Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tiffany Fields

Birmingham,AL

Summary

Highly accomplished professional with a diverse skill set and a proven track record of success. Demonstrated expertise in healthcare and finance with a focus on analysis. A results-driven individual who consistently exceeds expectations. Possess exceptional communication and interpersonal skills with a proven ability to work independently and as part of a team.

Overview

16
16
years of professional experience

Work History

Medical Claims Examiner II

DST Health Solutions
01.2021 - Current
  • Review and process complex medical claims, ensuring accuracy, completeness, and compliance with insurance policies, coding guidelines, and regulatory requirements.
  • Apply appropriate coding systems (ICD-10, CPT, HCPCS) to accurately assign procedure and diagnosis codes, ensuring proper billing and reimbursement.
  • Conduct in-depth research and investigation to resolve claim discrepancies, including coordination with healthcare providers, patients, and insurance companies.
  • Make claim determinations based on policy coverage, medical necessity, and reimbursement guidelines, ensuring fair and accurate adjudication.

Accounts Payable Processor

Books-A-Million
04.2016 - 10.2020
  • Processed accounts payable transactions, including verifying and reconciling invoices, purchase orders, and delivery receipts.
  • Reviewed invoices for accuracy, completeness, and proper authorization, ensuring adherence to company policies and procedures.
  • Coded and entered invoices into the accounting system, accurately allocating expenses to appropriate general ledger accounts.
  • Conducted vendor statement reconciliations, resolving any discrepancies and ensuring timely payment of outstanding invoices.

Accounts Payable Clerk

Firstsource Solutions
03.2013 - 02.2016
  • Reviewed vendor invoices for appropriate documentation and validity prior to payment.
  • Processed a high volume of invoices and accurately matched them to purchase orders, ensuring timely payment to vendors.
  • Collaborated with the finance team to streamline accounts payable procedures, resulting in increased efficiency and reduced processing time.
  • Responded to vendor inquiries and resolved payment-related issues in a timely and professional manner.
  • Utilized accounting software to reconcile vendor statements and maintain accurate accounts payable records.

Customer Service Representative

BBVA Compass Bank
08.2008 - 02.2013
  • Assisted customers with a wide range of banking services, including deposits, withdrawals, fund transfers, and account inquiries.
  • Provided personalized guidance to customers, recommending suitable banking products and services based on their financial needs and goals.
  • Resolved customer issues and concerns promptly and professionally, ensuring high levels of customer satisfaction.
  • Educated customers on various banking channels, such as online banking, mobile banking, and ATMs, promoting self-service options.
  • Processed account transactions accurately and efficiently, following established policies, procedures, and security protocols.

Education

High School Diploma -

P.D. Jackson Olin High School
Birmingham, AL
05.1994

Skills

  • Customer Service Excellence
  • Effective Communication
  • Self Motivation
  • Payment Processing
  • Attention to Detail
  • Critical and Analytical Thinking
  • Strong Problem Solving
  • Banking Operations
  • Financial Transactions
  • Banking Products and Services
  • HIPAA Compliance
  • Banking Software and Systems
  • Team Collaboration
  • Microsoft Office Proficiency
  • Email and Chat Etiquette
  • Data Entry and Verification
  • Account Reconciliation
  • Time Management
  • Software Proficiency
  • Active Listening
  • Accounts Payable Processing
  • Invoice Verification and Coding
  • Vendor Management
  • Payment Reconciliation
  • Accounting Software
  • Medical Claims Examination
  • ICD-10, CPT, HCPCS
  • Insurance Policies & Guidelines
  • Claim Processing & Adjudication
  • Medical Terminology
  • Call Center Software
  • Inbound and Outbound Calling
  • Multitasking and Prioritizing
  • Adaptability and Flexibility

Timeline

Medical Claims Examiner II

DST Health Solutions
01.2021 - Current

Accounts Payable Processor

Books-A-Million
04.2016 - 10.2020

Accounts Payable Clerk

Firstsource Solutions
03.2013 - 02.2016

Customer Service Representative

BBVA Compass Bank
08.2008 - 02.2013

High School Diploma -

P.D. Jackson Olin High School

Similar Profiles

CREATE PROFILE
Tiffany Fields