Summary
Overview
Work History
Education
Skills
Timeline
Generic

Candace Plumley

Prescott,AZ

Summary

Physician and patient-focused, Director of Accounts, offering more than 30 years of expertise in Practice Management and Billing. Business-savvy and accomplished in driving growth when leading teams and continuously improving work flows on accounting side of patient care. Prepared to bring leadership, talent and expertise to growing Health Care organization. Ready to maximize my management and billing experience to cultivate and enhance practice revenue.

Overview

34
34
years of professional experience

Work History

Director of Accounts

Physicians Management Solutions, Inc.
Torrance, CA
12.2002 - Current

Remotely managing Arizona and California locations, overseeing staff and client accounts Daily duties include practice management, consulting, physician and client services, billing, payment posting, collections, and aging., Other duties, when necessary, include human resources, cash handling, and deposits.

Billing Office Supervisor

Vista Health
Fort Mohave, AZ
06.2017 - 01.2024

Oversee billing department staff with payment posting, claims adjudication, denial appeals etc with personal daily duties of electronic retrieving, scrubbing, and billing of office based claims. Manage billing calendar and schedule claims for payments. Monitor aging, account status, and collections.

Office Manager

Cardiovascular Specialists of Arizona
Bullhead City, AZ
10.1999 - 12.2002

Coordinated office operations and managed staff to secure efficiency and compliance within all departments of office relating to health care policies. New practice, helped in initial implementation of electronic medical management system in office. Daily duties consisted of managing staff, local HR, coordination of billing, coordination of doctor schedules and appointment lists.

Lead Insurance Specialist

Mohave Valley Hospital and Medical Center
Bullhead City, AZ
02.1996 - 10.1999

Diligently filed and followed up on claims. Managed denials, late payments, extensions and other special circumstances by following up with relevant parties. Documented and tracked customer account details. Analyzed insurance organizational structures, and insurance contracts. Filled in for Financial Director when she was out.

Office Manager

Bullhead Medical Center
Bullhead City, AZ
06.1991 - 02.1996

Managed all aspects of the practice from front end to back which included lab, radiology, billing and 3-4 providers. Ordering, patient management, advertising, payroll etc.

Education

Bachelor of Science - Health Care Administration

University of Phoenix
Tempe, AZ
09.2014

Associate of Arts - Health Care Administration

University of Phoenix
Tempe, AZ
03.2011

Skills

  • Medical Billing
  • Coding Terminology
  • EMR/EHR
  • Credentialing
  • Revenue Cycle
  • Practice Management
  • Planning and organization
  • Training and coaching
  • HIPPA
  • Medicare/Medicaid
  • Communication Skills
  • Leadership and Performance

Timeline

Billing Office Supervisor

Vista Health
06.2017 - 01.2024

Director of Accounts

Physicians Management Solutions, Inc.
12.2002 - Current

Office Manager

Cardiovascular Specialists of Arizona
10.1999 - 12.2002

Lead Insurance Specialist

Mohave Valley Hospital and Medical Center
02.1996 - 10.1999

Office Manager

Bullhead Medical Center
06.1991 - 02.1996

Bachelor of Science - Health Care Administration

University of Phoenix

Associate of Arts - Health Care Administration

University of Phoenix
Candace Plumley