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Tiffany Lee
Belleville,IL
Summary
Diligent Insurance Follow Up Analyst with background in managing patient accounts, identifying and resolving billing issues. Facilitator of communication with insurance companies, ensuring accurate and timely processing of claims. Demonstrates strong analytical skills and attention to detail in financial record-keeping and patient support.
Overview
9
9
years of professional experience
Work History
Patient Account Representative
BJC Healthcare
07.2019 - 11.2025
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Identified trends in unpaid accounts, developed targeted solutions for improved revenue recovery.
- Maintained accurate records of all transactions, ensuring timely payments from insurance providers.
- Worked with over 30 outside entities to resolve issues with billing, claims, and payments.
- Monitored high-dollar and aging claims to resolve urgent items with accuracy and efficiency.
- Researched billing errors and discrepancies to initiate corrective action.
- Trained 5 new hires on company procedures, best practices, and software tools used within the Patient Account Representative role.
Revenue Specialist
Cerner Corporation
02.2018 - 06.2018
- Supported management decision-making by providing insightful analyses on medical claim underpayment trends and potential resolution opportunities.
- Increased revenue by identifying underpayment on claims and implementing effective collection strategies.
- Maintained up-to-date knowledge on over 10 applicable contracts and contract negotiations, applying new knowledge to drive revenue growth and operational excellence.
- Collaborated with the team to develop identification and collection strategies, resulting in increased profitability margins.
- Developed and maintained a folder of approximately 15 forms and letter templates to streamline the revenue recovery efforts for known payor issues, therefore decreasing accounts receivable days.
- Trained new hires on company procedures, best practices, and software tools used within the Revenue Specialist role.
Revenue Recovery Analyst
Adventist Health System
08.2017 - 01.2018
- Conducted detailed analysis of claim denials to identify patterns and root causes to enhance recovery strategies.
- Reviewed and validated patient accounts to ensure compliance with billing regulations and company policies.
- Identified opportunities for process improvements and implemented solutions to increase recovery rates.
- Maintained accurate and organized records of all recovery efforts and communications for future reference.
- Trained 3 new staff on new software tools and recovery techniques, fostering a knowledgeable and efficient team.
- Maintained a thorough understanding of industry regulations, ensuring compliance throughout all aspects of the recovery process.
- Managed a high volume of accounts, ensuring timely follow-up and thorough documentation.
Sr. Billing Follow Up Associate
Adventist Health System
12.2016 - 08.2017
- Conducted thorough follow-up on outstanding patient accounts to ensure timely collections and minimize aging receivables.
- Collaborated with insurance companies to resolve billing discrepancies and expedite claim processing.
- Monitored and analyzed billing reports to identify trends and implement corrective actions as necessary.
- Assisted in the implementation of process improvements to enhance efficiency in the billing follow-up workflow.
- Developed training materials and conducted sessions for 5 new team members on billing procedures and best practices.
- Utilized billing software to track and manage patient accounts and maintain accurate records.
Education
Bachelor of Arts - Social Work
Oakwood University
Huntsville, Alabama, AL05-2012
Skills
- HIPAA compliance
- Insurance Verification
- Insurance Billing/Follow Up
- Data Entry Proficiency
- Team Collaboration
- Verbal and Written Communication
- Payment Processing
- Collections Experience
- Documentation and Recordkeeping
- Cerner and EPIC Platform Trained
Interests
Website
www.linkedin.com/in/MeetTiffanyLee
Timeline
Patient Account Representative
BJC Healthcare
07.2019 - 11.2025
Revenue Specialist
Cerner Corporation
02.2018 - 06.2018
Revenue Recovery Analyst
Adventist Health System
08.2017 - 01.2018
Sr. Billing Follow Up Associate
Adventist Health System
12.2016 - 08.2017
Bachelor of Arts - Social Work
Oakwood University