Tiffany Douponce
Freeland,USA
Summary
Detail-oriented healthcare and insurance operations professional with over 10 years of experience in insurance claims processing, billing reconciliation, and high-volume administrative environments. Skilled in reviewing claims for accuracy, resolving insurance discrepancies, and maintaining compliance with HIPAA and carrier guidelines. Experienced in analyzing financial and insurance data to identify errors, ensure proper reimbursement, and support accurate documentation and reporting. Proven ability to manage complex case activity, communicate effectively with insurance providers and clients, and maintain detailed records in database systems such as Eaglesoft. Currently pursuing a Bachelor’s degree in Business Administration (50% completed). Seeking to leverage strong analytical, investigative, and compliance-focused experience in a Fraud, Waste & Abuse or Claims Investigation role.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Office Manager/Financial Coordinator
Sandra K. Smith, DDS
Midland, MI
11.2025 - 04.2026
- Managed financial and administrative operations for a high-volume dental practice, overseeing patient account activity, insurance claims, and operational reporting
- Reviewed insurance claims for accuracy, identified discrepancies, and coordinated with carriers to resolve billing and reimbursement issues
- Verified insurance benefits and ensured compliance with payer guidelines to support accurate claims processing and reimbursement integrity
- Maintained detailed financial and case documentation within Eaglesoft, ensuring accuracy, audit readiness, and compliance with HIPAA regulations
- Monitored accounts receivable and implemented follow-up procedures to resolve outstanding balances and improve financial accuracy
- Generated operational and financial reports to identify trends, errors, and process improvement opportunities
- Coordinated workflow across clinical and administrative teams to ensure timely resolution of billing and patient account issues
Dental Office Manager
Dr. Richard Trudo DDS, PC
Saginaw, MI
11.2019 - 11.2025
- Oversaw daily administrative and financial operations in a high-volume practice, managing patient records, insurance claims, and billing workflows
- Investigated and resolved insurance claim discrepancies, working directly with carriers to ensure accurate processing and reimbursement
- Maintained compliance with HIPAA regulations and insurance requirements while managing sensitive patient and financial data
- Processed and reconciled financial accounts, reducing errors and improving accounts receivable accuracy
- Generated daily, monthly, and annual reports to track financial performance and identify operational inconsistencies
- Coordinated documentation and case tracking using Eaglesoft database system
- Managed vendor relationships, supply coordination, and internal operational processes to support efficiency
Senior Customer Service Representative (Dealership Support)
Morley Companies, Inc.
Saginaw, MI
06.2019 - 11.2019
- Managed 35–40 daily client cases involving automotive parts orders and shipment discrepancies
- Documented case activity in internal systems, ensuring accurate tracking and resolution of service issues
- Investigated order errors and escalated complex or time-sensitive cases for resolution within required timelines
- Coordinated with dealerships and internal departments to resolve discrepancies and ensure accurate fulfillment
- Maintained detailed case records to support accountability, reporting, and issue resolution tracking
Account Manager / Administrative Assistant
Northway Insurance
Bay City, MI
09.2018 - 03.2019
- Managed home and auto insurance accounts, including policy servicing, billing support, and claims coordination
- Verified insurance coverage and resolved discrepancies between client records and carrier documentation
- Processed policy changes, renewals, and financial transactions with a high level of accuracy
- Supported client account audits and documentation updates to ensure compliance and data integrity
- Built and maintained client relationships while ensuring timely resolution of policy and billing issues
Education
Bachelor's Degree - Business Administration
Northwood University
05-2028
Associate Degree - Business Management
Delta College
University Center, MI12-2009
High School Diploma - undefined
Bay City Western High School
Auburn, MI12-2006
Skills
- Insurance Claims Review & Processing
- Fraud, Waste & Abuse Detection (Indirect Experience)
- Claims Investigation & Discrepancy Resolution
- Healthcare & Insurance Data Analysis
- Case Management & Documentation
- Regulatory Compliance (HIPAA)
- Financial Reconciliation & Accounts Receivable Analysis
- Insurance Verification & Eligibility Review
- Microsoft Excel (Data Tracking, Reporting, Analysis)
- Database Management (Eaglesoft / Practice Management Systems)
- Cross-Functional Communication (Insurance Carriers, Providers, Clients)
- Problem Solving & Critical Thinking
Certification
- CPR Certification, 2025-06-01, 2027-06-30
- First Aid Certification
- BLS Certification
- Driver's License
Timeline
Office Manager/Financial Coordinator
Sandra K. Smith, DDS
11.2025 - 04.2026
Dental Office Manager
Dr. Richard Trudo DDS, PC
11.2019 - 11.2025
Senior Customer Service Representative (Dealership Support)
Morley Companies, Inc.
06.2019 - 11.2019
Account Manager / Administrative Assistant
Northway Insurance
09.2018 - 03.2019
High School Diploma - undefined
Bay City Western High School
Bachelor's Degree - Business Administration
Northwood University
Associate Degree - Business Management
Delta College
Personal Information
- Willing To Relocate: Anywhere
- Driving License: Yes
- Availability: Anywhere