant/Student Worker September 2010-May 2014 Office of the Vice President for Academic Affairs and Provost, University of North Alabama • Managed execution of various departmental projects and meeting deadlines set forth for completion • Maintained daily inter-campus items by picking-up and delivering items, collecting and mailing correspondence, of supplies and equipment • Performed daily office activities such as answering phones, taking messages, managing schedules and making copies • Managed office equipment and supplies by completing preventive maintenance; troubleshooting failures; calling for repairs; monitoring equipment operation; placing orders HEALTH RELATED EXPERIENCE Summer Health Enrichment Program June 2014-July 2014 Department of Diversity and Multicultural Affairs, University of Alabama at Birmingham School of Medicine  Shadowed physicians in clinical settings while observing the doctor’s methods and got to interact with patients in a medical setting,  Practiced medical techniques in a medical simulation lab  Participated in community service activities Student Physician Observer June 2014-Present Various Physician Offices and Clinics • Dr. Hussein Abdul-Latif • Dr. Samuel E. Almodovar • Dr. James Kirklin • Dr. Douglas Minnich • Dr. Chrystal Rutledge • Dr. Brian Sims 2013 Summer International Program July 2013 Office of International Affairs, China Medical University Taiwan • Studied abroad as an international student with 50+ students from 20+ countries • Participated in classes specifically designed to expose students to different forms of healthcare in Taiwan • Learned the history and practice of acupuncture and its role in medicine and medical students study at CMU • Experienced Taiwanese culture through adventures and excursions including writing Mandarin and the local cuisine
  • 3. ABRIL B. AGNEW PAGE-3- COLLEGIATE AWARDS/EXTRACURRICULAR ACTIVITIES UNA Hall of Fame Recipient May 2014 Residence Life Student Staff Member of the Year May 2014 Student Employee of the Year Nominee March 2014 Lauderdale County Animal Shelter Volunteer January 2014-May 2014 National Society of Leadership and Success Member December 2013-Present Promising Alumni 2013-2014 China Medical International Program July 2013 Top 5 International Participants CMU July 2013 Dean’s List Spring 2013,Fall 2012, Spring 2012 Rising Star Award, Residence Life May 2012 Live-On Requirement Committee March 2012-December 2012 CPR Certified Spring 2012
  • 4. ABRIL B. AGNEW PAGE-4- REFERENCES Ms. Reshonda Bowie Supervisor-Credentialing Department VIVA Health, Inc. 417 20th St N, Suite 1100, Birmingham, AL 35203 (205) 558-7536 rbowie@uabmc.edu Ms. Bethany Eskew Specialist-Assistant Store Director Sephora-Riverchase Galleria 2000 Riverchase Galleria, Ste 259 Hoover, AL 35244 (205) 403-9920 sephora.riverchasegalleria@sephora.com Ms. Regina Wallace Credentialing Specialist, Credentialing Department American Family Care 3700 Cahaba Beach Road Birmingham, AL 35242 (205) 745-4291 rawallace@AMERICANFAMILYCARE.com Ms. Renee’ Vandiver Assistant to the Vice President for Academic Affairs and Provost, Academic Affairs University of North Alabama UNA Box 5041 Florence, AL 35632 (256) 765-4258 rpvandiver@una.edu