Kandice Coburn
Buford
Summary
Customer service–driven professional with experience supporting online communities, responding to customer needs, and communicating clearly across multiple platforms. Known for staying calm under pressure, resolving concerns quickly, and delivering a positive experience for every person I interact with. Strong written communication skills, reliable work ethic, and the ability to adapt my tone to different customers and situations.
Overview
6
6
years of professional experience
Work History
Social Media and Community Support
Boomstown
- Goal-oriented professional with proven success in applying analytical skills to solve complex problems and overcome challenges. Dedicated to enhancing team performance and driving business success.
- Helped watch over BoomTown’s social pages and online communities, making sure conversations stayed respectful and on track.
- Answered questions and messages in a clear, friendly way that fit the brand’s tone.
- Adjusted how I communicated depending on the situation or the type of person I was talking to.
- Jumped into conversations to keep people engaged and make sure they felt heard.
- Used my experience with Facebook and other social platforms to spot issues quickly and respond fast.
Claims & Billing Specialist
Oscar Health, Inc.
08.2024 - 09.2025
- Processed high-volume claims with a strong focus on accuracy, policy adherence, and timely resolution.
- Reviewed documentation, medical codes, and member details to verify claim eligibility.
- Investigated claim discrepancies and coordinated with providers, members, and internal teams to obtain missing documentation.
- Resolved billing issues, denials, and member inquiries with clear explanations and documented outcomes.
- Maintained precise CRM notes to support claim history and ensure audit readiness.
- Suggested process improvements that reduced repeat inquiries and increased claim clarity for members.
Telehealth Coordinator
Teladoc, Inc. (via NexRep Corp.)
11.2020 - 12.2021
- Handled patient inquiries regarding billing, payments, and claim-related issues.
- Verified insurance coverage, reviewed billing records, and escalated errors to ensure accurate claim processing.
- Researched billing disputes by analyzing claim history and identifying root issues.
- Maintained high accuracy in updating member accounts and documenting interactions.
- Escalated platform and data transmission issues that impacted claim accuracy.
- Processed claims according to established quality and production standards and made corrections and adjustments to solve problems.
Administrative Support Specialist
AdventHealth, Inc.
11.2019 - 11.2020
- Entered patient demographic, billing, and insurance data with 99% accuracy, reducing claim rejections.
- Verified and corrected records to prevent duplicate billing or insurance mismatches.
- Attached insurance authorizations and documentation to patient encounters to ensure compliant claim submission.
- Identified errors in billing workflows and collaborated with coding teams to correct claims before submission.
Education
Associate in Arts - Business
Valencia College
Orlando, FLSkills
- Strong written and verbal communication
Problem-solving and quick decision-making
Patience and empathy in challenging situations
Positive and professional customer interactions
- Documentation Accuracy
- Medical Terminology Knowledge
- Customer Service & Member Support
- CRM & EHR Systems
Timeline
Claims & Billing Specialist
Oscar Health, Inc.
08.2024 - 09.2025
Telehealth Coordinator
Teladoc, Inc. (via NexRep Corp.)
11.2020 - 12.2021
Administrative Support Specialist
AdventHealth, Inc.
11.2019 - 11.2020
Social Media and Community Support
Boomstown
Associate in Arts - Business
Valencia College