Tiffani Le
Houston,TX
Summary
Experienced in office administration with extensive experience in overseeing daily operations, handling budgets/payrolls, and managing financial records. Expertise in end-to-end medical/dental billing, collections processes, and posting payments including insurance verification, pre-authorization, claims submission, and accurate coding procedures. Experienced in managing and processing patient referrals to dental specialists. Skilled in answering inquiries, assisting with paperwork, and maintaining a high level of professionalism and discretion. Ready to leverage expertise to enhance operational efficiency and support patient care initiatives.
Overview
25
25
years of professional experience
Work History
Patient Support Specialist
Hope Alief - Asian American Health Coalition
03.2025 - Current
- Conducted thorough patient assessments to identify needs and provide appropriate resources and support.
- Greet patients in person or on the phone, answer questions, and maintain a welcoming and organized front office environment.
- Schedule, confirm, and manage patient appointments, keeping the provider's schedule on track.
- Register new patients and update information for existing patients, collecting and inputting personal, financial, and insurance details into the electronic health record (EHR) system.
- Verify patient insurance and eligibility, collect co-pays and payments, and maintain accurate financial records.
- Answer phones, route calls, and communicate with clinical staff about patient delays.
- Assisted patients in understanding their health benefits and insurance coverage options for better access to care.
- Coordinated with medical staff to ensure seamless communication regarding patient care plans and follow-ups.
- Promoted a positive work environment among team members through open communication channels that encouraged collaboration towards common goals.
Dental Practice Manager
Smiley Dental & Orthodontics
07.2009 - 04.2020
- Monitored budgets to ensure fiscal responsibility while maximizing revenue opportunities.
- Managed staff schedules, payroll, patient records, accounts receivable and payable, and insurance claims processing.
- Oversaw daily operations including scheduling appointments, managing inventory, providing customer service.
- Assisted with coding procedures and billing processes. Processed dental insurance claims, payments, collections, and posted EOB.
- Performed bookkeeping duties, such as credits, and collections, preparing and sending financial statements and bills and keeping financial records.
- Coordinated referrals through insurance and other dental/medical specialists and documented details in patient charts.
- Referral management - process incoming dental referrals, schedule appointments with specialists, and follow up on patient care.
- Coordinated patient referrals and ensured timely authorizations, enhancing overall patient care.
- Acted as the primary liaison between primary dentists, specialists, patients, and insurance companies, fostering strong relationships to ensure continuity of care.
- Verified patient insurance eligibility and benefits for all external referrals, obtaining necessary prior authorizations and pre-certifications to reduce claim denials.
- Processed incoming prior authorization requests via phone, fax, and online insurance portals, verifying patient insurance eligibility and benefits for orthodontic procedures.
- Gathered comprehensive clinical documentation, including X-rays, treatment plans, and medical necessity letters, to submit detailed authorization requests to insurance payers.
Assistant Manager – Medical Administration
Center Medical Clinic
08.2000 - 07.2009
- Maintained up-to-date records of payments received from insurance companies, patients, and other sources.
- Utilized electronic billing systems to submit claims to insurance providers in a timely manner.
- Researched denied or rejected claims for accuracy and took appropriate action to resolve discrepancies.
- Verified accuracy of billing data and revised any errors.
- Posted payments to in electronic medical records system upon receipt of payment for claims.
- Completed audits as per identified timeframes and reported findings.
- Assisted with answering telephone to provide requested billing information.
Education
Science
LSU Baton Rouge
Real Estate Sales Agent
Champions School of Real Estate
06.2019
Chiropractic (D.C.) - Chiropractic
Texas Chiropractic College
Pasadena, TX, US06.2000
Skills
- Skilled in eClinicalWorks, Patterson Eaglesoft, and Microsoft Office Suite (Word, Excel, Outlook)
- Exceptional verbal and written communication, strong organizational abilities, problem-solving, and a patient-centered approach
- Office Administration, budget, payroll, and managing financial record
- Insurance verification, billing, collecting, and posting payments
- Calendar/appointment management and follow-up coordination
- Collaborative teamwork
- Multitasking
- Reliability
LANGUAGES
English/Vietnamese
Bilingual
Timeline
Patient Support Specialist
Hope Alief - Asian American Health Coalition
03.2025 - Current
Dental Practice Manager
Smiley Dental & Orthodontics
07.2009 - 04.2020
Assistant Manager – Medical Administration
Center Medical Clinic
08.2000 - 07.2009
Real Estate Sales Agent
Champions School of Real Estate
Chiropractic (D.C.) - Chiropractic
Texas Chiropractic College
Science
LSU Baton Rouge