Candice Young
Raleigh,NC
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
15
15
years of professional experience
Work History
EviCore By Evernorth (Cigna)
Physicians Support Unit Rep
Raleigh, NC
01.2022 - Current
- Ensured compliance with HIPAA guidelines when handling sensitive information relating to patient accounts receivables.
- Evaluated existing workflow processes related to physician billing operations and made recommendations for improvement where applicable.
- Developed and maintained billing policies, procedures, and processes to ensure accuracy in billing services.
- Researched and resolved payment discrepancies with insurance companies by providing necessary documentation as requested.
- Assisted in audits conducted by external auditors or state agencies related to physician billing compliance standards.
- Analyzed patient accounts for accurate coding of insurance claims and submitted them electronically to insurance companies.
- Provided training to staff members regarding billing functions, such as coding, filing insurance claims, collections process.
Owner/Manager
Premium Weft, LLC
Wilmington, NC
01.2016 - Current
- Recruiting, training, supervising and appraising staff
- Maintaining statistical and financial records
- Dealing with customer queries and complaints
- Maximizing profitability and setting/meeting sales targets, including motivating staff to do so
- Ensuring compliance with health and safety regulations.
Patient Accts Rep
WakeMed Health & Hospitals
Raleigh, NC
12.2020 - 01.2022
- Identified patients and completed registration process in the Emergency Department
- Obtained financial and demographic information to ensure optimal reimbursement.
- Verified active coverage for Medicare, Medicaid, and Commercial Insurance
- Managed and organized scanned documentation in the electronic ED chart, such as insurance cards, identification cards, and other medical record documents.
- Distributed WakeMed's Notice of Privacy Practices, notice of Patient Rights/Responsibilities and Financial Policy.
- Promoted the Wake Way and supported WakeMed's Mission, Vision and Values through all duties and assignments.
Referral Coordinator(Front Desk Lead)
EmergeOrtho
Wilmington, NC
12.2013 - 03.2017
- Used practice management software to efficiently carry out assigned tasks
- Created and maintained accurate patient account records in the practice management system
- Maintained caring, cooperative, and understanding demeanor to uphold company values and foster a patient-centric atmosphere.
- Organized electronic patient records based on referral status and imported into the EMR
- Experienced in implementing and adhering to HIPAA regulations
- Conducted training sessions for new staff on EMR system and reception tasks
- Monitored and adjusted staff schedules to accommodate requested time off.
Dispatcher
First Med
Wilmington, NC
05.2009 - 12.2013
- Assisted Hospitals, Nursing Facilities, and Transfer Centers in arranging transportation for patients through non-emergency phone inquiries
- Entered all necessary medical information and patient locations into system, ensuring efficient dispatch of available crews
- Maintained communication with all units on assignment, ensuring accurate status updates and locations of ambulances throughout the entire transport process
- Updated facilities or residences with expected arrival times for transport or drop off of patient
- Operate communication equipment such as radios, telephones, and computer systems
- Addressed and resolved compliments or complaints from both transport and crew members.
Education
Healthcare Management -
University of Mount Olive
06.2024
Diploma -
North Brunswick High
Skills
- Mobile notary services
- Medical Terminology
- Patient evaluations
- HIPAA Compliance
- Strong interpersonal skills
- Record maintenance
- Follow-up skills
- Claims Processing
- Multitasking and Organization
- Patient Education
- Microsoft Excel and PowerPoint
Timeline
EviCore By Evernorth (Cigna)
Physicians Support Unit Rep
01.2022 - Current
Patient Accts Rep
WakeMed Health & Hospitals
12.2020 - 01.2022
Owner/Manager
Premium Weft, LLC
01.2016 - Current
Referral Coordinator(Front Desk Lead)
EmergeOrtho
12.2013 - 03.2017
Dispatcher
First Med
05.2009 - 12.2013
Healthcare Management -
University of Mount Olive
Diploma -
North Brunswick High
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