Candice Kesling
Ironton, OH *****
**************@*****.***
Professional Summary
Recent graduate with a Bachelor's degree in Human Resource Management and over 10 years of hands- on internship experience in recruitment and onboarding. Possessing a comprehensive understanding of HR functions, including employee relations, compensation administration, and legal compliance. Seeking a challenging role where I can leverage my academic background and practical skills to contribute to a thriving HR department.
Authorized to work in the US for any employer
Work Experience
Frontline Member Specialist
Sam's Club-South Point, OH
September 2024 to Present
• Increased sales by effectively promoting scan-and-go, upgrades, and credit card enrollments.
• Processed member transactions accurately and efficiently using both register and self-checkout systems.
• Delivered exceptional customer service through proactive engagement, knowledgeable assistance, and effective issue resolution.
• Managed cash, credit, and electronic payments with precision and adherence to protocol. Billing Specialist Supervisor
RRS Ohio-Remote
January 2019 to July 2025
• Credentialing providers including medical licenses, certifications, and experience.
• Submit provider credentialing applications to payors and track the status of applications.
• Maintain and update provider credentialing files as needed.
• Ensured compliance with all relevant legal and regulatory requirements for establishing a new organization.
• Legal and Regulatory Compliance: Ensured compliance with all relevant legal and regulatory requirements for establishing a new organization.
Front Office Coordinator
Mountain Comprehensive Care Centers-Hybrid
January 2017 to December 2019
• Patient Check-In/Check-Out: Greeting patients, verifying their identities, and collecting necessary paperwork.
• Scheduling Appointments: Coordinating patient appointments, ensuring efficient utilization of resources.
• Insurance Verification: Confirming patient insurance eligibility and benefits.
• Reception Area Maintenance: Ensuring the reception area is clean, organized, and welcoming.
• Coordination with School Staff, liaising with school administrators, counselors, and teachers to facilitate referrals and coordinate services.
• Billing and Collections: Assisting with billing processes and following up on unpaid balances.
• Compliance: Ensuring adherence to HIPAA regulations and other relevant guidelines. Compliance Officer
Med-Save Boyd / Boyd County Pharmacy-Ashland, KY
January 2015 to December 2017
• Regulatory Compliance, monitoring and ensuring compliance with federal, state, and local regulations such as the Controlled Substances Act, HIPAA, and OSHA.
• Conducting regular audits and inspections to identify potential compliance risks.
• Identifying and assessing potential compliance risks.
• Recordkeeping and maintaining accurate and complete records of pharmacy activities, including prescriptions, controlled substances, and patient information.
• Ensuring proper storage and disposal of controlled substances.
• Auditing and conducting internal and external audits to assess compliance.
• Reporting, preparing and submitting required reports to regulatory agencies.
• Vendor Management, ensuring that vendors comply with pharmacy regulations and standards. Consumer Service Representative
Pathways, Inc-Ashland-KY
January 2013 to December 2014
• Coordinating and overseeing the delivery of services according to the plan.
• Advocating for the individual's rights and needs, including access to appropriate services and accommodations.
• Representing the individual in meetings with service providers, family members, and community resources.
• Assisting with managing personal finances, including budgeting.
• Coordinating the delivery of services from various providers, ensuring continuity of care.
• Monitoring the quality of services and addressing any concerns.
• Providing daily support and assistance as needed, including personal care, transportation, and community activities.
• Fostering a supportive and inclusive environment for the individual. Medical Records Manager
Omnicare Pharmacy/CVS-Ashland, KY
January 2005 to June 2013
• Regulatory compliance ensuring compliance with HIPAA, FDA, and state-specific regulations. maintaining accurate and up-to-date patient records.
• Conducting regular audits and inspections to identify compliance risks.
• Record management overseeing the creation, maintenance, and storage of patient records.
• Ensuring proper documentation of medication administration and patient outcomes.
• Managing the electronic health record (EHR) system.
• Coordinating with clinical staff to ensure accurate and complete documentation.
• Data Analysis, analyzing patient data to identify trends and patterns.
• Generating reports on medication usage, adverse events. Education
Bachelor's degree in Business Administration
Strayer University-Global Region - Teays Valley, WV December 2023 to March 2025
Skills
• Recruiting
• EDI
• Microsoft SharePoint
• Microsoft Outlook
• Microsoft Word
• Conflict management
• Microsoft Office
• American Sign Language
• Microsoft Powerpoint
• Customer relationship management
• CPT Coding
• Help Desk
• HRIS
• Compliance management
• Revenue cycle management
• Payroll
• Pharmacy technician experience
• Office experience
• Talent Acquisition
• ADP
• Medical Coding
• Budgeting
• Records Management
• Negotiation
• Quality Assurance
• English
• Communication skills
• Auditing
• Medical Scheduling
• Accounts Receivable
• Epic
• Internal Audits
• ATS
• Office Administration
• Workday
• Insurance Verification
• POS
• Team management
• Data entry
• Medical Records
• HR sourcing
• Analytics
• Microsoft Excel
• Computer skills
• LTC pharmacy
• Analysis Skills
• Management
• EMR Systems
• Medical Billing
• Human Resources
• System Administration
Languages
• American Sign Language - Fluent