Tiffany Clarke
Naples,FL
Summary
Recent graduate with excellent research, technical, and problem-solving skills. Detail-oriented and able to learn new concepts quickly. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
5
5
years of professional experience
Work History
Utilization Review Coordinator
Florida Cancer Specialists
Naples, FL
02.2021 - 11.2023
- Communicated with patients with compassion while keeping medical information private.
- Conducted utilization review activities including concurrent reviews, retrospective reviews, and discharge planning.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Maintained records management system to process personnel information and produce reports.
- Communicated authorization decisions to providers and patients in a timely manner.
- Reviewed and evaluated patient information to determine appropriate level of care and services required.
- Ensured that all documentation is complete and accurately reflects the services provided by physicians.
Patient Financial Counselor
Florida Cancer Specialists
Naples, FL
08.2018 - 12.2021
- Prepared detailed invoices for uninsured patients according to state laws.
- Organized timely and accurate referrals to help patients obtain health care services and access available resources.
- Worked closely with insurance companies to ensure accurate reimbursement for services rendered.
- Provided clear explanations of billing policies and procedures to both internal and external customers.
- Obtained informed consent and payment documentation from patients and filed in system.
- Provided assistance in resolving coding errors that resulted in inaccurate billings.
- Identified potential bad debt write-offs by analyzing patient accounts.
- Verified patients' insurance and payment methods during admissions or check-in processes.
- Performed follow up calls to collect outstanding balances from patients who were unable to make payments at time of service.
- Assisted patients in understanding the details of their bills, including deductibles and co-pays.
- Completed day-to-day duties accurately and efficiently.
Education
Bachelor of Science - Interdisciplinary Studies
University of Central Florida
Orlando, FL12-2023
Skills
- Performing Assessments
- Patient Care Plans
- Needs Assessment
- Records Analysis
- Decision-Making
- Data Analysis
- Training and Mentoring
References
References available upon request.
Timeline
Utilization Review Coordinator
Florida Cancer Specialists
02.2021 - 11.2023
Patient Financial Counselor
Florida Cancer Specialists
08.2018 - 12.2021
Bachelor of Science - Interdisciplinary Studies
University of Central Florida
Similar Profiles
Rachel SturgesRachel Sturges
New Patient Coordinator at Florida Cancer SpecialistsNew Patient Coordinator at Florida Cancer Specialists
Shavon BertholdShavon Berthold
Oncology Infusion Registered Nurse at Florida Cancer Specialists and Research InstituteOncology Infusion Registered Nurse at Florida Cancer Specialists and Research Institute
Dylan OstDylan Ost
Pharmacy Technician at Florida Cancer SpecialistsPharmacy Technician at Florida Cancer Specialists
Amanda SmithAmanda Smith
Registered/Certified Pharmacy Technician at Florida Cancer Specialists & Research InstituteRegistered/Certified Pharmacy Technician at Florida Cancer Specialists & Research Institute
Daniela Garcia SantiagoDaniela Garcia Santiago
Accounts Payable Associate II at Arthrex Inc.Accounts Payable Associate II at Arthrex Inc.