Summary
Overview
Work History
Education
Skills
Personal Information
Timeline
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Kandice Stevens

Hampton,GA

Summary

Professional in patient care with solid experience in advocacy and support services. Consistently delivers impactful results through strong team collaboration and adaptability to changing needs. Skilled in patient communication, conflict resolution, and navigating healthcare systems. Known for reliability, empathy, and strong focus on achieving positive outcomes.

Overview

11
11
years of professional experience

Work History

Patient Care Advocate/Billing Representative

Accredo Specialty Pharmacy
09.2021 - 04.2025
  • Gather information to create and maintain patient medication profiles
  • Accurately enter patient's prescription information into the pharmacy software as well as maintain patient's medication profile updates.
  • Investigate and solve data entry related escalations
  • Accurately process and adjudicate prescriptions through Kroll pharmacy software
  • Resolve issues related to adjudication
  • Collaborate with other pharmacy team members to ensure that medication is being dispensed on a timely manner for continuation of therapies.
  • Provide exceptional customer service over the phone and through other communication channels
  • Address any billing and invoicing issues in a timely manner
  • Support inventory control and inventory management
  • Escalate complex situations as necessary
  • Advocated for patient needs, ensuring access to medications and services.
  • Coordinated care plans with healthcare providers to optimize patient outcomes.

Customer Service Representative

BroadPath Healthcare/Express Scripts
07.2017 - 05.2021
  • Resolved customer service issues concerning pharmacy benefits for members, providers, physicians, and clients.
  • Researched issues to identify root causes and implement solutions.

Supported members in maximizing benefits from pharmacy distribution programs.

  • Maintain detailed records of all inquiries to improve service efficiency.
  • Coordinated shipment of home delivery medications.
  • Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
  • Responded to customer requests for products, services, and company information.
  • Assisted in medication dispensing, ensuring accuracy and compliance with pharmacy regulations.
  • Collaborated with pharmacists to conduct medication therapy management consultations for patients.

Healthcare Customer Service

Everise
05.2014 - 04.2017
  • Training Junior Team Members 12/2016
  • Customer Loyalty
  • Maintain confidential patient, employee and company information in compliance with company policies and regulatory requirements.
  • Reminder Calls
  • Gather information, assess and fulfill callers' needs and educate on important policies and procedures.
  • Demographics Information
  • Identify, analyze and research systemic issues and made recommendations for resolution.
  • Customer Experience
  • Maintain designated portfolio of customer accounts by contacting customers behind on payment obligations.
  • Payment Collection
  • Support accounts receivable operations within assigned functions.
  • Customer Service Management
  • Patient Registration
  • Enhanced customer satisfaction by providing accurate and timely information on health insurance policies and benefits.
  • Provided ongoing support to clients throughout their policy tenure, addressing any concerns or changes in coverage requirements promptly and professionally.

Education

High School Diploma -

Paul Robeson High School

Skills

  • Health Education
  • Document Filing
  • Training Junior Team Members
  • Customer Loyalty
  • Reminder Calls
  • Information Updates
  • Office Administration
  • Demographics Information
  • Insurance Information Collection
  • Customer Experience
  • Medical Insurance
  • Payment Collection
  • Customer Service Management
  • Patient Registration
  • Clinical Data Entry
  • Appointment Confirmation
  • HIPAA Compliance
  • LAN and WAN Configurations
  • Directing Callers
  • Outbound Calling
  • Benefits Explanations
  • Microsoft Office

Personal Information

Title:

Timeline

Patient Care Advocate/Billing Representative

Accredo Specialty Pharmacy
09.2021 - 04.2025

Customer Service Representative

BroadPath Healthcare/Express Scripts
07.2017 - 05.2021

Healthcare Customer Service

Everise
05.2014 - 04.2017

High School Diploma -

Paul Robeson High School
Kandice Stevens