Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Tiffany Holland

Campton,KY

Summary

Hardworking medical administrative professional offers great people skills, organized file management and deep understanding of patient protections. Enhances office operations by staying on top of patient and staff needs. Experience with electronic recordkeeping and insurance documentation. Skilled administrative team member with in-depth understanding of medical standards, compliance requirements and operational procedures. Practiced problem-solver with friendly and caring mentality and excellent communication skills. Expertise in inventory management, customer service and inner-office operations.

Overview

15
15
years of professional experience

Work History

Insurance Verification

UK Healthcare
Lexington, KY
10.2020 - Current
  • Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
  • Updated patient and insurance data and input changes into company computer system.
  • Ensured that the most current version of provider contracts were stored in the database.
  • Contacted patients to confirm demographic information and communicate financial responsibilities.
  • Checked documentation for catching errors and making revisions.
  • Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
  • Accessed third-party insurance databases to identify coverage of benefits.
  • Prepared reports using word processing, and spreadsheet.
  • Communicated with patients with compassion while keeping medical information private.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Evaluated policies and procedures related to Insurance Verification activities.
  • Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
  • Entered data in EMR database to record payer and coverage limitations.
  • Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
  • Displayed strong telephone etiquette, effectively handling difficult calls.
  • Prioritized and organized tasks to efficiently accomplish service goals.
  • Approached customers and engaged in conversation through use of effective interpersonal and people skills.
  • Leveraged EPIC skills to input and compile data gathered from various sources.
  • Maintained open communication with team members and stakeholders, resulting in successful project outcomes.
  • Completed group projects, working smoothly with others.

Accounts Receivable Lead

Kentucky Cardiology
Lexington, Kentucky
11.2018 - 10.2020
  • Invested funds and recommended appropriate dividend issuances based on historical dividend patterns and expected cash flows.
  • Reviewed customer contracts for pricing accuracy prior to invoicing customers.
  • Ensured compliance with federal, state, and local regulations related to accounts receivable processes.
  • Negotiated payment plans with past due customers while ensuring full compliance with company policies.
  • Utilized daily audit information to update aging reports.
  • Investigated and resolved customer inquiries regarding billing issues or discrepancies.
  • Researched disputed invoice items for resolution of payment delays.
  • Followed up with customers via phone, email, or mail regarding outstanding invoices.
  • Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
  • Processed refunds for overpaid claims in a timely manner.
  • Summarized receivables by maintaining invoice accounts and coordinated monthly transfers to accounts receivable accounts.
  • Implemented new procedures within the Accounts Receivable department to improve efficiency.
  • Reconciled daily cash receipts and applied payments to the appropriate accounts.
  • Assisted in month-end closing process, including account reconciliations, journal entries, and accruals.
  • Performed day-to-day financial transactions, including verifying, classifying, computing, posting and recording accounts receivables' data.
  • Provided training and guidance to Accounts Receivable staff members as needed.
  • Drafted correspondence such as dunning letters or demand notices when necessary.
  • Monitored delinquent accounts and initiated collection efforts as needed.
  • Completed daily accounts receivable ledger reconciliations.
  • Maintained accurate records of all accounts receivable transactions.
  • Completed day-to-day duties accurately and efficiently.
  • Leveraged Greenway skills to input and compile data gathered from various sources.
  • Understood and followed oral and written directions.
  • Displayed strong telephone etiquette, effectively handling difficult calls.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Prioritized and organized tasks to efficiently accomplish service goals.
  • Researched claim rejections using various online tools such as payer websites or clearinghouses.
  • Analyzed information gathered by investigations and reported findings and recommendations.
  • Collaborated with other departments to ensure timely processing of denials.
  • Input claim information and payments into company database.
  • Checked into questionable claims, interviewing agents and claimants to resolve errors and omissions.
  • Processed appeals for rejected or underpaid claims in a timely manner.
  • Analyzed trends in denials for potential process improvement opportunities.
  • Adhered strictly to HIPAA guidelines when handling confidential patient information.
  • Reconciled payments from insurance companies against expected reimbursements based on contract terms.
  • Prepared documents for submission during appeal hearings or external reviews.
  • Performed data entry tasks related to claim denials and appeals.
  • Reviewed denied claims to determine the cause of denial and researched any discrepancies.
  • Provided customer service support by responding promptly to inquiries from patients, providers, and insurance carriers.
  • Monitored accounts receivable aging report for unpaid denied claims.
  • Worked closely with billing staff to resolve issues quickly and efficiently.
  • Assisted with development of policies and procedures related to claim denials.
  • Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
  • Recognized by management for providing exceptional customer service.

