Jan Yves Candido

Certified HIPAA Professional with over 4 years of experience in healthcare and nearly 2 years in financial operations, backed by a strong foundation in patient-centered customer service. Specialized expertise in patient care coordination, comprehensive insurance verification, and prior authorizations, alongside a strong background as a fraud analyst. Proven track record of protecting organizational revenue, optimizing workflows, and ensuring strict regulatory compliance while maintaining a compassionate, high-quality client experience.

Fraud Analyst at Concentrix (2026-01 – 2026-08)

• Monitored and audited transactional data to identify suspicious patterns, fraudulent behaviors, and account discrepancies across corporate portfolios.
• Investigated high-risk accounts and alerts, conducting deep-dive research into user activity to mitigate financial losses and prevent unauthorized activity
• Collaborated with cross-functional teams to document findings, streamline security protocols, and ensure strict compliance with internal fraud prevention policies.

Back office representative at TEEM(Shed Rx) (2024-11 – 2025-12)

• Order & PharmacyManagement:Coordinate directly with partner compounding pharmaciesto submit prescription orders, monitor fulfillment workflows, and manage discreet medication shipping schedules.
• CRM & Systems Tracking: Manage and audit patient data across digital tools like Slack, Google Sheets, and electronic health records (EHR).
• Onboarding & Lead Management: Track reorder cycles, manage onboarding paperwork, follow up on missed subscription payments, and maintain up-to-date compliance records
• Omnichannel Support & Retention: Reach out to patients via text, email, and chats to answer program inquiries, handle subscription changes, and resolve logistical delivery issues to maintain high retention rates

Patient Care Coordinator at Zealthy (2023-12 – 2024-08)

• Managed targeted member outreach via text, email, and phone regarding weight loss medications, including GLP-1 treatments, to drive participant satisfaction and retention.
• Resolved participant inquiries and concerns B
• Delivered empathetic care management, building trust with members navigating weight loss journeys while strictly maintaining data privacy.

Customer Service Representative at Ista Personnel Solutions Inc (2022-01 – 2023-11)

• Managed high-volume inquiries via phone and email from policyholders and healthcare providers regarding eligibility, benefits, coverage, and claims status.
• Resolved patient billing issues by clearly explaining medical charges, including co-payments, deductibles, out-of-pocket maximums, and financial responsibilities.
• Served as a trusted liaison between patients, providers, and insurance companies to reduce billing confusion while maintaining strict HIPAA compliance.

Customer Service Representative at Nowcom Global LLC (2020-03 – 2021-12)

• Managed end-to-end auto loan applications, resolving high-volume phone inquiries, reviewing credit details, and processing/collecting automotive financing payments.
• Advised clients on diverse financial options, proactively resolving billing concerns, explaining payment terms, and clarifying loan structures.
• Analyzed customer financial profiles and data to design and deliver highly personalized lending solutions tailored to individual client needs

Customer Service Representative at WNS Global Services (2018-07 – 2020-02)

• Managed high-volume inquiries via phone and email from policyholders and healthcare providers regarding eligibility, benefits, coverage, and claims status.
• Resolved patient billing issues by clearly explaining medical charges, including co-payments, deductibles, out-of-pocket maximums, and financial responsibilities.
• Served as a trusted liaison between patients, providers, and insurance companies to reduce billing confusion while maintaining strict HIPAA compliance.

Bachelor of Science in Information Technology – National University - Manila (2013-06 – 2017-09)

Secondary Education – Juan Sumulong Memorial Junior College (2007-06 – 2013-03)

Primary Education – San Isidro Elementary School (2001-06 – 2007-03)