Kandyce Doane
Elverta,CA
Summary
Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims.
Overview
23
23
years of professional experience
Work History
Medical Claims Specialist
Roseville Cardiology Medical Associates
Roseville, CA
10.2022 - 07.2026
- Reviewed claim submissions for accuracy, resolving discrepancies to expedite approvals.
- Coordinated with insurance providers to clarify coverage details and streamline reimbursement processes.
- Processed medical claims efficiently, ensuring compliance with healthcare regulations.
Charge Posting & AR Follow-up
Capitol Interventional Cardiology
Carmichael, CA
10.2019 - 10.2022
- Demonstrated self-motivation by completing tasks independently and efficiently.
- Adapted quickly to fast-paced environments while managing multiple tasks.
- Collaborated with team members and worked independently to achieve common goals.
- Learned new skills quickly to adapt to changing work environments.
Billing Manager
Sacramento Heart & Vascular
Sacramento, CA
04.2003 - 10.2019
- Oversaw claim resolutions and coordinated appeals for aging accounts, driving improvements in Medicare billing operations. Played a key role in Sacramento Heart's success as a Medicare biller since April 2003, optimizing billing processes for enhanced performance.
- Led team of 15 staff handling more than $200,000.00 in monthly charges.
- Led billing office in absence of Billing Manager, overseeing time cards, charge posting production, and month-end reporting.
- Billing Manager: (2012 to current) Manage the billing office. Responsibilities include revenue collection, charge posting production, AR management, month end reporting receipts/charges/physician production. Daily management of CPS computer system. Responsible for Eligibility & Authorizations and New Patient Referrals departments.
- Directed a team of 15 employees to effectively manage and process over $200,000 in monthly billing charges.
- Billing Office Lead: Managed the Billing office in the absence of Billing Manager. Duties included, time cards, charge posting production, completing month end reporting.
- Hospital Charge Processing/Posting: The hospital billing included echos, heart catheterizations, cardiac stenting & peripheral angiography & stenting.
- Set up and maintained the GE CPS electronic billing system.
- Created and implemented standard operating procedures, enhancing billing accuracy and optimizing cash flow.
Education
Associate of Science - Business
Yuba College
Marysville, CA01-1993
Skills
- Accounts receivable management
- Team management
- Claims coordination
- Quality assurance
- Claims processing
- Problem-solving
- Effective time management
- Problem-solving
- Staff training
- Conflict resolution
- Regulatory compliance
- Insurance verification
Timeline
Medical Claims Specialist
Roseville Cardiology Medical Associates
10.2022 - 07.2026
Charge Posting & AR Follow-up
Capitol Interventional Cardiology
10.2019 - 10.2022
Billing Manager
Sacramento Heart & Vascular
04.2003 - 10.2019
Associate of Science - Business
Yuba College