Candice Morgan
Bartlett, TN *****
602-***-**** ************@*******.***
Professional Summary
Hardworking and passionate job seeker with strong organizational skills eager to secure rewarding position. Ready to help a team achieve company goals.
Skills
Team Collaboration
Relationship Building
Team building
Self-Motivation
Interpersonal Skills
Analytical Thinking
Problem-solving abilities
Organizational Skills
Working collaboratively
Team Management
Escalation Handling
Reliability
Work History
11/2024 to Current
Billing
Midsouth Solutions – Bartlett, TN
Generate monthly billing and collection reports
Invoice
Reconciliation
Verify billing information for new and existing customers
Assist with accounts receivable management
May be involved in audits
01/2024 to 06/2024
Provider Network Operations
Santa Clara Family Health Plan (Contract with TotalMed) – San Jose, CA
Using MS Excel reports to input data into company databases – Provider Demographics and Credentialing Details
Data Entry / Provider into eVIPS and QNXT
Inputting information into Excel & Outlook emails
Attestations
MS Teams meetings
CAQH, NPPES.
05/2023 to 10/2023
Medical Records
Gastro One – Bartlett, TN
Maintain physical medical records
Update patients' electronic health records (EHR)
Respond to ROI (release of information) requests for medical records
Validate requests and authorizations for the release of medical information
Ensure that clinical documentation of the services provided to patients are correct
Prepare charts for patient visits
Follow company policy regarding the releasing of and obtaining medical records
Scan all received information in proper location in patients' chart
Maintains strict confidentiality in accordance with regulatory guidelines and specific policies of company policies
Understand the practice management system and look up information in the practice management system in order to help patients and outside clients
Reviewed and attached labs to records
Purge charts as needed
Contact or access portals for records from facilities such as hospitals, imaging centers, cancer centers, and providers
Managed 20 tasks per day
09/2022 to 05/2023
Team Lead of Packaging
Memphis Record Pressing – Bartlett, TN
Review requirements of order on instructions how product should be put together
Advise assemblers of instructions/schedules to carry out assignments
Monitor inventory of packaging supplies for each job order
Maintain a positive relationship with employees and visitors
Work closely with other departments
Crossed trained to work specifically sleeving and material handling
Wave Planner
Managed Approximately 20 assemblers
Quality assurance of the record for flaws prior to packaging
Data Entry
06/2021 to 06/2022
Registration Specialist I
Carvana LLC – Tempe, AZ
Processing, finalizing, and mailing out customer registration
Data Entry
Reviewing customer paperwork for accuracy
Working closely with the local DMV
Filling paperwork with the DMV
Updating customer records to ensure the most up to date information is available
Interacting and communicating with team members across various lines of the business
Assisting Customer Advocates and other HUB employees with customer follow-up
Being a high-energy, forward-thinking self-starter
Other duties as assigned
Salesforce.
Averaged 20 or more registrations per day
01/2014 to 07/2018
Behavioral Health Prior Authorization
United Healthcare MVUM TriCare – Phoenix, AZ
Verify eligibility including coordination of benefits, and patient demographic information
Utilization Management (UM)
Assist team members with database loading
Add providers in the Careone Network
Verification of active/inactive Providers
Build impatient (IP), and outpatient (OP) notifications
Maintain patient records, demographic information in accordance with HIPPA guidelines
Receive/process prior authorization requests via e-Fax from DOD medical providers, and facilities
Letter processing, and other duties as assigned
Responsible for providing expertise and customer service support to members, customers, and/or providers
Direct phone-based customer interaction to answer and resolve a wide variety of inquiries
This was a (SCA) must support a government Service Contract Act agreement
The Medial Records Sorter sorts organizes medical records previously downloaded from the Veteran Administration's Veterans Benefit Management System (VBMS) and creates an electronic case File (C-File) containing medical records pertinent to the Veteran's claimed conditions
Electronic health records (EHR)
Processed 25 to 30 authorizations per day
Demonstrated strong organizational and time management skills while managing multiple projects.
Developed and maintained courteous and effective working relationships.
ICD 9 and ICD 10 codes
Education
05/1986
High School Diploma
Raleigh Egypt High School - Memphis, TN
References
References available upon request