Tiffany Espinal
Independence,MO
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
14
14
years of professional experience
Work History
Senior Provider Data Management Tech
GEHA
09.2012 - 12.2024
- Updated and maintained healthcare practitioners and healthcare organizations information such as names, addresses, contact information, NPI numbers, and license and accreditation, for medical claim payments.
- Verified healthcare provider coverage determination by searching for license, certification and accreditation for pre-authorizations for members.
- Collaborated with other department roles to communicate and resolve member appeals regarding provider coverage determination.
- Participated in continuous improvement initiatives aimed at enhancing the overall efficiency of the Provider Data Management role within the organization such as focus groups that worked together to write desk level procedures.
Transportation Security Officer
Firstline Security
04.2011 - 09.2012
- Enhanced passenger safety by conducting thorough security screenings and inspections of luggage, vehicles, and individuals.
- Assisted passengers with special needs or disabilities during the security screening process, ensuring their comfort and dignity were maintained at all times.
- Detected potential threats by utilizing advanced screening technology, such as X-ray machines and metal detectors.
- Maintained a high level of situational awareness during peak travel times, enabling quick response to potential issues.
- Used explosive detection machines and chemical swab systems to identify potential hazards.
- Prevented unauthorized access to restricted areas by verifying identification credentials and maintaining vigilant surveillance.
- Authenticated boarding passes, identification, and passports to prevent fraudulent travel.
- Performed pat-downs to look for unauthorized materials and weapons.
Education
No Degree - Computer Science
Brigham Young University-Idaho
Rexburg, IDNo Degree - Accounting
University of Missouri-Kansas City
Kansas City, MONo Degree - Accounting
Huron University
Huron, SDHigh School Diploma -
Harrison High School
Colorado Springs, COSkills
- Data quality management
- Data validation
- Problem-solving
- Time management
- Reliability
- Organizational skills
- Adaptability and flexibility
- Document preparation
Languages
Spanish
Professional Working
Timeline
Senior Provider Data Management Tech
GEHA
09.2012 - 12.2024
Transportation Security Officer
Firstline Security
04.2011 - 09.2012
No Degree - Computer Science
Brigham Young University-Idaho
No Degree - Accounting
University of Missouri-Kansas City
No Degree - Accounting
Huron University
High School Diploma -
Harrison High School
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