Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tiffany Longoria

Houston

Summary

Medical insurance professional with proven track record in handling insurance claims and policy adherence. Known for ensuring accuracy in claim processing and effectively addressing issues. Possesses collaborative mindset and adaptability, contributing to team success and meeting organizational goals. Key competencies include regulatory knowledge and problem-solving abilities.

Overview

5
5
years of professional experience

Work History

Customer First Rep

United Healthcare
02.2022 - 09.2024
  • Managed high call volumes, maintaining a professional demeanor during peak hours and effectively multitasking in a fast-paced environment.
  • Worked effectively in fast-paced environments.
  • Researched and resolved complex medical claims issues to support timely processing.
  • Checked patient insurance, demographic, and health history to keep information current.
  • Collaborated with medical staff to obtain necessary documentation for accurate claim submissions.
  • Reduced claim denials by verifying patient eligibility and coverage details prior to submission.

FEMA Corps Member

TTEC
06.2020 - 09.2022
  • Provided essential support to survivors by assisting them in navigating FEMA assistance programs and resources.
  • Contributed to the development of disaster relief strategies, ensuring timely and efficient response efforts.
  • Approached issues proactively to best meet current and future community needs.
  • Kept case files updated, accurate and aligned with requirements.

Dispatcher

Air Dynasty
08.2019 - 07.2020
  • Managed 15 dispatchers while leading and delegating job assignments, tracking project status, processing payroll and resolving issues to maximize productivity.
  • Supervised team of 6 employees and provided training focused on maximizing overall performance.
  • Implemented schedule and policy changes and collaborated with management to formulate new policies, procedures and goals.
  • Added documents to file records and created new records to support filing needs.
  • Created reports based on up-to-date data to inform business decisions.
  • Ability to type up to 50 wpm

Education

High School Diploma -

Macarthur High School
Houston, TX
08.2012

Skills

  • Customer support
  • Patient scheduling
  • Customer service
  • Medical terminology knowledge
  • Microsoft Word
  • Microsoft Excel
  • Teamwork and collaboration

Timeline

Customer First Rep

United Healthcare
02.2022 - 09.2024

FEMA Corps Member

TTEC
06.2020 - 09.2022

Dispatcher

Air Dynasty
08.2019 - 07.2020

High School Diploma -

Macarthur High School

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