Tiffany Watkins
Arlington,United States
Summary
Adaptable professional with proven ability to learn quickly and adjust to new environments. Expertise in acquiring knowledge rapidly and applying it effectively to achieve results. Committed to continuous learning and adept at navigating change successfully.
Overview
13
13
years of professional experience
Work History
Crisis Triage/After Hours Care Coordinator
Evernorth Behavioral Health
10.2021 - Current
- Dispatch EMS upon the Care Manager's request, and follow up to confirm member safety.
- Coordinate Critical Incident Stress Management (CISM) services for EAC clients.
- Complete fastcerts for inpatient mental health and substance abuse admissions
- Answer inbound calls from members and providers regarding mental health and substance use services.
- Complete urgent and HLOC searches for members
Behavioral Health Case Management Analyst
Evernorth Behavioral Health
Plano, TX
10.2019 - 10.2021
- Register participants in the intake system and opens case files
- Educate participants on their benefits based upon individual plan design and other clinical or non-clinical resources available
- Write authorizations to ensure claims are paid correctly
- Using independent problem solving skills to make sound decisions in assessing the needs of the participants
Claims Analyst
Centene Corporation
, Remote
04.2017 - 10.2019
- Apply Medicaid policy and provider contract provisions to determine if claim is payable
- Review charges and use payment or denial codes within established department guidelines and standards
- Process refunds and/or adjustments on resubmitted claims
Paralegal Specialist
U.S. Army
03.2012 - 01.2015
- Provide paralegal support to unit commanders and the Office of the Staff Judge Advocate
- Provide legal documents in courts-martial, nonjudicial punishments and other military justice matters
- Prepare line of duty determinations, separation board proceedings and other administrative law matters
Education
Bachelor of Arts - Psychology
University of Texas At Tyler
01.2018
Associate of Applied Science - General Studies
Tyler Junior College
01.2015
Bachelor of Science - Nursing
University of Texas At Arlington
Skills
- Care coordination
- Behavioral health management
- Risk assessment
- Case documentation
- Benefit communication
- Crisis intervention
- Team collaboration
- Patient assessment
- Empathy and compassion
- Active listening
- Multitasking and organization
- Heartsaver CPR AED
- Effective communication
- Attention to detail
- Conflict resolution
Hobbies and Interests
- Community Involvement
- Physical Fitness
- Yoga
- Journaling
- Reading
- Art
- Music
- DIY projects
Timeline
Crisis Triage/After Hours Care Coordinator
Evernorth Behavioral Health
10.2021 - Current
Behavioral Health Case Management Analyst
Evernorth Behavioral Health
10.2019 - 10.2021
Claims Analyst
Centene Corporation
04.2017 - 10.2019
Paralegal Specialist
U.S. Army
03.2012 - 01.2015
Bachelor of Arts - Psychology
University of Texas At Tyler
Associate of Applied Science - General Studies
Tyler Junior College
Bachelor of Science - Nursing
University of Texas At Arlington
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