Tiffany French
Joelton,TN
Summary
Results-driven Medical Billing and A/R Specialist with several years of experience in healthcare billing, claims processing, and revenue cycle management. Ensures accurate data entry and resolves discrepancies to prevent reimbursement delays. Skilled in HIPAA compliance and payer requirements, with a focus on interdepartmental collaboration and maintaining productivity in high-volume environments.
Overview
6
6
years of post-secondary education
20
20
years of professional experience
Work History
Benefits Adviser (Remote)- Licensed Insurance Broker
Wilson Towers Watson
06.2026 - Current
- Explain costs, coverage details, and benefits of multiple insurance plans with patience and empathy.
- Guided participants through decision-making and enrollment process, ensuring clarity and satisfaction in their insurance choices.
- Conducted inbound and outbound calls to assess retirees' needs and determine Medicare eligibility, enhancing client understanding of their options.
- Achieved annual insurance carrier certifications to maintain active licensure, ensuring compliance and access to the latest product offerings.
Collections Specialist (Remote)
Promises Behavioral Health
Brentwood, USA
03.2023 - Current
- Identified and corrected discrepancies before claim submission to avoid reimbursement delays.
- Reviewed and followed up on outstanding A/R and claims in billing system and clearinghouse to ensure timely payments.
- Collaborated with internal departments to resolve missing or inaccurate data, enhancing data accuracy.
- Ensured adherence to HIPAA regulations
Care Coordinator (Remote)
Narus Health
Nashville, USA
01.2022 - 10.2023
- Educated providers on plan guidelines, preventing delays in patient care and improving service delivery.
- Communicated with patients and providers to streamline claims processing and reduce resolution time.
- Provided timely resolution of patient issues while maintaining confidentiality standards.
- Verified insurance and resolved billing/claims inquiries to enhance member satisfaction.
Medical Biller (Remote)
Apricity Resources
Nashville, USA
10.2019 - 12.2022
- Verified accuracy and completeness of demographic and billing data before submission to minimize claim denials.
- Processed claim submissions to third-party payers, adhering to corporate billing policies to ensure compliance and expedite reimbursement.
- Maintained detailed documentation and followed up on outstanding claims to facilitate timely reimbursement.
Cash Operations Specialist (Contract)
Steward Medical Group
Franklin, USA
03.2019 - 10.2019
- Uploaded remits and posted payments, processing refunds to patients and insurers for timely financial resolution.
- Transferred payments and rebilled commercial claims, resolving unapplied cash to ensure accurate account reconciliation.
- Streamlined communication between departments to enhance operational efficiency.
- Managed patient scheduling processes to ensure appointments were effectively organized. to optimize resource allocation and reduce wait times.
- Supported medical staff by managing inventory and ensuring equipment availability.
Medical Biller / A/R Follow-Up Specialist (Contract)
Citadel
Hendersonville, USA
10.2017 - 03.2018
- Processed medical claims using advanced billing software at Citadel.
- Corrected claims errors and submitted re-bills to ensure timely payment from commercial/state-funded payers.
- Communicated with insurance companies to resolve billing discrepancies.
- Contacted patients to resolve outstanding balances and update insurance information for accurate billing.
- Reviewed patient accounts for accuracy and completeness of information.
Billing Representative / Front Office Coordinator
Due West Family Health Care
Madison, USA
11.2006 - 05.2012
- Entered patient demographics, coded procedures, posted payments, and managed front-office operations to ensure smooth patient flow.
- Followed up on claims with insurance companies and generated statements for unpaid accounts to facilitate timely payment resolution.
- Processed patient billing inquiries and resolved discrepancies effectively.
- Maintained accurate patient records and billing information in the database.
- Coordinated with healthcare providers to ensure proper coding of medical services.
Education
Medical Billing & Coding Certificate -
MedVance Institute
Nashville, USA 01.2006 - 12.2006
Tennessee State University -
Tennessee State University
Nashville, USA 01.2005 - 12.2005
Hunters Lane High School - Honors Curriculum
Hunters Lane High School
Nashville, USA 08.1998 - 05.2002
Skills
- Insurance Plan Analysis
- Insurance Claims Review
- Client Eligibility Assessment
- Insurance Coverage Analysis
- Claims Payment Analysis
- Regulatory compliance
- Data Accuracy & Entry
- Medical Billing systems & Clearinghouses
- Healthcare Financial Oversight
- Microsoft Office proficiency
- Problem solving
- Client Communication Strategies
- Customer service
Timeline
Benefits Adviser (Remote)- Licensed Insurance Broker
Wilson Towers Watson
06.2026 - Current
Collections Specialist (Remote)
Promises Behavioral Health
03.2023 - Current
Care Coordinator (Remote)
Narus Health
01.2022 - 10.2023
Medical Biller (Remote)
Apricity Resources
10.2019 - 12.2022
Cash Operations Specialist (Contract)
Steward Medical Group
03.2019 - 10.2019
Medical Biller / A/R Follow-Up Specialist (Contract)
Citadel
10.2017 - 03.2018
Billing Representative / Front Office Coordinator
Due West Family Health Care
11.2006 - 05.2012
Medical Billing & Coding Certificate -
MedVance Institute
01.2006 - 12.2006
Tennessee State University -
Tennessee State University
01.2005 - 12.2005
Hunters Lane High School - Honors Curriculum
Hunters Lane High School
08.1998 - 05.2002