Tiffany Clayton
Kansas City,MO
Summary
Effective Scheduling Coordinator promoting more than 4 years' experience supporting personnel in busy, office environments. A pleasant individual with terrific scheduling, project tracking and issue resolution talents. A knowledgeable employee considered a valuable asset to any company.
Pragmatic Insurance Verification Specialist touting 7 years of expertise in benefits explanation and coverage tracking. A team player with a vast knowledge of medical terms and working with all types of personalities effectively. Offering dynamic organizational skills and attention to detail.
Overview
17
17
years of professional experience
Work History
Patient Access Scheduling Representative
University Health
06.2023 - Current
- Enhanced appointment scheduling efficiency by streamlining processes and utilizing advanced scheduling software.
- Provided exceptional customer service while addressing inquiries related to appointments, rescheduling requests, or general information on services offered.
- Optimized the patients' satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by telephone.
- Reduced scheduling conflicts by proactively identifying potential issues and implementing appropriate solutions.
- Acted as a liaison between management and staff regarding scheduling issues, effectively resolving concerns and maintaining positive relationships.
- Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
- Volunteered to help with special projects of varying degrees of complexity.
- Improved customer satisfaction with timely appointment confirmations, reminders, and rescheduling as needed.
Billing Support Specialist
Bardavon Health Innovations
05.2022 - 06.2023
- Assisted clients and attorneys with requests for invoice copies, ledger details and explanation of accounts receivable amounts owed.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Used data entry skills to accurately document and input statements.
- Researched portals issues related to non-payment within e-billing vendor portals.
ER Registrar
St. Mary's Hospital
08.2022 - 11.2022
- Coordinated with insurance companies to verify coverage and facilitate billing processes, reducing financial stress for patients.
- Served as a liaison between patients, families, and medical staff, fostering clear communication during critical moments.
- Reviewed and updated emergency room protocols regularly, ensuring compliance with changing industry standards and guidelines.
- Reduced registration errors through diligent attention to detail when gathering patient information, leading to improved data accuracy.
- Performed various administrative tasks by filing, copying and faxing documents.
Field Liaison
United BioSource Corporation
11.2021 - 04.2022
- Assisted manufacturer field sales in implementation of program launch and ongoing therapy utilization through marketing, education and training materials to aid in obtaining referrals.
- Took active role in patient and family planning process, detailing instructions, and responding appropriately and effectively to questions and concerns.
- Worked closely with disabled or impoverished individuals to locate helpful financial resources and community programs.
- Served as a trusted advisor for both internal teams and external clients, consistently delivering valuable insights rooted in extensive industry knowledge.
Lead Reimbursement Coordinator
WellSky
07.2020 - 08.2021
- Assisted in negotiating favorable contract terms with insurance companies, contributing to improved financial outcomes for the organization.
- Guided office staff on how to effectively complete prior authorization forms and appeals documentation to achieve positive results.
- Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
- Delivered timely information to insurance representatives to resolve common and complex issues.
- Employed clinical and billing codes expertise to correct billing inconsistencies.
Patient Intake Coordinator
University Of Kansas Health System
10.2019 - 07.2020
- Streamlined appointment scheduling for increased patient convenience and reduced wait times.
- Facilitated communication between patients and medical staff, ensuring clear understanding of care plans.
- Established strong rapport with diverse patient populations by providing empathetic support during challenging medical experiences.
- Coordinated insurance verifications and authorizations, enabling timely access to necessary treatments for patients.
- Conducted pre-visit preparations such as obtaining necessary forms or documentation from patients or referring physicians ahead of scheduled appointments.
- Collaborated with insurance companies to expedite claim processing, alleviating financial concerns for patients.
Lead Customer Care Representative
GEHA
07.2015 - 10.2019
- Led ongoing coaching sessions with individual team members to address performance gaps and support professional growth.
- Mentored new hires, ensuring consistent quality of service across the team.
- Implemented feedback mechanisms to gather valuable insights from customers, contributing to continuous improvement efforts.
- Managed a team of customer care representatives, maintaining optimal staffing levels and fostering a positive work environment.
- Trained new personnel regarding company operations, policies and services.
- Cross-trained and provided backup support for organizational leadership.
- Increased efficiency and performance by monitoring team member productivity and providing feedback.
Senior Customer Service Representative Lead
CoreSource
05.2011 - 07.2015
- Served as an escalation point for complex or high-priority cases, utilizing advanced problem-solving skills to achieve favorable outcomes for both the company and customers.
- Provided expert product knowledge to customers, assisting them in making informed decisions that met their needs and preferences.
- Contributed to the creation of comprehensive training materials aimed at standardizing procedures across the department, ensuring a consistent level of service was provided by all team members.
- Onboarded and trained customer representatives to meet performance and service goals.
- Educated customers about billing, payment processing and support policies and procedures.
- Promoted to customer service lead in four months owing to excellence in delivering excellent client service.
- Cross-trained and backed up other customer service managers.
Lead Associate Patient Care Coordinator
United Healthcare
01.2008 - 03.2011
- Built strong relationships with customers through positive attitude and attentive response.
- Demonstrated knowledge of company mission and goals and mentored employees in reaching objectives aligned with company core values.
- Coordinated weekly meetings for internal and external groups.
- Maintained team flexibility and embraced change to adapt within dynamic markets.
- Assisted with new hire processing and existing training programs.
- Increased employee retention by fostering a positive work environment and recognizing outstanding performance.
- Initiated timely response to emails, voicemails, and written correspondence.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Negotiated with insurance companies to secure coverage for necessary treatments, alleviating financial burdens for patients.
- Verified patient insurance eligibility and entered patient information into system.
Education
Associate of Science - Occupational Health And Industrial Hygiene
Heritage College
Kansas City, MOSkills
- Maintaining confidentiality
- HIPAA Compliance
- Appointment Scheduling
- Patient Registration
- Data Entry
- Patient Scheduling
- Insurance Verification
- Insurance Authorizations
- Prior Authorization
- Eligibility Verification
- Microsoft Office
- Triage Management
- Strong Organization
Timeline
Patient Access Scheduling Representative
University Health
06.2023 - Current
ER Registrar
St. Mary's Hospital
08.2022 - 11.2022
Billing Support Specialist
Bardavon Health Innovations
05.2022 - 06.2023
Field Liaison
United BioSource Corporation
11.2021 - 04.2022
Lead Reimbursement Coordinator
WellSky
07.2020 - 08.2021
Patient Intake Coordinator
University Of Kansas Health System
10.2019 - 07.2020
Lead Customer Care Representative
GEHA
07.2015 - 10.2019
Senior Customer Service Representative Lead
CoreSource
05.2011 - 07.2015
Lead Associate Patient Care Coordinator
United Healthcare
01.2008 - 03.2011
Associate of Science - Occupational Health And Industrial Hygiene
Heritage College
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