Tiffani Price Goins
Slidell,LA
Summary
Dependable professional with a proactive mindset and strong attention to detail. Improved processes and workflows while excelling in fast-paced environments and delivering exceptional customer service. Demonstrated ability to multitask effectively and create positive experiences for every customer.
Overview
1
1
Certification
28
28
years of professional experience
Work History
Senior Compliant Analyst/Coordinator
Medicaid
New Orleans, LA
03.2020 - Current
- Ensured compliance with CMS (Centers for Medicare & Medicaid Services), state, and federal turnaround times and guidelines to maintain operational integrity.
- Handled intake, investigation, and resolution of complex, multi-issue appeals, complaints, and grievances to enhance customer satisfaction across various health product lines.
- Processed appeal determination letters and managed case movement in tracking platforms like CATS (Complaints and Appeals Tracking System), while triaging incoming faxes and electronic escalations for timely resolution.
Sub-Contractor
Bordens
Slidell, LA
11.2015 - Current
- Removed debris from aisles to avoid blocking customers or adding any safety concerns.
- Received incoming product deliveries and relocated to storage shelves, coolers or bins.
- Organized stockroom by keeping products in correct locations, helping to maintain accurate inventory counts and free-flowing aisleways.
- Checked shelves regularly to confirm stock levels and prevent shortages. to ensure adequate stock.
- Stocked and rotated products, supplies and paper goods.
- Assisted customers by retrieving requested products to improve service experience.
Customer Service Associate
Lowe's Home Improvement
Slidell, LA
06.2006 - 09.2020
- Supported customer service goals and enhanced relations through friendly, knowledgeable and positive communication.
- Confirmed customer satisfaction with service and quality to support business growth.
- Consulted with customers to determine best methods to resolve service and billing issues.
- Greeted customers, assessed service needs, and accurately input orders into electronic systems to streamline service delivery.
- Maintained calm, friendly demeanor with upset customers to de-escalate stressful situations.
- Contributed to business growth by confirming customer satisfaction with service and quality.
- De-escalated stressful situations by maintaining calm, friendly demeanor with upset customers.
- Maintained up-to-date knowledge of store policies regarding payments, returns and exchanges in order to provide speedy and accurate service to each customer.
Direct Care Staff
Louise S. Davis
New Orleans, LA
12.1998 - 08.2005
- Guided patients in adapting to hospital routines, enhancing their comfort and stability in structured environments.
- Ensured clean, organized environment, fostering client safety and well-being.
- Enhanced patient outlook and daily living through dedicated, compassionate care.
Education
GED -
Christ First Christian Academy
New Orleans, LAMedical Coding - Medical Coder
KC Medical Coding School
New Orleans, LASkills
- Compliance Adherence
- Regulatory Knowledge
- Case Analysis
- Analytical Thinking
- Time Management
- Detail orientation
- Records management
- Proactive Engagement
- Great Customer Service
- Listening
- Conflict Resolution
- Attentiveness
- Product Knowledge
Certification
Medical Coding
Timeline
Senior Compliant Analyst/Coordinator
Medicaid
03.2020 - Current
Sub-Contractor
Bordens
11.2015 - Current
Customer Service Associate
Lowe's Home Improvement
06.2006 - 09.2020
Direct Care Staff
Louise S. Davis
12.1998 - 08.2005
GED -
Christ First Christian Academy
Medical Coding - Medical Coder
KC Medical Coding School