Tiffany Mobley
Piscataway
Summary
Skilled claims professional with experience in claims processing and administration, adept at analyzing and resolving complex claims issues. Strong focus on team collaboration and consistently achieving results in fast-paced environments. Known for flexibility, reliability, and adapting to changing needs. Proficient in data entry, documentation, conflict resolution, and customer service.
Diligent with proven track record in processing claims accurately and efficiently. Demonstrated ability to manage high-volume workloads while ensuring compliance with regulatory standards. Utilized strong attention to detail and problem-solving skills to resolve complex claims issues.
Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.
Experienced life and disability Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
15
15
years of professional experience
Work History
Client Service Administrator
Fast Track Inc
08.2024 - Current
- Enhanced client satisfaction by promptly addressing inquiries and resolving issues.
- Collaborated with team members to develop strategies for improving overall client service experience.
- Conducted research on industry trends to provide valuable insights to clients, fostering informed decision making.
- Facilitated clear communication between clients and internal teams, resulting in successful project completion.
- Maintained detailed records of client interactions and transactions for easy reference during future engagements.
- Assisted in implementing new software, reducing processing time and improving data organization.
Senior Fraud Specialist
Discover Bank, Member FDIC
10.2023 - Current
- Analyzed large sets of data for potential fraudulent activity, identifying areas of concern and mitigating risks.
- Enhanced transaction monitoring systems for improved fraud detection and prevention.
- Educated employees on best practices for detecting and preventing financial crime incidents within the organization.
- Implemented new tools and technology to detect emerging fraud trends and patterns.
- Reduced fraud losses by implementing advanced detection techniques and strategies.
Patient Care Coordinator
Professional Physical Therapy
10.2021 - 06.2023
- Maintained confidentiality of patient data and condition to safeguard health information.
- Acted as main point of contact for patients, doctors, and hospital staff by closely reviewing medical charts and maintaining high levels of communication.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Worked closely with patients to deliver excellent and direct individualized patient care.
- Delivered excellent patient experiences and direct care.
Centralized Scheduler
RWJBH Corporate
09.2019 - 10.2021
- Scheduling/Registering patients for outpatient radiology procedures for 11 different hospitals in high call volume
- Collaborated with healthcare staff to verify alignment of appointment scheduling with clinic protocols.
- Confirmed appointments one day prior to minimize missed appointments and maximize clinic utilization.
- Processed payments and managed financial records to facilitate proper billing and tracking of payment history.
- Monitored patient wait times, providing updates to achieve optimal patient satisfaction.
- Answered phone calls and messages for physician medical facility, scheduling appointments, and handling patient inquiries.
Mental Health UR Rep
LogistiCare
12.2017 - 09.2019
- Mental Health Verification
- Verify medical documentation and make decisions based on information provided to determine approval & rejection Knowledge of clinical UR, Medicaid, and Medicare guidelines and covered services
- Perform outbound services
- Actively work with
- Medical Director, and Verification Team on continuous state improvements & updates of MNF processes, according to Medicaid Guidelines.
- Supported patients and family members, actively listening to concerns and offering compassionate care.
- Answered patient inquiries and provided information about healthcare services.
Security Officer
Securitas, Verizon Cooperate Office
01.2017 - 12.2017
- Monitoring C.C.T.V
- Making Sure Workers are safe
- Wrote detailed reports on property damage, theft, presence of unauthorized persons and unusual incidences.
- Checked identification of persons entering and exiting facility to eliminate unauthorized visitors.
- Signing in and out new guest
- Answering the phone
- Transferring calls
- Greeted guests professionally and courteously to cultivate welcoming atmosphere while making safety top priority.
- Conducted regular patrols of key areas to spot and control security concerns.
Direct Care staff
Keystone Community Living
10.2012 - 12.2016
- Documented client progress and services performed, reporting changes in client condition to manager or supervisor.
- Maintained clean personal areas and prepared healthy meals to support client nutritional needs.
