CANDACE WALLACE
Randallstown,MD
Summary
Knowledgeable and personable certified phlebotomist/medical assistant with an exceptional background bringing over 20+ years of hands-on experience handling and balancing problematic administrative and clinical duties to achieve patient satisfaction. Quality-driven and safety-oriented with excellent interpersonal and relationship-building abilities. Offering a thorough understanding of the medical registration process and procedures to streamline client processing. Compassionate and respectful collaborator recognized for delivering high-quality healthcare and excellent customer service. Experienced in collaborating across disciplines to support patient needs and enhance care.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Claims Analyst/Claims Examiner
Cigna-HealthSpring
Baltimore, MD
11.2009 - Current
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Analyzed information gathered by investigations and reported findings and recommendations.
- Analyzed claim data to identify trends and recommend process improvements.
- Reduced loss ratios through fair and prompt processing of claims.
- Conducted investigations to gather evidence in support of claims resolution.
- Followed all company procedures to keep data confidential.
- Prepared detailed reports on claim status, payment history, and other relevant information.
- Researched applicable laws and regulations related to insurance policies and procedures.
- Managed escalated cases involving high-value claims or multiple parties involved.
- Participated in meetings with internal departments or external vendors as necessary to discuss disputed claims or other related matters.
Medical Assistant/Phlebotomist
Military Entrance Processing Station
Fort George G Meade, MD
10.2008 - 03.2009
- Labeled and completed lab requisitions using ICD and CPT coding.
- Performed basic laboratory tests such as urinalysis and blood glucose levels under direct supervision of a physician or registered nurse.
- Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analysis.
- Incorporated outside records into charts and EHR.
- Conducted EKGs, spirometry testing, audiograms and other diagnostic tests as requested by the physician.
- Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
- Collected samples from patients for laboratory testing purposes.
- Administered medications under physician's supervision.
- Assisted back office patient processes to reduce office wait times.
- Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
- Monitored vital signs of hospitalized patients throughout their stay at the hospital or clinic setting.
- Answered phones, scheduled appointments and managed patient flow while greeting visitors in a professional manner.
- Measured vital signs and took medical histories to prepare patients for examination.
- Prepared treatment rooms for patient examinations.
- Verified appointment times with patients, preparing charts, pre-admission and consent forms.
- Adhered to HIPAA regulations regarding safeguarding confidential patient information at all times.
- Collected, labeled and stored laboratory specimens properly prior to testing.
- Maintained accurate medical records through filing, charting, transcription and data entry into electronic health record system.
- Handled general office duties to support administrative staff during peak hours.
- Kept examination rooms clean, stocked with necessary supplies and prepared for incoming patients.
- Registered new patients into practice management software program accurately entering demographic information.
- Conducted routine laboratory tests and sample analyses to monitor diseases.
- Secured patient information and maintained patient confidence by completing and safeguarding medical records.
- Educated patients about medications, procedures and physician's instructions.
- Positioned patients properly during examination or treatment for comfort and safety.
- Assessed, documented and monitored vital signs for patients within outpatient setting.
- Ordered medical supplies, maintained inventory logs and restocked exam rooms when needed.
- Inspected equipment to ensure proper working order prior to use on patients.
- Oversaw patient registration, insurance verification, form completion and appointment scheduling to maintain operational efficiency.
- Administered injections, medications and treatments as directed by the physician.
- Organized charts, documents and supplies to maintain team productivity.
Medical Assistant/Phlebotomist
HealthSpringConcentra Medical Center
Jessup, MD
05.2005 - 10.2008
- Ensured that all instruments used during exams were cleaned properly after each use according to established protocols.
- Oversaw patient registration, insurance verification, form completion and appointment scheduling to maintain operational efficiency.
- Registered new patients into practice management software program accurately entering demographic information.
- Positioned patients properly during examination or treatment for comfort and safety.
- Conducted routine laboratory tests and sample analyses to monitor diseases.
- Processed orders for medical supplies and lab equipment.
- Responded to patient callbacks and phone-in prescription refill requests.
- Inspected equipment to ensure proper working order prior to use on patients.
- Administered injections, medications and treatments as directed by the physician.
- Assessed, documented and monitored vital signs for patients within outpatient setting.
- Educated patients on healthcare topics such as nutrition and disease prevention methods.
- Collected samples from patients for laboratory testing purposes.
- Scheduled appointments for patients via phone and in person.
- Adhered to HIPAA regulations regarding safeguarding confidential patient information at all times.
- Supported administrative staff by processing payments.
- Conducted patient interviews to gather health history, vital signs and information about current medical issues.
- Organized charts, documents and supplies to maintain team productivity.
- Explained treatment procedures and physicians' instructions.
- Answered phones, scheduled appointments, greeted patients and ordered supplies.
- Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
- Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
- Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
- Performed preliminary physical tests to accurately record results in patient history summary.
- Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analysis.
- Provided assistance to medical staff in performing minor surgical procedures.
Education
Bachelor of Science - Health Information Technology
Rasmussen College - Topeka
Remote06-2025
Medical Assisting
Fortis College (Formerly MEDIX)
Randallstown, MD06-2000
Bachelor of Science - Health Administration
University of Phoenix
Tempe, AZSkills
- HIPAA Compliance
- Data Entry
- Medical Billing
- Patient-Focused Care
- Patient Scheduling
- Phlebotomy
- Medical Terminology
- Understands Medical Procedures
- Medical Equipment Operation
- Patient Relations
- Customer Service
- Medical Records Management
- Infection Control Procedures
- Direct Patient Care
- Quick Problem Solver
- Preparing Specimens and Samples
- Medical Terminology Proficiency
- Organizational Abilities
- Quality Assurance Checks
- Meticulous Recordkeeping
Accomplishments
I have been on the Honor Roll all four semesters of 2023.
I launched my Mobile Phlebotomy business in 2023.
I have held multiple positions as a team lead in both the clinical and administrative sectors of healthcare.
Languages
English
Full Professional
Affiliations
I volunteer my medical services, training and knowledge at my local church.
Certification
- CPT - Certified Phlebotomy Technician (AAPT)
- Certification Number: 4878-220
References
References available upon request.
Timeline
Claims Analyst/Claims Examiner
Cigna-HealthSpring
11.2009 - Current
Medical Assistant/Phlebotomist
Military Entrance Processing Station
10.2008 - 03.2009
Medical Assistant/Phlebotomist
HealthSpringConcentra Medical Center
05.2005 - 10.2008
Bachelor of Science - Health Information Technology
Rasmussen College - Topeka
Medical Assisting
Fortis College (Formerly MEDIX)
Bachelor of Science - Health Administration
University of Phoenix
- CPT - Certified Phlebotomy Technician (AAPT)
- Certification Number: 4878-220
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