Summary
Overview
Work History
Education
Skills
References
Work Availability
Work Preference
Software
Quote
Timeline
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Candise Polanco

Candise Polanco

Stafford,VA

Summary

Accomplished Clinical Laboratory Assistant with a proven track record at specializing in efficient data management and fostering strong relationships across healthcare teams. Implemented a pilot program slashing blood contamination rates to under 2%. Expert in phlebotomy and insurance verification, I excel in enhancing digital health solutions and patient care quality.

Overview

21
21
years of professional experience

Work History

Clinical Laboratory Assistant

Aya Healthcare
San Diego, CA
06.2020 - 12.2024
  • Manage patient data collection and documentation
  • Coordinate with distributed teams across multiple time zones
  • Collect, label, and safely store specimens for laboratory testing
  • Perform basic laboratory tests
  • Manage digital health records and laboratory systems remotely
  • Record and interpret test results and enter data into computer systems
  • Adhere to laboratory safety procedures and guidelines
  • Communicate with physicians, nurses, and other healthcare professionals
  • Verify patient information and process 200+ orders a day
  • Facilitate seamless data flow across healthcare teams virtually
  • Implemented a pilot program that reduced blood contamination rates to less than 2%
  • Conduct virtual training for new employees

Lead Phlebotomist

Spotsylvania Regional Medical Center
Fredericksburg, VA
03.2020 - 04.2021
  • Performed venipuncture and capillary punctures to collect blood samples.
  • Supervised the phlebotomy team.
  • Implemented and maintained safety protocols.
  • Managed the inventory of phlebotomy supplies and ordered new stock as necessary.
  • Responsible for training new phlebotomy staff.
  • Addressed patient concerns and questions regarding the blood draw process.
  • Collaborated with multiple healthcare providers to verify and process orders by insurance regulations.
  • Assisted with insurance verification for blood tests, and processed insurance claims.
  • Managed patient records.
  • Conducted virtual training for new employees due to new pandemic protocols.

Insurance Verification Specialist

Inova Health Systems
Alexandria, VA
12.2003 - 04.2020
  • Provided resolutions for pending claims within allowable timeframes.
  • Documented and reported claims submissions.
  • Solely responsible for all insurance verification processes, including blood tests, preventative tests, imaging, intensive outpatient programs, substance abuse programs, partial hospitalization programs, Autism testing, ADHD testing, behavioral health, and mental health claims.
  • Managed payer response reports and rejection reports.
  • Maintained knowledge of payer requirements, 1500 standards, and system functionality.
  • I worked on all assigned Epic billing and claim edits daily.
  • Processed claims and checked statuses for all payer types (Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.). Processed EPIC charge reviews and claim edits.
  • Assured that all assigned claims met clearinghouse and/or payer processing criteria.
  • Processed insurance appeals.
  • Effectively interpret coding reimbursements.

Education

Bachelor of Science - Health Management

University of Phoenix
Phoenix, AZ
12.2026

Associate’s degree - Health Sciences

Northern Virginia Community College
Woodbridge, VA
05.2022

Skills

  • Phlebotomy
  • Insurance verification
  • Venipuncture
  • Health Information Systems (HIS)
  • Efficient Data Management
  • Digital Health Solutions
  • Vital Signs
  • Laboratory Experience
  • CPR/First Aid
  • Virtual Patient Logistics
  • HIPAA compliance
  • Laboratory safety
  • Claims processing
  • Medical Terminology and Coding
  • Quality Assurance Management
  • Relationship Building
  • Clinical documentation
  • Customer service
  • Data Interpretation
  • Insurance audits and analysis

References

References are available upon request.

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference

Work Type

Full TimePart TimeContract WorkInternship

Work Location

Remote

Important To Me

Career advancementWork-life balanceCompany CultureFlexible work hoursPersonal development programsWork from home optionPaid time off

Software

Epic

Meditech

Sunquest

Cerner

Quote

There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins

Timeline

Clinical Laboratory Assistant

Aya Healthcare
06.2020 - 12.2024

Lead Phlebotomist

Spotsylvania Regional Medical Center
03.2020 - 04.2021

Insurance Verification Specialist

Inova Health Systems
12.2003 - 04.2020

Bachelor of Science - Health Management

University of Phoenix

Associate’s degree - Health Sciences

Northern Virginia Community College

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Candise Polanco