- Avid Writer of poetry, copywriting, and a personal memoir
- Create Floral Arrangements as a volunteer
Tiffany Watson
Meridian,MS
Summary
Experienced Analyst with expertise in database management and contract negotiation within the healthcare and legal sectors. Skilled in legal document review, account management, and client relations. Proven ability to prioritize tasks and manage service level agreements effectively. Driven towards data integrity to enable precise business forecasting and company growth.
Overview
9
9
years of professional experience
Work History
Analyst
Integreon
07.2022 - Current
- Begin as a Contracts Specialist and promoted to Analyst role.
- Performed first-level review of Contract requests and related legal documents to ensure accuracy.
- Liaise with clients to gather necessary information for accurate and complete record-keeping in compliance with regulatory requirements.
- Managed account consolidation, activation, and archival processes efficiently.
- Researched and validated businesses using multiple tools, prioritizing tasks per SLAs.
- Optimized data storage by categorizing records according to established procedures and guidelines.
- Drafted and revised legal documents, ensuring compliance with regulatory standards.
- Facilitated onboarding and offboarding processes, setting up network access with Workday.
Utilization Management Specialist
AmeriHealth Caritas
08.2020 - 05.2022
- Received incoming authorization requests for patients, streamlining cases across multiple service lines for optimal outcomes.
- Performed prior authorization review of services requiring notification.
- Supported cases that failed criteria and helped facilitate resolutions and approvals through an Appeals process.
- Reduced unnecessary healthcare costs by analyzing requests and reducing duplicate records.
- Ensured patients were treated on time by performing prompt and accurate authorization processes.
Accounts Receivable Analyst
Carolina Eyecare Physicians
08.2020 - 08.2020
- Analyzed aging reports to identify trends and patterns causing missed collections.
- Handled account payments and provided information regarding outstanding balances.
- Prepared and mailed invoices to customers and documented account updates.
- Reduced errors in billing, implementing rigorous quality control measures on invoice generation.
- Managed month-end close processes, ensuring accuracy in financial reporting for accounts receivable activities.
- Facilitated dispute resolution between company and clients, fostering positive working relationships while protecting company interests.
- Reconciled accounts, conducted audits and updated financial records with remarkable accuracy.
Data Management Specialist
Centene Corporation
11.2015 - 11.2018
- Began as a Provider Customer Service Representative and promoted to Credential and Data Management Specialist.
- Managed complex large datasets with precision, ensuring accurate representation of organizational trends over time.
- Performed regular audits of entered data, identifying discrepancies and rectifying errors promptly.
- Applied data validation procedures to support and enforce data integrity.
- Compiled and sorted information to prepare source data for computer entry.
- Reported statistics requested by senior management accounting for database growth and overall Business performance.
- Participated in weekly conference calls with management to discuss department updates and strategies.
- Maintained high levels of focus, entering large volumes of data accurately within tight deadlines.
- Improved customer satisfaction scores through application of superior conflict resolution and problem-solving skills.
- Actively participated in team meetings providing valuable insights that led to process improvements.
- Provided training to new team members on company-specific data entry systems and protocols.
- Educated clients on available resources and tools, empowering them to make informed decisions about their healthcare needs.
- Investigated and resolved customer inquiries and complaints quickly.
- Investigated and resolved problems with Claims and Prior Authorization submissions.
- Used Microsoft Excel and CRM software.
Education
Associate of Liberal Arts & Humanitarian Studies - Liberal Arts And Sciences
Herbert W. Armstrong College
Edmond, OKHigh School Diploma Equivalency -
Florida Department of Education
Tampa, FLSkills
- Legal document review
- Database management
- Contract negotiation
- Client relations
- Service level agreement management
- Decision-making
- Microsoft Excel proficiency
- Data research and validation
- Root-cause analysis
- Process improvements
- Data integrity assurance
- Attention to detail
Interests
Timeline
Analyst
Integreon
07.2022 - Current
Utilization Management Specialist
AmeriHealth Caritas
08.2020 - 05.2022
Accounts Receivable Analyst
Carolina Eyecare Physicians
08.2020 - 08.2020
Data Management Specialist
Centene Corporation
11.2015 - 11.2018
Associate of Liberal Arts & Humanitarian Studies - Liberal Arts And Sciences
Herbert W. Armstrong College
High School Diploma Equivalency -
Florida Department of Education
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