Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tiffany G. Gooden

Shreveport,LA

Summary

Innovative consistently praised by management for providing top-notch technical, quality and production leadership to assigned team. Well-educated in troubleshooting, root cause analysis and corrective action implementation.

Overview

27
27
years of professional experience

Work History

Mgmt Consultant/Eligibility Reviewer - Team Lead

Witt O'brien's
Remote
12.2021 - 09.2022
  • Coached team members in techniques necessary to complete job tasks.
  • Trained new team members by relaying information on company procedures and safety requirements.
  • Worked different stations to provide optimal coverage and meet production goals.
  • Evaluated employee skills and knowledge regularly, training and mentoring individuals with lagging skills.
  • Established open and professional relationships with team members to achieve quick resolutions for various issues.
  • Took on additional job duties during unexpected backlog, resulting in meeting project target date.

Appeals Supervisor

Guidehouse
Remote
09.2021 - 07.2022
  • Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
  • Handled customer complaints, resolved issues and adjusted policies to meet changing needs.
  • Evaluated employee performance and coached and trained to improve weak areas.
  • Maintained compliance with company policies, objectives and communication goals.
  • Worked with management team to implement proper division of responsibilities.
  • Set overall vision and provided team leadership.
  • Developed training, task and process guidelines and communicated clear and concise directions to employees.
  • Mentored newly hired employees on operating equipment and safety and developed training manual to use for reference.

Mgmt Consultant/Eligibility Reviewer

Witt O'brien's
Remote
10.2021 - 12.2021
  • Managed competing deadlines with efficiency.
  • Played instrumental role in creative planning and review sessions, working with resourceful team to elevate quality.
  • Presented clients with unique copy options based on overall objectives.
  • Customized brand message to reach and capture target audience interest and drive engagement.
  • Composed original written material for various types of publications and submitted for approval by supervisor,

E-Commerce Assistant Manager

Kroger's Grocery
Shreveport, Louisiana
10.2017 - 12.2021
  • Optimized e-commerce fulfillment strategy to minimize costs while maximizing profits and customer satisfaction.
  • Established and maintained balanced and accurate e-commerce budget to execute on initiatives with proper funding and enrich customer experience.
  • Tracked consumer behavior, content management and weight of purchase to develop robust customer acquisition and retention programs.
  • Customized e-commerce platforms by building new products, designing landing pages and integrating new vendors and apps to further enhance website UI and UX.
  • Developed and executed e-commerce positioning, values, tone of voice and design elements to bring value and convenience to customers.

Housing Supervisor

Guidehouse
Remote
06.2021 - 09.2021
  • Handled tenant complaints promptly and appropriately, calling in repairmen and other support services.
  • Followed up on delinquent tenants and coordinated collection procedures.
  • Maintained original leases and renewal documents in digital and hardcopy format for property management office.
  • Monitored timely receipt and reconciliation of rent collections in accordance with landlord and resident statutes.

Administrator/Server Shift Leader

Posado's Café
Bossier City, Louisiana
04.2014 - 06.2021
  • Cultivated warm relationships with regular customers.
  • Worked with POS system to place orders, manage bills and handle complimentary items.
  • Explained menu items and suggested appropriate options for food allergy concerns.
  • Bussed and reset tables to keep dining room and work areas clean.
  • Upsold high-profit items such as appetizers and mixed drinks to enhance sales numbers.
  • Arranged and prepared tables for customers to offer memorable experiences to guests and foster repeat business.
  • Addressed and resolved customer conflicts with managed waitstaff, verifying satisfactory outcomes for involved parties.
  • Handled table service and other dining room tasks to address shortfalls due to unexpected absences or unusual service volumes.

Tax Preparer Specialist

Jackson Hewitt Tax Svc
Shreveport, LA
01.2014 - 04.2017
  • Completed and filed returns with tax departments at local, state and federal levels.
  • Reviewed clients tax filing papers thoroughly to determine eligibility for additional tax credits or deductions.
  • Maintained complete records of client tax returns and supporting documentation in secured areas.
  • Prepared tax returns, extensions, tax planning calculations and write-ups for organizations and entities.
  • Offered clients recommendations to reduce tax liabilities.
  • Conducted reviews of internal tax documentation, reducing errors related to missed tax benefits.

Medical Claims Processor

Gulf South Risk Services
Remote
07.2010 - 04.2014
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
  • Managed large volume of medical claims on daily basis.
  • Paid or denied medical claims based upon established claims processing criteria.
  • Responded to correspondence from insurance companies.
  • Used administrative guidelines as resource or to answer questions when processing medical claims.
  • Reviewed provider coding information to report services and verify correctness.
  • Evaluated accuracy and quality of data entered into agency management system.

Medical Billing Representative

Ark-La-Tex Cardiology
Shreveport, Louisiana
02.2007 - 07.2010
  • Posted and adjusted payments from insurance companies.
  • Precisely evaluated and verified benefits and eligibility.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Determined prior authorizations for medication and outpatient procedures.
  • Printed and reviewed monthly patient aging report and solicited overdue payments.

Medical Receptionist

LSU Medical Center
Shreveport, Louisiana
01.2004 - 02.2007
  • Adhered to strict HIPAA guidelines to protect patient privacy.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Managed multi-line phone system and pleasantly greeted patients.
  • Helped patients complete necessary medical forms and documentation.
  • Checked patient insurance, demographic and health history to keep information current.
  • Maintained current and accurate medical records for patients.
  • Organized paperwork such as charts and reports for office and patient needs.
  • Transcribed phone messages and relayed to appropriate personnel.

Education

Bachelor of Science - Health Care Management

University of Phoenix
Tempe, AZ
03.2023

Associate of Science - Human Resources Management

Eastern Gateway Community College
Steubenville, OH
10.2020

Skills

  • Task Monitoring
  • Process Improvement Initiatives
  • Team Monitoring
  • Corrective Actions
  • Tax Preparation
  • Multi-tasking

Timeline

Mgmt Consultant/Eligibility Reviewer - Team Lead

Witt O'brien's
12.2021 - 09.2022

Mgmt Consultant/Eligibility Reviewer

Witt O'brien's
10.2021 - 12.2021

Appeals Supervisor

Guidehouse
09.2021 - 07.2022

Housing Supervisor

Guidehouse
06.2021 - 09.2021

E-Commerce Assistant Manager

Kroger's Grocery
10.2017 - 12.2021

Administrator/Server Shift Leader

Posado's Café
04.2014 - 06.2021

Tax Preparer Specialist

Jackson Hewitt Tax Svc
01.2014 - 04.2017

Medical Claims Processor

Gulf South Risk Services
07.2010 - 04.2014

Medical Billing Representative

Ark-La-Tex Cardiology
02.2007 - 07.2010

Medical Receptionist

LSU Medical Center
01.2004 - 02.2007

Bachelor of Science - Health Care Management

University of Phoenix

Associate of Science - Human Resources Management

Eastern Gateway Community College
Tiffany G. Gooden