Tiffany Douglas
Markham,IL
Summary
Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
12
12
years of professional experience
Work History
Intake Coordinator
Highmark Blue Cross Blue Shield
Pittsburgh, PA
03.2022 - 05.2024
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Performs member or provider verification, authorization creation and management, claims inquiries and case documentation.
- Enters patient insurance, demographic and health information into software and confirmed records.
- Familiarity with and ability to identify different types of hospital documentation including medical records, UB-04s, EOBs, itemized bills, hospital account notes, appeal letters, and denial/approval letters.
- Compiled and coded patient data using standard classification systems.
- Coordinated the intake process, ensuring all required documentation was collected and processed.
Contact Tracer
Cook County Department of Public Health
Chicago, IL
12.2019 - 06.2022
- Followed set protocol for contacting assigned newly diagnosed COVID-19 case patients and documented contact attempts and timeframes.
- Furnished case patients with contact information outlined in Illinois protocol for local health department to support contact tracing.
- Leveraged scripted template to guide interview process, ask required questions and conduct interactions with professionalism and empathy.
- Completed data entry in Salesforce to facilitate case interview and elicited close contacts into designated system immediately after obtaining.
Healthcare Receivable Specialist
Navient
Hendersonville, TN
05.2020 - 04.2022
- Draft appeal letter that are well written, logically structured utilizing ICD-9/10 CM & PCS, CPT, HCPS, NCCI guidance, and coding
- Reviewed claims for accuracy before submitting for billing.
- Assist with phone calls to/from patients, insurance carriers and clients(inbound and outbound) if needed
- Updated databases with new and modified customer data.
- Updating records in Epic and FACS
- Reaching out to patients once insurance was billed in order to obtain payments due
Investment Specialist
Capital One
Rolling Meadows, IL
05.2012 - 10.2019
- Adhered to bank and legal guidelines for reporting, loan approvals and money handling.
- Worked with different software packages as Google Docs, Salesforce, Word, Excel, Powerpoint
- Managed client transactions from pitch to close
- Developed strategies for clients,financial model analyzed market data and prepare client portfolios
Education
Certificate - Surgical Technology
Midwestern Career College
05.2018
Skills
- Insurance Verification
- Charting and clinical documentation
- Knowledge of Epic
- Knowledge of Excel
- Client Databases
- Medical Terminology
- ICD-10 Coding
- Financial Reporting
Timeline
Intake Coordinator
Highmark Blue Cross Blue Shield
03.2022 - 05.2024
Healthcare Receivable Specialist
Navient
05.2020 - 04.2022
Contact Tracer
Cook County Department of Public Health
12.2019 - 06.2022
Investment Specialist
Capital One
05.2012 - 10.2019
Certificate - Surgical Technology
Midwestern Career College
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