- Administered medication as directed by physician.
- Provided safe mobility support to help patients move around personal and public spaces.
- Assisted clients with daily living needs to maintain self-esteem and general wellness.
- Planned healthy meals, purchased ingredients, and cooked meals to provide adequate nutrition for client wellbeing.
- Transported individuals to events and activities, medical appointments, and shopping trips.
- Monitored and assisted residents through individual service plans.
Receptionist
Cable Vision
03.2014 - 11.2015
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Obtain or send information or documents using a computer, mail or fax machine
- Keyboarding/data entry and performing a variety of other office tasks
- Confirmed appointments, communicated with clients, and updated client records.
- Kept reception area clean and neat to give visitors positive first impression.
- Answered phone promptly and directed incoming calls to correct offices.
- Responded to inquiries from callers seeking information.
Breakfast Attendant
Edison Hotel
06.2013 - 02.2014
- Executed efficient breakfast bar set-up and operations beginning at early hours and finishing prior to check out times.
- Disposed of trash, wiped kitchen areas and mopped floors to meet health department sanitation inspection guidelines.
- Improved guest comfort and satisfaction through personalized service and support.
- Resolved guest concerns quickly regarding food selection, beverage availability and freshness.
- Arranged assortment of pastries, oatmeal and cereals to satisfy diverse appetites and optimize guest experience.
- Replenished hot and cold food table and stocked beverage dispensers, plates and utensils and ice supply.
- Prepared selection of coffees, fresh juices and other beverages for guest enjoyment.
Cashiers/Food Preparer
McDonalds
02.2012 - 06.2013
- Kept workstation and equipment clean, organized, sanitized, and sufficiently stocked.
- Guaranteed customer satisfaction by quickly delivering orders.
- Transferred supplies and equipment between storage and work areas to support food preparation.
- Followed food preparation and storage guidelines established by Health Department.
- Measured, mixed, and cooked ingredients following directions and nutritional restrictions.
- Sanitized work surfaces between food preparation, avoiding cross-contamination and maintaining food safety guidelines.
Kitchen Attendant
Ashbrook Nursing Home
12.2009 - 11.2010
- Helped chefs prepare and present food to event guests with strong attention to detail and presentation expertise.
- Operated standard kitchen equipment with focus on safety and sanitation.
- Prepared dishes for catering events or during high-volume shifts.
- Followed proper handling and sanitation procedures to comply with food safety standards and protocols.
- Managed time to juggle multiple tasks simultaneously with ease.
- Cleaned and sanitized dishes and utensils, consistently keeping adequate supplies on hand for expected customer loads.
- Monitored food temperatures and quality throughout shifts.
Education
Certificate -
Salon Professional Academy
High School Diploma -
Piscataway High School
Skills
- Strategic Networking
- Verbal and Written Communication
- Program Oversight
- Customer Service
- Medical Terminology
- Healthcare Operations
- Time Management
- Insurance Practices
- Appointment Confirmation
- Organizational Skills
- EMR Systems
Timeline
Client Service Administrator
Fast Track Inc
08.2024 - Current
Senior Fraud Specialist
Discover Bank, Member FDIC
10.2023 - Current
Patient Care Coordinator
Professional Physical Therapy
10.2021 - 06.2023
Centralized Scheduler
RWJBH Corporate
09.2019 - 10.2021
Mental Health UR Rep
LogistiCare
12.2017 - 09.2019
Security Officer
Securitas, Verizon Cooperate Office
01.2017 - 12.2017
Receptionist
Cable Vision
03.2014 - 11.2015
Breakfast Attendant
Edison Hotel
06.2013 - 02.2014
Direct Care staff
Keystone Community Living
10.2012 - 12.2016
Cashiers/Food Preparer
McDonalds
02.2012 - 06.2013
Kitchen Attendant
Ashbrook Nursing Home
12.2009 - 11.2010
High School Diploma -
Piscataway High School
Certificate -
Salon Professional Academy
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