Candice Campbell
Tampa ,FL
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
17
17
years of professional experience
Work History
Overnight Stocker
Walmart
10.2023 - Current
- Maintained proper storage of overstock items, keeping backroom areas organized and accessible for future use.
- Removed all boxes and related trash from sales floor and processed through compactors.
- Used dollies and pallet jacks to unload and organize merchandise from delivery trucks.
- Ensured timely completion of nightly stocking tasks, optimizing store readiness for the following day''s operation.
- Scanned shelves and product cases to locate expired, outdated, and spoiled items.
- Assisted customers by finding items quickly to boost store satisfaction rates.
- Maintained neat, organized stockroom free of hazards.
Senior Claim Customer Service
Centene
03.2022 - Current
- Resolved customer service issues using company processes and policies and provided updates to customers.
- Escalated issues to proper supervisors when standard processes were not effective.
- Researched and rapidly resolved client conflicts to maintain key accounts.
- Handled customer inquiries and complaints with professionalism to restore satisfaction.
- Utilized active listening skills to understand customer needs and provide tailored solutions.
- Trained and directed new employees in call script use, conflict resolution, and data entry practices to boost customer satisfaction ratings.
Insurance Verification Specialist
Apria Healthcare
10.2015 - 02.2020
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Developed strong relationships with insurance representatives, facilitating smooth communication channels for resolving inquiries or disputes.
Claims Associate
HealthPlan Services
10.2014 - 10.2015
- Maintained confidentiality of patient finances, records, and health statuses.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Verified client information by analyzing existing evidence on file.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Processed and recorded new policies and claims.
- Determined appropriateness of payers to protect organization and minimize risk.
Intake Coordinator
WellCare Health Plans Inc.
06.2008 - 02.2011
- Completed intake assessment forms and filed clients' charts.
- Answered phone calls and provided new clients with required paperwork to initiate service.
- Collected, verified, recorded and processed client demographics, insurance payments, and referral information.
- Communicated with referral sources, physicians, and associated staff to check documentation for proper signatures.
- Entered referrals into appropriate system based on type of referral obtained.
Education
High School Diploma -
Howard W. Blake High School
Tampa, FL05.2001
Skills
- Conflict Resolution
- Good Communication Skills
- Complaint Resolution
- Understanding Customer Needs
- Resolving Complex Issues
- Answering Phones
- Verifying Eligibility
- Information Updates
- Stocking shelves
- Pallet jack operation
- Product restocking
- Heavy lifting
- Stock replenishment
- Insurance coverage verification
- HIPAA compliance
Timeline
Overnight Stocker
Walmart
10.2023 - Current
Senior Claim Customer Service
Centene
03.2022 - Current
Insurance Verification Specialist
Apria Healthcare
10.2015 - 02.2020
Claims Associate
HealthPlan Services
10.2014 - 10.2015
Intake Coordinator
WellCare Health Plans Inc.
06.2008 - 02.2011
High School Diploma -
Howard W. Blake High School
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