Dough Room Lead

Nestle's USA
Mount Sterling, KY
01.2010 - 09.2018
  • Explained goals and expectations required of trainees.
  • Developed reports on the status of inventory items, such as quantity on hand and reorder points.
  • Posted inventory data in Excel spreadsheets and managed inventory.
  • Managed and trained team members to enhance Quality Assurance department performance and increase operational efficiency.
  • Participated in regular meetings with department heads to discuss upcoming needs or changes.
  • Created detailed spreadsheets tracking all aspects of inventory management activities.
  • Assigned tasks to appropriate personnel based on their skill level and availability.
  • Stocked inventory and ordered kitchen supplies.
  • Maintained updated knowledge through advanced training.
  • Understood and followed oral and written directions.
  • Modified existing software systems to enhance performance and add new features.
  • Use of system softwares such as SAP & GLOBE as well as Microsoft Excel.
  • Quality Assurance Certified on all machinery in room to be able to release the entire room after any washes.
  • Inspected finished goods for conformance with established standards.
  • Used hand trucks to unload, load and transport items.
  • Set up and tended equipment with machine operators to complete runs.
  • Troubleshot equipment problems to repair or report diagnostics.
  • Identified problems related to assembly line operations and took corrective action.
  • Utilized hand tools such as screwdrivers, pliers, wrenches.
  • Communicated effectively with team members regarding tasks and progress.
  • Ensured compliance with company policies and procedures at all times.
  • Reduced health and safety risks with strict adherence to safety protocols and PPE requirements.
  • Followed safety protocols while operating equipment and handling materials.
  • Determined root cause of equipment problems and identified effective solutions.
  • Cleaned work areas and machines to maintain a safe and organized environment.
  • Attached identification labels to finished packaged items or stamped lot number and shipping destination information on containers.
  • Assisted processes for maintaining equipment cleanliness and safe operations according to company policies and procedures.
  • Hand-assembled needed parts with bolts and screws.
  • Trained new employees on proper operation of machinery and safety protocols.
  • Separated products according to weight, grade and size of material to produce final product.
  • Maintained neat, organized and clean work areas to avoid safety concerns or production delays.
  • Measured and weighed items to meet quality standards and prevent waste.
  • Kept accurate records of production data such as quantity produced and rejected items.
  • Reported defective items to supervisors for further inspection or repair.
  • Used daily system logs to document production information, discussing issues with management.
  • Stacked boxes onto pallets for storage or shipment in an orderly manner.
  • Worked with cross-functional teams to achieve goals.

Advanced Technical Support Specialist

EDS, an HP Company
Winchester, Kentucky
10.2008 - 01.2010
  • Read technical manuals or attended conferences to maintain knowledge of hardware and software.
  • Handled over 100 technical support phone calls daily.
  • Resolved customer complaints in a timely manner.
  • Performed troubleshooting of network connectivity problems.
  • Conducted research on emerging products, services, protocols, and standards in support of network system requirements.
  • Maintained positive working relationship with fellow staff and management.
  • Performed variety of clerical and administrative duties pertaining to on-site support.

Education

BBA -

Morehead State University
Morehead, KY
12.2023

Skills

  • Leadership Development
  • Organizational Development
  • Staff Management
  • Succession Planning
  • Performance Assessment
  • Recordkeeping
  • Risk Management
  • Microsoft Office and Docusign
  • Training and Mentoring
  • Insurance Plan Verification
  • Data Security and Confidentiality
  • Insurance Terminology
  • Coordination and Scheduling
  • Electronic Medical Records

References

References available upon request.

Timeline

Insurance Verification

UK Healthcare
10.2020 - Current

Accounts Receivable Lead

Kentucky Cardiology
11.2018 - 10.2020

Dough Room Lead

Nestle's USA
01.2010 - 09.2018

Advanced Technical Support Specialist

EDS, an HP Company
10.2008 - 01.2010

BBA -

Morehead State University

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Tiffany Holland