TIFFANY GRANDBERRY
Fort Worth
Summary
Seeking a position that will provide a challenging opportunity and to contribute to an organization, efficiency, growth, and profitability.
Professional with strong experience in patient account management, skilled at ensuring accurate billing and efficient revenue cycle processes. Known for effective collaboration with team members and adapting to changing needs to achieve results. Expertise includes billing systems, insurance claim processing, and patient communication. Dependable and focused on delivering high-quality outcomes in healthcare environment.
Overview
14
14
years of professional experience
Work History
Patient Account Specialist Senior
Christus Health
01.2023 - 08.2024
- Data entry by Collecting patient information, including medical history, billing and insurance information and primary care provider information
- Review and work claim edits
- Works payor rejected claims for resubmission
- Works reports and billing requests
- Demonstrates strong knowledge of standard bill forms and filing requirements
- Exhibits and understanding of electronic claims editing and submission capabilities
- Collect balances due from payors to ensure proper reimbursement for all services.
- Identifies and forwards proper account denial information to the designated departmental liaison. Dedicates efforts to ensure a proper denial resolution and timely turnaround.
- Identify and resolve underpayments with the appropriate follow up activities within payor timely guidelines.
- Identify and resolve credit balances with the appropriate follow up activities within payor timely guidelines.
Sales Representative
CarMax
07.2022 - 08.2023
- Inputting customer and account data from source documents within time limits.
- Compiling, verifying accuracy, and sorting information to prepare source data for computer entry. Reviewing data for deficiencies or errors, correcting any incompatibilities, and checking output.
- Build a rapport with potential customers to improve the possibility of a sale in the future
- Maintain a customer database and communicate with them
- Assist customers with completing the relevant paperwork required for a successful sale to be processed
- Maintain reporting structures and recording sales and inventory on our CRM software
- Collaborate with team members to reach sales targets
- Assist with the setup of showroom and promotional displays
- A professional appearance, friendly manner, and positive attitude
- Competitive while maintaining the client’s best interests
- Excellent communication and interpersonal skills
- Strong customer service and negotiation expertise
Customer Service Representative
Caremark
10.2020 - 06.2021
- Work from home
- Answer incoming calls
- Place orders for members prescription
- Go over members prescription drug plans
- Process payments and refunds
- Call the doctor for members to get refills for prescription
- Call pharmacies to give members prescription drug plans process information
- Ran test claims for prescription
Customer Service/ Cashier/ Delivery Driver/ Head Cashier
Lowes Home Improvement
10.2013 - 10.2020
- Overseas and manages the front-end operations of a retail store, including supervising cashiers, ensuring accurate transactions, providing customer service, and handling customer complaints
- Receive payment by cash, credit cards, vouchers, or automatic debits.
- Greet customers entering establishments and listen to customer inquiries and requests
- Issue receipts, refunds, credits, or change due to customers.
- Assist customers by providing information and resolving their complaints.
- Establish or identify prices of goods, services or admission, and tabulate bills using calculators, cash registers, or optical price scanners.
- Answer customers' questions and provide information on procedures or policies.
- Sell gift cards and other items to customers.
- Process merchandise returns and exchanges with speed and efficiency.
- Maintain clean and orderly checkout areas and complete other general cleaning duties, such as mopping floors and emptying trash cans.
- Provided professional installation of home appliances.
- Remove of old appliances.
- Deliver customers appliances on time.
- Keep Delivery Truck clean.
Caregiver
Crystal Care Home Health
08.2010 - 03.2015
- Maintain records of patient care, condition, progress, or problems to report and discuss observations with supervisor or case manager.
- Provide patients with help moving in and out of beds, baths, wheelchairs, or automobiles and with dressing and grooming.
- Care for patients by changing bed linens, washing and ironing laundry, cleaning, or assisting with their personal care.
- Entertain, converse with, or read aloud to patients to keep them mentally healthy and alert.
- Provide patients and families with emotional support and instruction in areas such as caring for infants, preparing healthy meals, living independently, or adapting to disability or illness.
- Perform a variety of duties as requested by client, such as obtaining household supplies or running errands.
- Accompany clients to doctors' offices or on other trips outside the home, providing transportation, assistance, and companionship.
Insurance Verifier
Aegis Call Center
10.2012 - 01.2013
- Contact insured or other involved persons to obtain missing information.
- Interview prospective clients to obtain data about their financial resources and needs, the physical condition of the person or property to be insured, and to discuss any existing coverage.
- Call on policyholders to deliver and explain policy, to analyze insurance program and suggest additions or changes, or to change beneficiaries.
- Seek out new clients and develop clientele by networking to find new customers and generate lists of prospective clients.
- Provide customer service, such as limited instructions on proceeding with plans or offer other options.
- Organize or work with detailed office records, using computers to enter access, search or retrieve data.
- Post or attach information to insurance file.
- Ensure that policy requirements are fulfilled, including any necessary medical examinations and the completion of appropriate forms.
Cashier
Ross
09.2010 - 09.2011
- Receive payment by cash, check, credit cards, vouchers, or automatic debits.
- Issue receipts, refunds, credits, or change due to customers.
- Assist customers by providing information and resolving their complaints.
- Greet customers entering establishments
- Answer customers' questions and provide information on procedures or policies.
- Process merchandise returns and exchanges.
- Maintain clean and orderly checkout areas.
- Request information or assistance using paging systems.
- Count money in cash drawers at the beginning of shifts to ensure that amounts are correct and that there is adequate change.
- Monitor checkout stations to ensure that they have adequate cash available and that they are staffed appropriately.
- Assist with duties in other areas of the store, such as monitoring fitting rooms or bagging and carrying out customers' items.
- Sort, count, and wrap currency and coins.
Education
High School Diploma -
Penn Foster
Scranton, PAReal Estate Certificate
Cedar Valley College
Dallas, TX01.2019
Skills
- Direct patient support
- Collaborative teamwork
- Expertise in HIPAA compliance
- Clear and concise communication
- Accurate data entry
- Customer engagement
- Organizational time strategies
- Results-driven
- Collaborative team management
- Collaborative decision-making
- Proficient in data entry tasks
- Claims evaluation
Timeline
Patient Account Specialist Senior
Christus Health
01.2023 - 08.2024
Sales Representative
CarMax
07.2022 - 08.2023
Customer Service Representative
Caremark
10.2020 - 06.2021
Customer Service/ Cashier/ Delivery Driver/ Head Cashier
Lowes Home Improvement
10.2013 - 10.2020
Insurance Verifier
Aegis Call Center
10.2012 - 01.2013
Cashier
Ross
09.2010 - 09.2011
Caregiver
Crystal Care Home Health
08.2010 - 03.2015
High School Diploma -
Penn Foster
Real Estate Certificate
Cedar Valley College
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