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Candra Wilson

@candrawilson

Operations professional specializing in intake, provider credentialing, and claims support to keep healthcare processes accurate.

United States
Message

What I'm looking for

I’m seeking employment in operations where I can use my skills and experience to support intake, provider credentialing, and claims accuracy—helping me achieve my educational goals while delivering reliable, compliant outcomes.

I’m an Operations/Intake specialist with experience across live chat support, provider onboarding/credentialing, and claims operations. I provide service for providers, assist with authorizations and appeals, verify network status, and maintain accurate provider information with a strong focus on compliance and privacy.

I’ve also handled EMR/document workflows, medical billing and collections, insurance verification, and operational data entry—including scanning/indexing records and performing QA to ensure accuracy. Whether coordinating delegated entities, troubleshooting issues through scheduled meetings, or leading quality-focused teams, I bring dependable organization, HIPAA awareness, and EPIC proficiency to every task.

Experience

Work history, roles, and key accomplishments

Health First logoHF

Claims Operational Specialist

Jun 2021 - Apr 2022 (10 months)

Served as the primary point of contact for delegated entities, resolving onboarding/credentialing provider issues that impact physicians. Maintained an accurate online provider directory by configuring provider loads and updates, reviewing credentialing applications, and performing quarterly roster reconciliations.

Education

Degrees, certifications, and relevant coursework

RS

Rachel Carson High School for Coastal Studies

High School Diploma, High School

2008 - 2011

Earned a high school diploma at Rachel Carson High School for Coastal Studies from 2008 to 2011.

Tech stack

Software and tools used professionally

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