Kandice Stevens
Hampton
Summary
Detail-oriented healthcare insurance professional with over 10 years of experience in member assistance, complex inquiry resolution, and insurance processing. Expertise in benefits verification, claims support, billing, data entry, and HIPAA compliance. Effectively managed high-volume workloads while ensuring accuracy and customer satisfaction.
Overview
9
9
years of professional experience
Work History
Patient Care Advocate/Billing Representative
Accredo Specialty Pharmacy
Orlando
03.2023 - 05.2026
- Supported specialty pharmacy patients and healthcare providers by addressing inquiries and facilitating access to medications.
- Assisted with prescription order status, billing questions, and account updates.
- Processed customer payments, billing adjustments, and account updates with accuracy.
- Reviewed invoices and explained charges, balances, and payment options to customers.
- Supported specialty pharmacy patients and healthcare providers by addressing inquiries and facilitating access to medications.
- Maintained HIPAA compliance and patient confidentiality.
- Handled a high volume of inbound customer interactions.
Customer Service Representative
BroadPath Healthcare/Express Scripts
Tucson
07.2017 - 02.2023
- Assisted members with healthcare benefits, eligibility, and coverage questions.
- Resolved billing and claim-related concerns while maintaining service quality standards.
- Documented interactions accurately in CRM systems.
- Met productivity and quality assurance goals consistently.
- Collaborated with providers and insurance carriers to resolve issues.
- Implemented workflow enhancements that increased productivity and improved overall customer experience.
Healthcare Customer Service
Everise
Fort Lauderdale
06.2018 - 12.2020
- Supported patients and healthcare providers by addressing inquiries and resolving issues.
- Validated insurance coverage and benefits information to ensure adherence to policy standards and facilitate patient confidentiality
- Validated insurance coverage and benefits information to ensure compliance with policy standards.
- Managed numerous incoming customer interactions daily.
- Processed enrollment applications and maintained accurate member records.
- Educated members on plan details and enrollment procedures.
Education
High School Diploma -
Paul Robeson High School
Chicago, ILSkills
- Health Insurance Support
- Claims Processing
- Benefits Verification
- Billing resolution
- HIPAA Compliance
- Patient Interaction
- Member Services
- Customer Service
- CRM Systems
- Data Entry & Documentation
- Problem Resolution
- Microsoft Office Suite
Timeline
Patient Care Advocate/Billing Representative
Accredo Specialty Pharmacy
03.2023 - 05.2026
Healthcare Customer Service
Everise
06.2018 - 12.2020
Customer Service Representative
BroadPath Healthcare/Express Scripts
07.2017 - 02.2023
High School Diploma -
Paul Robeson High School